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RETIREMENT INSURANCE CONTINUATION ELECTION
(all sections must be completed)Retirement Insurance Account Irrevocable Election:
Account BalanceEscrow Account
Health Reimbursement Arrangement$Health
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How to fill out retirement insurance contination election
How to fill out retirement insurance contination election
01
Obtain the retirement insurance continuation election form from your employer or insurance provider.
02
Fill out the form with your personal information, including your name, address, and contact information.
03
Indicate the type of retirement insurance coverage you wish to continue, such as health or life insurance.
04
Choose the level of coverage you would like to maintain, if there are multiple options available.
05
Sign and date the form to certify your election.
06
Submit the completed form to the appropriate party within the specified deadline to ensure continuous coverage.
Who needs retirement insurance contination election?
01
Employees who are retiring or leaving a job and wish to continue their current insurance coverage.
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What is retirement insurance continuation election?
Retirement insurance continuation election refers to the process of choosing to continue receiving insurance coverage after retirement.
Who is required to file retirement insurance continuation election?
Individuals who wish to continue their insurance coverage after retirement are required to file a retirement insurance continuation election.
How to fill out retirement insurance continuation election?
To fill out a retirement insurance continuation election, individuals must provide their personal information, select their desired insurance coverage, and sign the form.
What is the purpose of retirement insurance continuation election?
The purpose of retirement insurance continuation election is to ensure that individuals have continued access to insurance coverage after retirement.
What information must be reported on retirement insurance continuation election?
Information such as personal details, desired insurance coverage, and signature must be reported on the retirement insurance continuation election form.
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