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HealthPartners Benefits 2015 2016 School of Dentistry Residents & Fellows Enrollment, Change & Payroll Deduction Form Required enrollment for residents and fellows in job codes 9552 and 9553, and
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How to fill out enrollment change amp payroll

How to fill out enrollment change amp payroll:
01
Obtain the enrollment change amp payroll form from your HR department or download it from your company's online portal.
02
Start by filling out your personal information section, including your full name, employee ID number, and contact details.
03
Indicate the effective date of the enrollment change or payroll adjustment you are making.
04
Specify the type of change being requested, such as adding a dependent to your benefits coverage or updating your tax withholding information for payroll.
05
Provide all necessary details related to the change, such as the name and date of birth of the dependent you are adding or the specific changes you want to make to your tax deductions.
06
If you are making changes to your payroll, include pertinent information such as your desired salary or hourly rate, work hours, or any additional allowances or deductions.
07
Double-check all the information you have provided to ensure accuracy and completeness. Make sure there are no spelling errors or missing details.
08
Sign and date the enrollment change amp payroll form to validate your request.
09
Submit the completed form to your HR department through the designated channels, whether it is via email, online submission, or in-person handover.
Who needs enrollment change amp payroll:
01
Employees who experience life events or changes that require adjustments to their benefits coverage, such as getting married, having a child, or experiencing a change in dependents.
02
Individuals who wish to update their tax withholding information for payroll purposes due to changes in their financial situation or tax obligations.
03
Employees who have experienced a change in employment terms, such as a promotion, salary increase, or change in work hours, that necessitates revisions to their payroll details.
04
Individuals who have noticed discrepancies or errors in their current enrollment or payroll information and need to rectify those issues.
05
New employees who need to enroll in the company's benefits program or set up their payroll details for the first time.
06
Existing employees who want to make changes to their existing enrollment or payroll information due to personal preferences or evolving needs.
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