Get Application And Election Form ... - Arrow Academy

Filling out the Application and Election Form for Arrow Academy can seem overwhelming, but this guide will help you navigate each section with ease. This document allows you to enroll in your Employer’s Flexible Benefit Plan and securely handle your information online.

Follow the steps to complete the application form successfully.

1. Press the ‘Get Form’ button to obtain the form and open it in the online editor.
2. Fill in the employer name and guardian group policy number at the top of the form. This identifies your plan and employer.
3. Complete the location field, detailing if your employer has multiple sites.
4. Enter your name and date of birth. Ensure all information is accurate.
5. Provide your full mailing address, including street, city, state, and zip code.
6. Input your email address, ensuring it is one you regularly check.
7. Enter your Social Security number. This will be used for identification purposes.
8. Fill out your date of hire and annual salary, along with your payroll frequency.
9. Specify the effective date of payroll changes and the benefit options you desire.
10. Under the benefit options, list the contributions per pay period for medical insurance premiums, dental premiums, and any additional options you wish to select.
11. If you choose to decline participation in the flexible benefit plan, ensure you check the appropriate box.
12. Sign and date the form at the bottom. Your signature confirms your election in the plan.
13. Submit the completed form to your employer and retain a copy for your personal records.

Complete your documents online today to ensure you secure your benefits.