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MEMBERSHIP ELECTION BY GOVERNMENT PHYSICIAN TO EMPLOYER: Under Minnesota law, physicians, with monthly earnings of $425 or more, must have salary deductions for coverage in the PERA Coordinated Plan
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Obtain the notice of member enrollment form from the relevant organization or department.
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Read the instructions carefully before filling out the form.
03
Fill in your personal information accurately, including your name, address, contact details, and any other required details.
04
Provide information about your membership status or type of enrollment being completed.
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Sign and date the form as required, and make sure to submit it by the specified deadline.

Who needs notice of member enrollment?

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Individuals who wish to become members of a particular organization or group.
02
Existing members who need to update their enrollment details.
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Notice of member enrollment is a formal notification submitted to enroll new members into a group or organization.
Any individual or organization responsible for adding new members to a group or organization is required to file notice of member enrollment.
Notice of member enrollment can be filled out by providing necessary information about the new members, such as their personal details and reasons for joining.
The purpose of notice of member enrollment is to officially document the addition of new members and ensure that they meet the criteria for enrollment.
Information such as the new members' names, contact details, qualifications, and reasons for joining must be reported on notice of member enrollment.
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