INGHAM COUNTYCafeteria Plan • November 14th, 2018
EMPLOYER CAFETERIA PLANCafeteria Plan • April 29th, 2014
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. Amounts corresponding to employer-provided, nonelective benefits (if any) will not be deducted from my paycheck. In addition, pre-tax contributions reduce my compensation for Social Security tax purposes; therefore, my Social Security benefits could be decreased. I elect to receive the following coverage(s) under the Cafeteria Plan as elected in the Pre-Tax column below. Any previous election and Salary Redirection Agreement under the Cafeteria Plan relating to the same benefits as selected below are hereby revoked. My employer’s deduction of any premium/ contribution amounts hereunder shall evidence acceptance of this agreement.
