Get Employee Information (employee Must Complete) - Kdheks

The employee information section of the Kdheks form is essential for accurately enrolling in health benefits. This guide provides straightforward, step-by-step instructions to assist users in completing this form correctly and efficiently.

Follow the steps to accurately fill out the employee information section of the form.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editing tool.
2. In the section for 'Name (Last, First, MI)', enter your full name clearly using proper case.
3. Select your enrollment type by checking one of the following options: 'Open Enrollment', 'New Employee', or 'Other'. If applicable, provide a brief specification under 'Other'.
4. If you are a new employee, fill in the 'Date of Hire' to indicate when you began your employment.
5. For the 'Social Security Number' section, input your social security number accurately.
6. Provide your 'Employee ID #' in the corresponding field.
7. In the 'Type of Action' section, check the box that applies to your situation, whether it is a change in enrollment or entering a new enrollment.
8. Complete the 'Annual Amount' and 'Semi-Monthly Amount' sections as they relate to your Health Savings Account and any flexible spending accounts.
9. If changes have occurred, indicate the 'Date of Occurrence' where applicable, and provide details on the type of change by checking the relevant option.
10. For 'Authorization', check the appropriate box regarding your intentions for salary reduction and agreement to the terms.
11. Sign and date the form in the designated areas to authorize the information provided.
12. Ensure all sections are filled out completely before submitting your form to avoid any delays. Save changes, download, or print the document for your records.

Complete your documents online to ensure a smooth enrollment process.