SALARY REDUCTION AGREEMENT SECTION 125Salary Reduction Agreement Section 125 • December 3rd, 2021
Contract Type FiledDecember 3rd, 2021Effective January 1, 2022, I request my employer to reduce my taxable wages by the health insurance withholding amounts. I understand that this total amount will be deducted pro rata during each payroll period over the plan year. The amount of this total reduction shall be allocated to my spending accounts as follows: