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BENEFIT OPTION SELECTION FORM THIS FORM MUST BE RETURNED TO MEDICOS MEDICAL SCHEME BY 31 JANUARY 2023 IN ANY ONE OF THE FOLLOWING WAYS: Post:PO Box 921, Westville, 3629 Email: membership@medipos.co.za

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How to fill out benefit option selection form

01

Obtain the benefit option selection form from your employer or benefits administrator.

02

Review the different benefit options available, such as health insurance, dental insurance, life insurance, etc.

03

Fill out the form accurately with your personal information, including your name, address, and employee ID.

04

Select the specific benefits you wish to enroll in by checking the appropriate boxes or writing in the desired coverage amounts.

05

Review your selections carefully to ensure they meet your needs and preferences.

06

Sign and date the form to indicate your agreement with the selected benefits.

07

Submit the completed form to your employer or benefits administrator within the specified deadline.

Who needs benefit option selection form?

01

Employees who are eligible for benefits offered by their employer.

02

Individuals who wish to enroll in specific benefit options provided by their employer.

03

Anyone who wants to make changes to their current benefit selections.

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What is benefit option selection form?

The benefit option selection form is a form that allows individuals to choose their benefits from a selection of options.

Who is required to file benefit option selection form?

All individuals who are eligible for benefits must file the benefit option selection form.

How to fill out benefit option selection form?

To fill out the benefit option selection form, individuals must carefully review the options and select the benefits that best suit their needs.

What is the purpose of benefit option selection form?

The purpose of the benefit option selection form is to ensure that individuals receive the benefits that they are entitled to.

What information must be reported on benefit option selection form?

The benefit option selection form requires individuals to report their personal information, such as their name, address, and Social Security number, as well as their chosen benefits.

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