Forms & Documents

Forms (Churches/Employers) , Information

pdf 120 Benefit Plan Employer Agreement

New employers to the Benefit Plan must complete this form upon initially entering the plan. Current employers can only updated benefits and coverage during the annual open enrollment period by completing this form. The form details two benefit plan options, employee eligibility, payment methods, and Life/AD&D coverage amounts.
Filename: 120-Benefit Plan Employer Benefit Agreement FILLABLE - 2309.pdf
Size: 554 KB