Benefits Enrollment Form definition

Benefits Enrollment Form means the form or forms, including a Salary Reduction Agreement, evidencing an Eligible Employee’s selections from among the various Benefits and the amount to be contributed towards various Benefits for a Plan Year or portion of a Plan Year.
Sample 1
Benefits Enrollment Form means a form provided by the Employer on which an Eligible Employee will list all of their dependents insured under the employer’s group health plan.
Sample 1
Benefits Enrollment Form means the form or forms, evidencing an Eligible Employee's selections from among the various Benefits and the amount to be contributed towards various Benefits for a Plan Year or portion of a Plan Year.
Sample 1

Examples of Benefits Enrollment Form in a sentence

  • New full-time faculty members should complete a Benefits Enrollment Form within 30 days from their appointment date (the date their employment by Vanderbilt begins).

  • New full-time faculty members should complete a Benefits Enrollment Form within thirty (30) days of their appointment date (the date their employment by Vanderbilt begins).

  • New full-time faculty members should complete a Benefits Enrollment Form within 30 days of their appointment date (the date their employment by Vanderbilt begins).

  • It is important to accurately estimate reimbursable expenses since amounts not reimbursed at the end of the plan year are not carried over into the next plan year nor are they returned to participants.Eligible employees can have employee-paid insurance premiums paid on a before-tax basis by completing a Premium Only Plan Flexible Benefits Enrollment Form, which is available from the Human Resources Department.

  • As long as the surviving spouse is receiving a periodic distribution from the deceased retiree’s Maryland ORP account, the surviving spouse can enroll in health benefits by submitting a Retiree Health Benefits Enrollment Form along with Form 5, Verification of Maryland ORP Retirement to confirm that he/she receives a periodic distribution from the Maryland ORP.

  • If the surviving spouse has already been confirmed by the Employee Benefits Division as a joint annuitant on a dual life annuity, Form 5 is not required; the beneficiary must only submit a Retiree Health Benefits Enrollment Form.

  • For your first Plan Year of eligibility, the Benefits Enrollment Form is effective for the rest of the Plan Year.

  • Newly hired or eligible employees must fill out a Benefits Enrollment Form and forward it to the benefits and wellness unit in the human resources office within the first 30 days of hire or on becoming eligible for the benefit.

  • The new Benefits Enrollment Form, if determined by the Plan Administrator to be timely submitted and consistent with the Status Change, shall be effective prospectively and apply only to those Benefits accruing to the Participant, the Participant's Spouse or the Participant's Dependents after the effective date of the new Benefits Enrollment Form.

  • The Part-time unit member must enroll annually (See Appendix: Medical Benefits, Enrollment Form for Part-time Faculty).


More Definitions of Benefits Enrollment Form

Benefits Enrollment Form means a form provided by the Employer on which an Eligible Employee will list all of their dependents.
Sample 1
Benefits Enrollment Form means the form or forms, including a Salary Reduction Agreement, evidencing an Eligible Employee's selections from among the various Benefits and the amount to be contributed towards various Benefits for a Plan Year.
Sample 1

Related to Benefits Enrollment Form

  • Enrollment Form means an agreement pursuant to which an Eligible Employee may elect to enroll in the Plan, to authorize a new level of payroll deductions, or to stop payroll deductions and withdraw from an Offering Period.

  • Deferral Election Form means the form established from time to time by the Plan Administrator that the Director completes, signs and returns to the Plan Administrator to designate the amount of the Deferrals.

  • Election Form means the form established from time to time by the Committee that a Participant completes, signs and returns to the Committee to make an election under the Plan.

  • Enrollment Agreement means an agreement between the Company and an employee, in such form as may be established by the Company from time to time, pursuant to which the employee elects to participate in this Plan, or elects changes with respect to such participation as permitted under the Plan.

  • Enrollment means the number of students who are enrolled in a school operated by the district on October 1. A student shall be counted as one whether the student is enrolled as a full-time or part-time student. Students enrolled in prekindergarten programs shall not be counted.

  • Distribution Election Form means the form established from time to time by the Plan Administrator that the Director completes, signs and returns to the Plan Administrator to designate the time and form of distribution.

  • Open enrollment means a period of time as defined in rule

  • Deferral Agreement means the annual written agreement between the Funds and the Participant to defer Compensation under the Plan.

  • Beneficiary Designation Form means the form established from time to time by the Plan Administrator that the Executive completes, signs and returns to the Plan Administrator to designate one or more Beneficiaries.

  • Declining enrollment means any significant decrease in the school district’s enrollment which may affect the school district’s allocation of funds in future years and/or the necessity of maintaining certain class sections or offerings.

  • Deferral Election means the Participant’s election under Section 3.1 to defer all or a portion of his or her Compensation.

  • Dual enrollment means the enrollment of a 3- or 4-year-old student who is eligible for special education services in both a public school district, through which the student receives special education services, and a private or home school.

  • Enrollment Date means the first day of each Offering Period.

  • Salary reduction plan means a benefit plan whereby state and

  • Retirement Savings Plan means the Air Products and Chemicals, Inc. Retirement Savings Plan, as amended from time to time, together with any similar, succeeding or substitute plan.

  • Disenrollment means either voluntary or involuntary termination of a participant from the Independent Choices Program.

  • Beneficiary designation means the naming in a governing instrument of a beneficiary of an insurance or annuity policy, of an account with POD designation, of a security registered in beneficiary form (TOD), of a pension, profit-sharing, retirement, or similar benefit plan, or of another nonprobate transfer at death.

  • Annual Enrollment Period or "Enrollment Period" means the period before each policy anniversary so designated by the Sponsor and Lincoln during which you may enroll for coverage under this policy.

  • Open Enrollment Period means an enrollment period during which time any Eligible Employee and/or Dependent may apply to become a Subscriber and/or Covered Dependent, and existing Subscribers may apply to change to another provider network or coverage option, if available, or elect to terminate coverage.

  • Distribution Election With respect to any Series, as specified in the related Supplement.

  • Initial Enrollment Period means one of the following periods during which you may first enroll for coverage under this plan:

  • Special Enrollment Period means a period of time allowed under this Plan, other than the eligible person’s Initial Enrollment Period or an Open Enrollment Period, during which an eligible person can request coverage under this Plan as a result of certain events that create special enrollment rights.

  • Payment Election means an election pursuant to Section 5.1.

  • Salary Reduction Agreement means an agreement between a dis- trict and an employee to reduce the employee’s salary for the pur- pose of making direct contributions to or purchases of a qualified investment product. Art. 6228a-5, Sec. 4(5), Tex. Rev. Civ. Stat.

  • Letter of Transmittal and Election Form means the letter of transmittal and election form for use by the Corporation Shareholders with respect to the Arrangement;

  • Adoption Agreement means the written agreement pursuant to which the Employer adopts the Plan. The Adoption Agreement is a part of the Plan as applied to the Employer.