Get Sample For Part Time Employees - Thomas Jefferson University

Filling out the Sample For Part Time Employees form at Thomas Jefferson University is an essential step for employees to access their benefits. This guide provides clear and supportive instructions on how to navigate each section of the form, ensuring a smoother experience for all users.

Follow the steps to successfully complete your benefits election form.

1. Press the 'Get Form' button to access the Sample For Part Time Employees document, and open it in your preferred editor.
2. Begin by entering your personal information in the designated sections, including your name, home address, and employee number.
3. Review the Benefit Credits section to understand the financial support offered for benefits, ensuring you accurately reflect your status.
4. Select your medical coverage by checking the appropriate box for either 'Elect' or 'Waive,' making sure to provide required documentation if waiving.
5. Fill out the Dental Insurance section by selecting your plan and noting any dependents covered.
6. Continue to the Life Insurance section; choose the amount of optional coverage you would like and fill in the associated costs.
7. Provide selections for Accidental Death and Dismemberment (AD&D) Insurance as required.
8. If applicable, indicate your choice for Short-Term and Long-Term Disability coverage.
9. Complete the Flexible Spending Account section by specifying the biweekly amounts you would like deposited into your accounts.
10. Review all entries for accuracy before signing and dating the form, then submit it to the Human Resources Service Center by the deadline.

Complete your benefits election online to ensure you maximize your entitlements.