Use this form with your information to give
to employees to verify their interest or desire to waive any or all the
benefits your company offers. This is important to use in order to
document the benefits were offered and the employee turned them down.
You should keep a copy of this form in the employee file.
The same Employer is used
for group medical and/or dental.
Different
Employee apps are used although the Employee dental app is only needed
if dental is added later or as a stand alone coverage. The normal
employer medical app allows enrollment in dental.
