Salary Reduction Agreement. I understand the Court will pretax the amount I am required to contribute toward my employee benefits throughout the Plan Year. Employee benefits include employer-sponsored plan and voluntary life and personal accident insurance. The amount of reduction will automatically change in the event a change occurs in the contribution amount. 🞎 Check here to decline having your insurance premiums taken on a pre-tax basis. Signature Date:
Appears in 6 contracts
Samples: Flexible Benefits Program Enrollment Form, Flexible Benefits Program Enrollment Form, Flexible Benefits Program Enrollment Form
Salary Reduction Agreement. I understand the Court will pretax the amount I am required to contribute toward my employee benefits throughout the Plan Year. Employee benefits include employer-sponsored plan and voluntary life and personal accident insurance. The amount of reduction will automatically change in the event a change occurs in the contribution amount. 🞎 Check here to decline having your insurance premiums taken on a pre-tax basis. Signature Date:
Appears in 2 contracts
Samples: Flexible Benefits Program Enrollment Form, Flexible Benefits Program Enrollment Form
Salary Reduction Agreement. I understand the Court will pretax the amount I am required to contribute toward my employee benefits throughout the Plan Year. Employee benefits include employer-sponsored plan and voluntary life and personal accident insurance. The amount of reduction will automatically change in the event a change occurs in the contribution amount. 🞎 Check here to decline having your insurance premiums taken on a pre-tax basis. Signature_ Date:
Appears in 1 contract
