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STATE OF TENNESSEE GROUP INSURANCE PROGRAMFLEXIBLE BENEFITS PLAN ENROLLMENT PLAN YEAR 2023Complete this form only if you wish to participate in the Medical, Limited Purpose or Dependent Care Reimbursement
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How to fill out flexible benefits plan enrollment

How to fill out flexible benefits plan enrollment
01
Obtain the enrollment form for flexible benefits plan from your employer
02
Review the available options for benefits and coverage
03
Decide on the type and level of coverage you want for each benefit (e.g. health insurance, dental, vision)
04
Fill out the form accurately with your personal information and desired benefit selections
05
Submit the completed form to your HR department within the specified deadline
Who needs flexible benefits plan enrollment?
01
Employees who want to customize their benefits package to suit their individual needs and preferences
02
Employees who want the flexibility to choose different levels of coverage for various benefits
03
Employees who want to take advantage of pre-tax savings opportunities through a flexible benefits plan
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What is flexible benefits plan enrollment?
Flexible benefits plan enrollment is the process by which employees choose and enroll in various benefits offered by an employer, such as health insurance, retirement plans, and other perks.
Who is required to file flexible benefits plan enrollment?
All employees who are eligible for benefits through the employer are required to file flexible benefits plan enrollment.
How to fill out flexible benefits plan enrollment?
Employees can usually fill out flexible benefits plan enrollment online through a dedicated portal provided by the employer.
What is the purpose of flexible benefits plan enrollment?
The purpose of flexible benefits plan enrollment is to allow employees to customize their benefits package to suit their individual needs.
What information must be reported on flexible benefits plan enrollment?
Employees must typically report their personal information, dependent information, benefit selections, and any changes to existing benefits.
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