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CLASSIFIEDPLANELECTIONFORM 20232024 DistrictContributionMedicalWaiver $605EmployeePayrollDeduction KaiserHIGH 2344800054ALN KaiserDHMO 2344800055ALN AnthemPremierHMO 57ALPC AnthemClassicHMO 57ALPD AnthemClassicPPO20 40055C AnthemClassicPPO40 40055D WaivedOptionPlanSingle2PTY$$209.80922.00 N/A$$1,$443.40116.20737.20N/A$$$969.80335.801,151.20 N/A$$1,$765.00238.60967.60N/A$$1,$515.40346.601,172.80 N/A$1,796

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How to fill out classified plan election form

01

Obtain the classified plan election form from the appropriate governing body.

02

Fill out your personal information such as name, address, and contact details.

03

Indicate the specific classified plan you are electing.

04

Sign and date the form to certify that the information provided is accurate.

05

Submit the completed form to the governing body by the specified deadline.

Who needs classified plan election form?

01

Employees who are eligible to participate in a classified plan may need to fill out the classified plan election form.

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What is classified plan election form?

The classified plan election form is a specific document used within various regulatory frameworks to designate the manner of electing a retirement plan for classified employees.

Who is required to file classified plan election form?

Employers who sponsor classified employee retirement plans are required to file the classified plan election form.

How to fill out classified plan election form?

To fill out the classified plan election form, employers must provide relevant details about their retirement plan, including eligibility criteria, contribution rates, and any specific election options as laid out in the form's instructions.

What is the purpose of classified plan election form?

The purpose of the classified plan election form is to facilitate the proper election and administration of retirement benefits for classified employees in compliance with regulatory requirements.

What information must be reported on classified plan election form?

The classified plan election form must report information such as the plan's name, type of retirement plan, participant eligibility, and employer contributions, among other necessary details.

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