EMPLOYEE’S SIGNATURE. DATE: M0019B2 Copy — White (FSA Provider) Yellow (Employee) Pink (Employer) Gold (Associate) 12/13 IMPORTANT INFORMATION REGARDING PARTICIPATION IN THE FLEXIBLE BENEFITS PLAN I understand and agree to the following:
Appears in 5 contracts
Samples: Cafeteria Plan, Reduction Agreement, Reduction Agreement
EMPLOYEE’S SIGNATURE. DATE: M0019B2 M0019B1 Copy — White (FSA Provider) Yellow (Employee) Pink (Employer) Gold (Associate) 12/13 06/2009 IMPORTANT INFORMATION REGARDING PARTICIPATION IN THE FLEXIBLE BENEFITS PLAN I understand and agree to the following:
Appears in 2 contracts
Samples: Reduction Agreement, Reduction Agreement
EMPLOYEE’S SIGNATURE. DATE: M0019B2 Copy — White (FSA Provider) Yellow (Employee) Pink (Employer) Gold (Associate) 12/13 5/11 IMPORTANT INFORMATION REGARDING PARTICIPATION IN THE FLEXIBLE BENEFITS PLAN I understand and agree to the following:
Appears in 1 contract
Samples: Reduction Agreement
