Plan Enrollment Form definition

Plan Enrollment Form means the authorization form required to participate in this Plan to be made available to each Participant by the Agent.
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Plan Enrollment Form means the form (in whatever written, telephonic or electronic format) as prescribed and provided by the Plan Administrator for the purpose of allowing an Eligible Employee to participate in this Plan by electing Salary Reductions to pay for any of the following: Medical Care Benefits, Health FSA Benefits, HSA Benefits, and DCAP Benefits. It includes an agreement pursuant to which an Eligible Employee or Participant authorizes the Employer to make Salary Reductions.
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Plan Enrollment Form means the form or application/enrollment process provided by the Plan Administrator for the purpose of allowing an eligible employee to participate in this Plan.
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Examples of Plan Enrollment Form in a sentence

  • Select One Coverage Category.b. Complete Separate PPO Plan Enrollment Form Unless No Changes Are Required.

  • Only members of the regular, special risk, and special risk administrative support classes of employees may use the EZ form, “EZ Retirement Plan Enrollment Form for Regular, Special Risk and Special Risk Administrative Support Class Employees,” Form ELE-1-EZ, rev.

  • Select One Coverage Category.b. Complete Separate Dental Plan Enrollment Form Unless No Changes Are Required.

  • The forms available are: an EZ Retirement Plan Enrollment Form, Form ELE-1-EZ, rev.

  • ParticipationAn employee is eligible to participate in the Plans after the date he or she becomes a participant by completing an agreement (the “Participation Agreement”), via the Plans’ Web site, or through a Plan Enrollment Form with the Plan Administrator.

  • All eligible employees enroll in the 457 Plan and/or the 401(k) Plan through the Plans’ Web site at nyc.gov/deferredcomp, or by submitting a Plan Enrollment Form.

  • To join the SMSOAP, you must complete the State Senior Management Service Employees Retirement Plan Enrollment Form SMS-1.

  • As a participant, you can change your dividend participation option at any time by going to www.computershare.com, by calling the telephone number provided in the Contact Information section, or by requesting a new Plan Enrollment Form and returning it to Computershare at the address provided in the Contact Information section.

  • To make your second election, visit www.MyFRS.com to access and print the Second Election Retirement Plan Enrollment Form.

  • A member can make a 2nd Election only if they are actively employed and earning salary and service credit when the 2nd Election Retirement Plan Enrollment Form is received by Aon Hewitt or the online election is made.


More Definitions of Plan Enrollment Form

Plan Enrollment Form means the form provided by the Plan Administrator for the purpose of allowing an Eligible Employee to participate in this Plan by electing Salary Reductions to pay for any of the following: Health Care FSA Benefits and Dependent Day Care Benefits. It includes an agreement pursuant to which an Eligible Employee or Participant authorizes the Employer to make Salary Reductions.
Sample 1
Plan Enrollment Form means the Reinvestment Enrollment – Participation Declaration Form required to participate in this Plan.
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Related to Plan 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.

  • 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.

  • 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.

  • 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

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

  • Declining enrollment means a decrease in the District's total enrollment or enrollment in a particular program or curricular / instructional offering which in the sole judgment of the board of education may adversely affect the District's current or future funding and/or the necessity of maintaining certain current or future class sections or curricular / instructional offerings.

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

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

  • 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.

  • Investment Form means a standardized form prescribed by the Management Company to be duly filled by the investor to purchase Units and will be stated in this Offering Document.

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

  • 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.

  • Deferral Agreement means an irrevocable agreement entered into between a Nonemployee Director and the Company to authorize the Company to reduce the amount of the Nonemployee Director’s Annual Retainer and credit the amount of such reduction to the Plan consistent with the requirements of Section 409A of the Code. A Deferral Agreement shall contain such provisions, consistent with the provisions of the Plan, as may be established from time to time by the Company or the Board, including without limitation:

  • Enrollment Period means the period agreed upon by the Policyholder and Us when an Eligible Person may enroll for coverage or an Insured may change benefit elections under the Policy.

  • 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.

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

  • 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.

  • Letter of Transmittal and Election Form means the letter of transmittal and election form(s) to be delivered by Company to the Company Shareholders and Company RSU Holders and providing for the Company Shareholder’s and Company RSU Holders election with respect to the Consideration;

  • 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.

  • Continuous enrollment means enrollment in a state- supported postsecondary education institution at the same degree level for consecutive terms, excluding summer term, since the beginning of the period for which continuous enrollment is claimed unless a sequence of continuous enrollment is broken due to extenuating circumstances beyond the student’s control, including serious personal illness or injury, or illness or death of a parent.

  • Provider Enrollment means an agreement between the Department and a Medicaid provider to provide room and board and deliver care and services to a Medicaid eligible individual in an adult foster home for compensation.

  • Application Form means any application form to be completed by subscribers for Shares as prescribed by the Company from time to time.

  • Concurrent enrollment means the simultaneous enrollment of a qualified student in a district high school and in one or more postsecondary courses at an institution of higher education. Concurrent enrollment does not include a student’s simultaneous enrollment in: a district high school and in one or more secondary career and technical education courses, advanced placement courses, or international baccalaureate courses; an early college course and a postsecondary course; a p-tech school and a postsecondary course; or a district high school and a postsecondary course that does not fall within the definition of concurrent enrollment.