WAIVER OF PRE-TAX INSURANCE INFORMATION Directions: To advance to next slide click left mouse button, to view previous slide click the right mouse button.

Waiver of Pre-Tax Form Employees purchasing eligible life, dental or vision insurance as a UND Payroll deduction will automatically have these premiums pre-taxed unless you sign the waiver form If you pre-tax you must maintain the same level of coverage. Changes can only be made during the annual open enrollment or because of a life style change. Additional information is available in the Payroll Office or call 701-777-2158 or email: vicki.robertson@und.edu 35