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For Employees and Retirees of THE CALIFORNIA STATE UNIVERSITY Combined Evidence of Coverage and Disclosure Form deltadentalins.com Group Number: 04018 & 04918 Effective Date: January 1, 2015, DENTAL
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How to fill out form for employees and retirees:

01
Start by carefully reading the instructions provided with the form. Make sure you understand what information is required and any specific guidelines for filling it out.
02
Begin by filling in your personal information accurately. This may include your full name, address, date of birth, and contact details. For retirees, you may also need to provide information regarding your previous employment, such as the name of the company and the dates of your employment.
03
Provide your social security number or any other identification number that may be required to authenticate your identity and eligibility.
04
If there are sections or fields that are not applicable to you, make sure to write "N/A" or "Not Applicable" in those areas to avoid confusion.
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Double-check all the information you have entered for accuracy. Typos or incorrect details could lead to delays or errors in processing your form.

Who needs the form for employees and retirees?

01
Employees: Any individual who is currently employed by a company or organization may need to fill out this form. It could be required for various purposes, such as updating personal information, enrolling in employee benefit programs, or making changes to tax withholdings.
02
Retirees: Individuals who have retired from their previous employment and are receiving retirement benefits may also need to complete this form. It could be necessary for providing updated contact information, making changes to benefit plans, or updating tax withholding details.
In summary, filling out the form for employees and retirees involves accurately providing personal details, following instructions, and ensuring the information provided is correct. This form may be required for both employees and retirees to fulfill different purposes related to their employment or retirement benefits.
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Form W-2 is for employees and retirees to report their wages, tips, and other compensation from employment.
Employers are required to file Form W-2 for employees and retirees.
Employers must fill out Form W-2 with the employee's information, wages, tips, and other compensation.
The purpose of Form W-2 is to report income and taxes withheld for employees and retirees.
Form W-2 must report the employee's wages, tips, other compensation, and taxes withheld.
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