& Waiver-MO 2026

1. Click ‘Get Form’ to open the & Waiver-MO in the editor.
2. Begin by entering your personal information in the Employee Information section. Fill in your name, social security number, mailing address, birth date, and gender. Ensure accuracy as this information is crucial for your enrollment.
3. Indicate if you have an eligible spouse or domestic partner or children by selecting 'yes' or 'no'. Provide details about your employment status including job occupation and hours worked per week.
4. Complete the Eligible Dependent Information section if electing benefits for dependents. Enter their names, birth dates, genders, and relationships to you.
5. In the Coverage section, select whether to elect or decline coverage for dental, vision, life insurance, and other benefits. Be sure to specify any amounts where required.
6. Review the Employee Agreement carefully before signing. This confirms your understanding of the terms and conditions associated with your coverage.
7. Once completed, make two copies of the form and send the original to Principal Life Insurance Company as instructed at the end of the document.

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