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Atoms Unified School District 2021 Benefit Selection Sheet/Section 125 Monthly Rates Effective 1/01/21 12/31/21 Management, Confidential, Unrepresented, and Charter Employees PRINT NAME:EMPLOYEE REF
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How to fill out 2021-classified-benefit-selection-sheet

01
Obtain a copy of the 2021 classified benefit selection sheet.
02
Review all of the available benefit options listed on the sheet.
03
For each benefit option, carefully read the details provided and consider how it aligns with your personal needs and circumstances.
04
Fill out the sheet by selecting the benefit options that best suit your requirements.
05
Double-check your selections to ensure accuracy and completeness.
06
Sign and date the sheet to confirm your selections.

Who needs 2021-classified-benefit-selection-sheet?

01
Employees who are classified and eligible for benefits in 2021 need to fill out the 2021 classified benefit selection sheet.
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The classified-benefit-selection-sheet is a document used to choose specific benefits within a classification.
Employees who fall within the specified classification are required to file the classified-benefit-selection-sheet.
To fill out the classified-benefit-selection-sheet, employees need to carefully review the available benefits options and select the ones that best suit their needs.
The purpose of the classified-benefit-selection-sheet is to allow employees to choose benefits that align with their individual preferences and circumstances.
Employees must report their personal information, classification, and selected benefits on the classified-benefit-selection-sheet.
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