Benefit Election Form definition

Benefit Election Form means the Form attached as Exhibit 2.
Benefit Election Form means the form provided by the Plan Administrator to Employees for the purpose of joining the Pretax Benefit Plan.
Benefit Election Form means the Form attached as Exhibit 3.

Examples of Benefit Election Form in a sentence

  • I certify that I have read, understand, and agree to the terms outlined on this Benefit Election Form.

  • The Participant has agreed to contribute the sum indicated on the Benefit Election Form to the HSA established hereunder.

  • Each employee who is eligible for medical and dental insurance coverage may participate in the Pretax Benefit Plan by completing a Benefit Election Form within the Benefit Election Period.

  • You can apply at any time to increase coverage by filling out a new Benefit Election Form and a Long Term Care/Evidence of Insurability Application.

  • A Benefit Election Form once filed will remain in effect until the earlier of (a) the Employee’s ineligibility for coverage under the Insurance Plan for whatever reason; and (b) the filing of a new Election Form.


More Definitions of Benefit Election Form

Benefit Election Form means the form set forth as Exhibit A, or any successor form provided by the Compensation Committee, on which the Employee elects the manner in which his benefit under this Agreement will be paid.
Benefit Election Form means the form promulgated by the Plan Administrator by which a Participant enrolls and elects Benefits in accordance with Article III and otherwise agrees to a reduction of his salary or other compensation to provide funds for the benefits described in this Plan.
Benefit Election Form means a written election, on a form prescribed by the Administrator, filed by a Participant with the Administrator to receive an Early Retirement Benefit and/or an Optional Form of Benefit under Article VII or to choose the form of the distribution of the Plan Account under Article IV.
Benefit Election Form means the form promulgated by the Administrator by which an eligible Employee elects to receive optional benefits as described in Section 4.1 of the Plan in accordance with Article IV.
Benefit Election Form means the form or forms issued by the Administrator by which an Eligible Employee or Participant enrolls and elects benefits under the Plan.
Benefit Election Form means the Individual Participant Enrollment Form promulgated by the Plan Administrator by which an Eligible Employee or Participant enrolls and elects Benefits in accord- ance with Article III and otherwise agrees to a reduction of his salary or other compensation to provide funds for the benefits described in this Plan.
Benefit Election Form means the forms, including electronic enrollment forms, promulgated by the Administrator by which an Eligible Employee elects the Benefits of his or her choice pursuant to the Plan.