Get Enrollment Form Mount Holyoke College Spending Accounts Plan Year ...

This guide provides a clear and supportive overview of how to effectively complete the Enrollment Form for the Mount Holyoke College Spending Accounts Plan Year. By following these steps, users can navigate the form with confidence and ensure accurate submission.

Follow the steps to successfully complete your enrollment form.

1. Press the ‘Get Form’ button to access the Enrollment Form. This will allow you to open the form and begin filling it out online.
2. In the 'Name' section, enter your last name, first name, and middle initial as applicable.
3. Input your social security number in the designated field.
4. Provide your home address by filling in the street, city, state, and zip code.
5. Fill in your home phone number and email address in their respective spaces for communication purposes.
6. Indicate your pay frequency by selecting either monthly or biweekly.
7. For the Health Care Spending Account section, check the box to confirm your election to contribute. Then, specify the amount you wish to contribute per pay period and calculate the total annual contribution.
8. If you choose not to participate in the Health Care Spending Account, tick the appropriate box.
9. In the Dependent Care Spending Account section, similar to the previous one, check the box to elect contribution, fill in the amount per pay period and annual total.
10. If opting out of the Dependent Care Spending Account, make sure to select that specific box.
11. Read and acknowledge that you have understood the enrollment materials by signing and dating in the provided areas.
12. Once you have completed all fields, ensure to save any changes made to the form. You can then download, print, or share your completed form as necessary.

Complete your enrollment form online today to take full advantage of your spending accounts.