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FLEXIBLE BENEFIT PLAN ENROLLMENT FORM City Of Portsmouth, NH School Department 07/01/202106/30/2022A. Please Print Clearly! Employee Informational: Home Address: Check if New: Social Security Number
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Flexible benefit plan enrollment is a form where employees can choose their benefits options such as healthcare, retirement plans, and more.
Employees who are eligible for benefits provided by their employer are required to file flexible benefit plan enrollment.
Employees must carefully review the options provided, select the benefits they wish to enroll in, and submit the form to their HR department.
The purpose of flexible benefit plan enrollment is to allow employees to choose the benefits that best fit their needs and lifestyle.
Employees must report their personal information, dependent information, benefit selections, and any other required details.
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