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Human Resources

Premium Conversion Plan (pretax)

Form & Plan Document

To save the Premium Conversion form to your computer...

  • right click on the form link
  • choose "Save Target As"
  • save it to your computer

You may review the Plan Document for additional information.

 


This Web site describes the benefits in effect on January 1, 2009. The site does not meet the requirements of a summary plan description and is not intended to serve as one. If there are discrepancies between this information and any of the plan documents or State of Iowa policies, the plan documents or State of Iowa policies will govern in all cases.