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PREMIUM ONLY PLAN (POP) NOTICE OF WAIVER JANUARY 1 DECEMBER 31, 2015, I, wish to waive participation in the Premium Only Plan (POP) for the benefits plan year of January 1 through December 31, 2015.
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Provide your employment details, including the name of your employer and your job title.
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Individuals who are employed and want to take advantage of pre-tax savings on their eligible healthcare expenses.
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A premium only plan, also known as a POP plan, is a benefit plan that allows employees to pay for their share of health insurance premiums with pre-tax dollars.
Employers who offer a premium only plan to their employees are required to file the necessary paperwork for the plan.
To fill out a premium only plan, employers need to provide information about the plan, contribution amounts, and employee elections.
The purpose of a premium only plan is to allow employees to save money on health insurance premiums by using pre-tax dollars.
Information such as employee elections, contribution amounts, plan details, and compliance with IRS regulations must be reported on a premium only plan.
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