1.  There are four forms on this page, but you only - for most times - need to complete the first form, the "Election Form".  The Election Form is a consolidated Excel sheet that allows you to make benefit selections for all of the following benefits:

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    Anthem - medical plan

    Principal - dental and/or vision plan

    Principal - group life/ad&d and voluntary life plans

    Section 125 - "POP" Pre-tax election for your medical, dental, and/or vision benefits.

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2.  By using this form you are agreeing to rules and qualifiers in the Anthem and/or Principal standard Enrollment Forms.  (There is nothing unusual or scary there).

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3.  When you have completed the Election Form, please save it and email it to Ms. Sheila Thomas, HR Assistant/Benefits Manager at sthomas@globaldiagnostic.net.  You may call her in the office at 770.602.0502 Ext 229.

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4.  Form #1:  Here is the Election Form:  Complete this form and email it to Ms. Sheila Thomas at sthomas@globaldiagnostic.net.

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5.  Forms #2, 3, 4:  Here are the carrier enrollment forms and the Evidence of Health for Principal Voluntary Life Benefits when electing MORE THAN $50,000 in voluntary life.  You only need to complete the Evidence of Health if electing more than $50,000 of voluntary life.  If electing more than $20,000 for your spouse, you will need to complete an EOH form for them.

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