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Power of Attorney form for Employee Benefits - HII - Benefits 2026
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How to use or fill out Power of Attorney form for Employee Benefits - HII - Benefits
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- Click ‘Get Form’ to open it in the editor.
- In Section I, designate your agent by filling in their name, address, and telephone number. If applicable, indicate their relationship to you.
- Proceed to Section II to name a successor agent if your primary agent is unable to act. Fill in their details similarly.
- In Section III, specify which employee benefit plans this POA applies to by initialing the appropriate boxes for Health and Welfare Plans and Retirement Plans.
- Section IV allows you to grant authority. Choose between general or specific authority for both Health and Welfare Plans and Retirement Plans by initialing the relevant options.
- Complete Sections V through X by indicating the effective date, any expiration date, special instructions if needed, and finally sign and date the document.
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