Get and Sign USE THIS FORM IF YOU ARE TRYING to Ndpers Nd Gov
Get and Sign
USE THIS FORM IF YOU ARE TRYING to Ndpers Nd Gov
COVERED UNDER NDPERS THROUGH SPOUSE OR PARENT Affordable Care Act. Evidence of Insurability form EOI must be completed for amounts larger than 5 000 and approved by the Carrier. I understand that I can not participate in the flex comp medical spending account if I am covered on the NDPERS High Deductible Health Plan HDHP with a Health Savings Account HSA. Direct my employer to deduct the current premium from my wages or salary and remit to NDPERS. on the NDPERS website at www. To designate...