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01/20222022 BENEFITS PROGRAM QUALIFYING EVENT CHANGE FORM Please fill out this form electronically and email the completed form to totalrewards@rochester.edu. Forms must be received by the Office

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How to fill out 2022 benefits program qualifying

01

Review the information provided in the 2022 benefits program materials.

02

Determine your eligibility for the various benefit programs offered.

03

Complete the necessary forms or online enrollment process.

04

Submit any required documentation or supporting information for verification.

05

Review your selections and make any necessary changes before the deadline.

Who needs 2022 benefits program qualifying?

01

Employees who are eligible for benefits through their employer.

02

Individuals who are looking to enroll in or make changes to their benefits for the upcoming year.

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What is benefits program qualifying event?

A benefits program qualifying event is a major life change that allows you to make changes to your benefits outside of the regular enrollment period.

Who is required to file benefits program qualifying event?

Employees who experience a qualifying event are required to file the benefits program qualifying event.

How to fill out benefits program qualifying event?

You can fill out the benefits program qualifying event form online through the HR portal or by contacting the HR department for assistance.

What is the purpose of benefits program qualifying event?

The purpose of the benefits program qualifying event is to ensure that employees have the opportunity to make changes to their benefits when they experience a life-changing event.

What information must be reported on benefits program qualifying event?

You must report details of the qualifying event, any changes you wish to make to your benefits, and any supporting documentation to verify the event.

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