Common Contracts
1 similar Salary Redirection Agreement contracts
Salary Redirection AgreementSalary Redirection Agreement • January 23rd, 2013
On a separate benefit enrollment form(s), I have enrolled for certain insurance coverage(s) and understand that an amount equal to the total amount of premium and/or contribution for coverage(s) elected less any non-elective employer contribution allocable thereto will be withheld from my salary, continuing for each pay period until this agreement is amended or terminated. The amount of my required contribution is set forth on a schedule that has been provided to me. In the event of a rate change, I authorize a corresponding change in the amount deducted from my salary without signing a new Salary Redirection Agreement. I understand that my actual take home pay may be higher or lower depending on the coverage I select. Any previous election and Salary Redirection Agreement relating to the same benefits as selected below are hereby revoked. My employer’s deduction of premium/contribution amounts hereunder shall evidence acceptance of this Agreement.
