Common Contracts
1 similar Salary Redirection Agreement contracts
SALARY REDIRECTION AGREEMENTSalary Redirection Agreement • October 21st, 2005
On a separate benefit enrollment form(s), I have enrolled for certain insurance coverage(s) and understand that my insurance premiums and/or Flexible Savings Account(s) (FSA) election amounts will be deducted from my paycheck by my employer or third-party payroll administrator. Unless this agreement is amended or terminated, these deductions will be continuous and in an equal amount to the insurance premiums and/or FSA account election amount for each payroll period throughout the plan year. 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. If the rate change is brought on by the third-party carrier (insurance company), the premium increase or decrease can be deducted pre-tax. “Employer-provided” nonelective benefits (if any) will not be deducted from my paycheck. In addition, pre-tax co
