Get Dd Form 2971

Filling out the Dd Form 2971 online is an important step in your enrollment or re-enrollment for group benefits. This guide will provide you with clear, step-by-step instructions to help ensure that you complete the form accurately and efficiently.

Follow the steps to successfully complete the form.

1. Click 'Get Form' button to access the Dd Form 2971 and open it in your preferred online document editor.
2. Begin with the plan sponsor statement section. Enter the plan contract number, plan sponsor name, account/division number, billing division (if applicable), and the plan member certificate number if you have it available.
3. Fill in the permanent full-time hire date and, if applicable, the re-hire date. If you are a re-hire, also provide the date your previous employment ended.
4. Indicate whether you would like the waiting period added to your permanent full-time hire date, and provide your occupation along with regular hours per week and annual earnings.
5. Sign the certification stating that the plan member is actively at work and include the plan administrator signature.
6. Move to the plan member information section. Provide the plan member's name, sex, address, date of birth, and postal code.
7. Indicate the language of preference and whether you have a common-law spouse. Complete the section for applying for health and dental benefits as needed.
8. If applicable, complete the family information section, listing all eligible dependants and their details.
9. Fill out the beneficiary designation section by deciding if you want a named beneficiary other than 'ESTATE' and complete the necessary forms.
10. Complete the direct deposit section by providing the name and address of your financial institution along with the required banking details.
11. Review the plan member signature section, ensuring you sign and date the application accurately.
12. Finally, follow the mailing instructions provided at the end of the form to send your completed application to the appropriate address or save it for your records.

Complete your Dd Form 2971 online today to ensure your enrollment in the group benefits plan.