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Voluntary Benefits Portability Election Form If your Group Master Policy and Certificate contain a Portability provision, you may elect the Portability coverage, subject to the limitations and conditions

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How to fill out voluntary benefits portability election

01

Obtain the necessary forms from your HR department or benefits administrator.

02

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

03

Select the voluntary benefits you wish to port over to your new employer, if applicable.

04

Sign and date the form to confirm your election.

05

Submit the completed form to your HR department or benefits administrator before the deadline.

Who needs voluntary benefits portability election?

01

Employees who are changing jobs and want to continue their voluntary benefits at their new employer.

02

Employees who want to maintain their coverage for specific voluntary benefits after leaving their current employer.

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What is voluntary benefits portability election?

Voluntary benefits portability election refers to the option for employees to continue their voluntary benefits coverage after leaving their employer, typically by converting their existing policies or enrolling in new ones.

Who is required to file voluntary benefits portability election?

Employees who wish to maintain their voluntary benefits coverage after termination of employment are required to file a voluntary benefits portability election.

How to fill out voluntary benefits portability election?

To fill out a voluntary benefits portability election, employees should obtain the necessary forms from their employer or benefits provider, complete the required information, and submit the form by the specified deadline.

What is the purpose of voluntary benefits portability election?

The purpose of voluntary benefits portability election is to allow employees to retain their benefits after leaving their job, ensuring continuous coverage and security for their healthcare and financial needs.

What information must be reported on voluntary benefits portability election?

The information that must be reported typically includes the employee's personal details, coverage selections, reason for leaving, and any other relevant financial information required by the benefits provider.

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