Renew 2023 | Guardian Independent

Changes made in the Chick-fil-A payroll system will impact 2020 contributions and deductions. Therefore, any changes to Team Member job titles that will be effective in 2021 must be handled with a manual load to the Benefitfocus enrollment system so as not to impact 2020.
Complete the following table for any Team Members who will have a job title change in 2021. This information will be loaded into the Benefitfocus enrollment system so that Team Members see the correct Operator contributions and coverage cost for 2021 during Annual Enrollment.
In January 2021, you will need to enter the new Job Title in the CFA payroll.
Changes made after 1pm Nov 2nd will only apply to Operators who are participating in the second OE period of 12/07-12/17.
Operator ID#*
How Many Employees Need Updating?*
Employee ID#*
EE Name*
First Last
Current Job Title*
2021 Job Title*

After clicking submit, we will update your information within the system. If you have additional changes, you can submit another form at any time. Thank you.

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