1. Is the coworker activelyl employed? Yes, continue to next question NO- Stop here, no forms necessary No preference Prioritize your choice above: High Medium Low 2. Are their standard hours less than 30 (active only) Yes No- Stop here, no forms necessary No preference Prioritize your choice above: High Medium Low 3. Are their standard hours between 30 and 52? Yes- see listed forms required No, continue to next question No preference Prioritize your choice above: High Medium Low 4. Are their standard hours 52 or more? Yes, see necessary forms and continue to next question No preference Prioritize your choice above: High Medium Low 5. Is the coworker enrolling spouse or dependents? No, stop here, all forms are complete Yes, complete additional listed forms No preference Prioritize your choice above: High Medium Low 6. Is the coworker enrolling their spouse or same sex domestic partner in medical? Yes, listed form needs completed (Affidavid only needed for DP, not spouse) No preference Prioritize your choice above: High Medium Low Just for fun, predict your #1 result. Your prediction will not influence your results. Predict Your Result.Insurance Acceptance Waiver and Enrollment Fo Spouse Dependent Enrollment Form Affidavit of Domestic Parner Revision Spousal Domestic Parner Medical Eligibility F Life Insurance Beneficiary Form Optimed Limited Medical Enrollment Waiver Insurance Acceptance Waiver and Enrollment Fo Pre Tax Form Premium Conversion Agreement Now that you have answered all the questions, continue to the Show Me My Results! button below!
2. Are their standard hours less than 30 (active only) Yes No- Stop here, no forms necessary No preference Prioritize your choice above: High Medium Low 3. Are their standard hours between 30 and 52? Yes- see listed forms required No, continue to next question No preference Prioritize your choice above: High Medium Low 4. Are their standard hours 52 or more? Yes, see necessary forms and continue to next question No preference Prioritize your choice above: High Medium Low 5. Is the coworker enrolling spouse or dependents? No, stop here, all forms are complete Yes, complete additional listed forms No preference Prioritize your choice above: High Medium Low 6. Is the coworker enrolling their spouse or same sex domestic partner in medical? Yes, listed form needs completed (Affidavid only needed for DP, not spouse) No preference Prioritize your choice above: High Medium Low Just for fun, predict your #1 result. Your prediction will not influence your results. Predict Your Result.Insurance Acceptance Waiver and Enrollment Fo Spouse Dependent Enrollment Form Affidavit of Domestic Parner Revision Spousal Domestic Parner Medical Eligibility F Life Insurance Beneficiary Form Optimed Limited Medical Enrollment Waiver Insurance Acceptance Waiver and Enrollment Fo Pre Tax Form Premium Conversion Agreement
3. Are their standard hours between 30 and 52? Yes- see listed forms required No, continue to next question No preference Prioritize your choice above: High Medium Low 4. Are their standard hours 52 or more? Yes, see necessary forms and continue to next question No preference Prioritize your choice above: High Medium Low 5. Is the coworker enrolling spouse or dependents? No, stop here, all forms are complete Yes, complete additional listed forms No preference Prioritize your choice above: High Medium Low 6. Is the coworker enrolling their spouse or same sex domestic partner in medical? Yes, listed form needs completed (Affidavid only needed for DP, not spouse) No preference Prioritize your choice above: High Medium Low Just for fun, predict your #1 result. Your prediction will not influence your results. Predict Your Result.Insurance Acceptance Waiver and Enrollment Fo Spouse Dependent Enrollment Form Affidavit of Domestic Parner Revision Spousal Domestic Parner Medical Eligibility F Life Insurance Beneficiary Form Optimed Limited Medical Enrollment Waiver Insurance Acceptance Waiver and Enrollment Fo Pre Tax Form Premium Conversion Agreement
4. Are their standard hours 52 or more? Yes, see necessary forms and continue to next question No preference Prioritize your choice above: High Medium Low 5. Is the coworker enrolling spouse or dependents? No, stop here, all forms are complete Yes, complete additional listed forms No preference Prioritize your choice above: High Medium Low 6. Is the coworker enrolling their spouse or same sex domestic partner in medical? Yes, listed form needs completed (Affidavid only needed for DP, not spouse) No preference Prioritize your choice above: High Medium Low Just for fun, predict your #1 result. Your prediction will not influence your results. Predict Your Result.Insurance Acceptance Waiver and Enrollment Fo Spouse Dependent Enrollment Form Affidavit of Domestic Parner Revision Spousal Domestic Parner Medical Eligibility F Life Insurance Beneficiary Form Optimed Limited Medical Enrollment Waiver Insurance Acceptance Waiver and Enrollment Fo Pre Tax Form Premium Conversion Agreement
5. Is the coworker enrolling spouse or dependents? No, stop here, all forms are complete Yes, complete additional listed forms No preference Prioritize your choice above: High Medium Low 6. Is the coworker enrolling their spouse or same sex domestic partner in medical? Yes, listed form needs completed (Affidavid only needed for DP, not spouse) No preference Prioritize your choice above: High Medium Low Just for fun, predict your #1 result. Your prediction will not influence your results. Predict Your Result.Insurance Acceptance Waiver and Enrollment Fo Spouse Dependent Enrollment Form Affidavit of Domestic Parner Revision Spousal Domestic Parner Medical Eligibility F Life Insurance Beneficiary Form Optimed Limited Medical Enrollment Waiver Insurance Acceptance Waiver and Enrollment Fo Pre Tax Form Premium Conversion Agreement
6. Is the coworker enrolling their spouse or same sex domestic partner in medical? Yes, listed form needs completed (Affidavid only needed for DP, not spouse) No preference Prioritize your choice above: High Medium Low Just for fun, predict your #1 result. Your prediction will not influence your results. Predict Your Result.Insurance Acceptance Waiver and Enrollment Fo Spouse Dependent Enrollment Form Affidavit of Domestic Parner Revision Spousal Domestic Parner Medical Eligibility F Life Insurance Beneficiary Form Optimed Limited Medical Enrollment Waiver Insurance Acceptance Waiver and Enrollment Fo Pre Tax Form Premium Conversion Agreement
Just for fun, predict your #1 result. Your prediction will not influence your results. Predict Your Result.Insurance Acceptance Waiver and Enrollment Fo Spouse Dependent Enrollment Form Affidavit of Domestic Parner Revision Spousal Domestic Parner Medical Eligibility F Life Insurance Beneficiary Form Optimed Limited Medical Enrollment Waiver Insurance Acceptance Waiver and Enrollment Fo Pre Tax Form Premium Conversion Agreement
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Office Manager Benefits Forms Flow Chart
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