Use Flat Contributions (BN18.3) to define contributions for plans in
which every employee in a group pays the same flat amount, flat percent, or
percent of salary.
Use this form only for plans with either coverage amounts or no coverage.
**Processing Effect
Any amounts on this form use the currency associated with the plan on
BN15.1 (Benefit Plan).
COBRA participant and retiree annual contributions are divided by 12
to determine the monthly billing amount.