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2022 ANNUAL RETIREE BENEFITS ENROLLMENT FORM (Please return to Employee Benefits no later than November 30, 2021) IN ORDER TO BE ELIGIBLE FOR COVERAGE UNDER THE CITY OF KNOXVILLE RETIREE MEDICAL PLAN
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How to fill out 2022 annual retiree benefits

01
Gather all necessary documents and information including identification, retirement plan details, and contact information.
02
Review the instructions provided with the benefits form to ensure all sections are completed accurately.
03
Fill out the form with the required information such as personal details, plan selection, and beneficiaries if applicable.
04
Double-check all entries for accuracy and completeness before submitting the form.
05
Submit the completed form by the deadline specified to ensure timely processing of your annual retiree benefits.

Who needs 2022 annual retiree benefits?

01
Retirees who are eligible for benefits through their retirement plan.
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Annual retiree benefits enrollment is a process where retirees elect their benefit options for the upcoming year.
Retirees who are eligible for benefits through a retirement plan are required to file annual retiree benefits enrollment.
Retirees can typically fill out their annual retiree benefits enrollment form online or by paper, following the instructions provided by the plan administrator.
The purpose of annual retiree benefits enrollment is to allow retirees to review and choose their benefit options for the upcoming year.
Information such as desired benefit options, dependent information, and any changes in personal information may need to be reported on annual retiree benefits enrollment.
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