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Open Enrollment Confirmation Forms

Help WageWorks help you execute a successful Open Enrollment campaign. These Open Enrollment Confirmation Forms capture critical account administration information that helps WageWorks prepare for and properly service your program in the upcoming plan year. These forms identify such important plan administration details:

  • Key points of contact
  • Plan setup preferences
  • Plan features and options
  • Account funding details
  • Plan offer details, such as Open Enrollment start and end dates, preferred enrollment methods and messages, communications preferences

The data in these forms is used to customize your WageWorks Employer and Employee Portals. It serves as an important point of reference for your WageWorks Relationship Manager and our Customer Service teams. 

Open Enrollment Confirmation Form for FSA Plans

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Open Enrollment Confirmation Form for HRA Plans

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Open Enrollment Confirmation Form for Estimating Client Copays

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