FLEXIBLE BENEFITS PLAN ELECTION FORM &Compensation Redirection Agreement • October 4th, 2018
FLEXIBLE BENEFITS PLAN ELECTION FORM &Compensation Redirection Agreement • October 4th, 2018
FLEXIBLE BENEFITS PLAN ELECTION FORM &Compensation Redirection Agreement • October 4th, 2018
Taxable Compensation Redirection AgreementCompensation Redirection Agreement • November 21st, 2013
The Company and I hereby agree that my cash compensation will be redirected by the amounts set forth below for each pay period during the plan year (or during such portion of the year as remains after the date of this agreement). I understand that if I do not return this form to my employer by my effective date, it shall constitute my election to waive participation in all flexible spending programs under my employer's Flexible Benefits Plan and therefore cause me to pay un-reimbursed medical, dependent care with after-tax dollars.
