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Utah Employee Enrollment Form

Utah Employee Enrollment Form 2025

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The document is a Utah Employee Enrollment Form for dental, vision, and accidental death & dismemberment (AD&D) insurance. It requires personal information such as name, address, date of birth, and marital status, along with coverage selections. The form must be completed in full and signed to be valid. It includes options for different insurance plans and requires disclosure of any other dental insurance coverage. There are warnings about providing false information and details on privacy protections.

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What is an employee enrollment form?

Enrollment forms record whether employees have enrolled in or waived group benefits. For instance, if you have more than 50 full-time employees, you will need this data to complete IRS forms 1094 and 1095, which record health care coverage.

What forms do new employees need to fill out in Utah?

New Hire Paperwork and Compliance for Utah Employment Eligibility Verification (Form I-9) Employees Withholding Certificate (Form W-4) DWS New Hire Reporting in Utah. Enroll Employee for IRS Form W-2. Enroll Employee for IRS Form 941. Utah Withholding Return Form TC-941. Enroll Employee for IRS Form 940.

What happens if an employee misses open enrollment?

Legally, employers are not required to do anything for employees who have missed the open enrollment deadline. In fact, the terms of your benefits plans may prohibit you from making exceptions for employees who do not make benefits elections within a certain time period, such as before the new plan year begins.

What is Utah Form 631 used for?

DWS 631 Form The purpose of this form is to prove that you have been separated from your employer or have had your hours reduced in order to maintain your insurance.

What is a 116M form?

The DOH Form 116M is a detailed document from the State of Utah Department of Health, designed for employers to provide comprehensive information about the health insurance options available to their employees.

What is an employee form?

New employee forms are documents an onboarding employee completes for a company. Some forms are required by law, such as tax forms, while others may be for a particular company or position. They help verify the new employee understands company policies, compensation payments and benefits.

What is a benefits enrollment form?

Benefits enrollment, also known as open enrollment or benefits election, refers to the process through which employees choose and sign up for the employee benefits offered by their employer. These benefits often include health insurance, dental insurance, vision insurance, life insurance, retirement plans, and similar.

Utah Employee Enrollment Form 2025

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