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Wellness For Life
Benefits Election Form
EMPLOYEE INFORMATION
Last NameFirst NameEmployee Division/DepartmentPhone NumberEmail AddressENROLLMENT TYPE (select one):New HireADDITIONAL
LIFEVISIONDENTALMEDICAL(Biweekly
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How to fill out wellness for life benefits
How to fill out wellness for life benefits
01
Log in to your Wellness for Life benefits account
02
Select the type of benefit you want to claim (e.g. gym membership, nutrition counseling)
03
Fill out the required information for the benefit you selected
04
Submit any necessary documentation to support your claim
05
Review your submission and make sure all information is accurate
06
Submit your claim for approval
Who needs wellness for life benefits?
01
Anyone looking to improve their overall wellness and health
02
Individuals who want to take advantage of benefits such as gym memberships, nutrition counseling, and more
03
Employees who have access to Wellness for Life benefits through their employer
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What is wellness for life benefits?
Wellness for life benefits are a set of benefits provided by employers to promote and support the overall well-being of their employees.
Who is required to file wellness for life benefits?
Employers are required to file wellness for life benefits for their employees.
How to fill out wellness for life benefits?
Wellness for life benefits can be filled out by employers through an online portal or by submitting paper forms.
What is the purpose of wellness for life benefits?
The purpose of wellness for life benefits is to improve employee health, productivity, and morale.
What information must be reported on wellness for life benefits?
Information such as types of benefits offered, number of employees participating, and outcomes of the program must be reported on wellness for life benefits.
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