Plan Enrollment Form definition

Plan Enrollment Form means the authorization form required to participate in this Plan to be made available to each Participant by the Agent.

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Plan Enrollment Form means the form or application/enrollment process provided by the Plan Administrator for the purpose of allowing an eligible employee to participate in this Plan.

Plan Enrollment Form means the form provided by the Plan Administrator for the purpose of allowing an Eligible Employee to participate in this Plan by electing Salary Reductions to pay for any of the following: Health Care FSA Benefits and Dependent Day Care Benefits. It includes an agreement pursuant to which an Eligible Employee or Participant authorizes the Employer to make Salary Reductions.

Examples of Plan Enrollment Form in a sentence

The employee must complete and submit the County’s Health Plan Enrollment Form and provide a copy of the State Certification of Domestic Partner Registration at time of application to the Human Resources Department.
If you are not making any changes to your plans, you need only to complete --- the Flexible Benefits Plan Enrollment Form.
To be eligible, an employee must comply with the following conditions: ▪ Employees and their Domestic Partner must register with and be certified by the State of California; and ▪ The employee must complete and submit the County’s Health Plan Enrollment Form and provide a copy of the State Certification of Domestic Partner Registration at time of application to the Human Resources Department.
No lump sum payment may be made for unused sick leave except as provided in an employee's Severance Plan Enrollment Form, if applicable.
In order to obtain an individual Membership, any Member eligible to convert his Membership must (i) continue to reside or work in the Service Area, (ii) submit a completed Individual Plan Enrollment Form to ORAQUEST within thirty-one (31) days after the date of termination and (iii) submit Premium payments required under such Membership.

More Definitions of Plan Enrollment Form

Plan Enrollment Form means the Reinvestment Enrollment – Participation Declaration Form required to participate in this Plan.

Plan Enrollment Form means the form (in whatever written, telephonic or electronic format) as prescribed and provided by the Plan Administrator for the purpose of allowing an Eligible Employee to participate in this Plan by electing Salary Reductions to pay for any of the following: Medical Care Benefits, Health FSA Benefits, HSA Benefits, and DCAP Benefits. It includes an agreement pursuant to which an Eligible Employee or Participant authorizes the Employer to make Salary Reductions.