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This form is used by employees of Moore College of Art and Design to elect health care and dental coverage options for the plan year from November 1, 2023, to August 31, 2024. It includes options for payroll deductions for various coverage levels, enrolment instructions, and details on waiving coverage.
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How to fill out employee election form

01
Obtain the employee election form from the HR department or download it from the company intranet.
02
Read the instructions carefully to understand the requirements and options available.
03
Fill in the personal information section with your name, employee ID, and contact details.
04
Select the appropriate election choices based on your eligibility and preferences.
05
Review the terms and conditions associated with your selections.
06
Sign and date the form to validate your choices.
07
Submit the completed form to the HR department before the deadline.

Who needs employee election form?

01
All employees who wish to participate in company benefits programs or make changes to their current elections need to fill out the employee election form.
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An employee election form is a document that allows employees to choose certain benefits, withholdings, or contributions related to their employment, often concerning retirement plans, health benefits, and other employment-related decisions.
Typically, employees who wish to participate in employer-sponsored benefit programs, such as retirement plans or health insurance, are required to file an employee election form.
To fill out an employee election form, an employee should read the instructions carefully, provide personal information as requested, select their desired options or elections, and sign and date the form before submitting it to the employer.
The purpose of the employee election form is to formally document an employee's choices regarding benefits and deductions, ensuring that payroll and benefits administration can accurately process those choices.
Information typically reported on the employee election form includes the employee's name, employee ID, selected benefits, contribution amounts, and any relevant personal information such as address or contact details.
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