Human Resources Graphic

 

OPEN ENROLLMENT PERIOD IS OCTOBER 8, 2018 – NOVEMBER 9, 2018.

PLEASE PRINT THE FORMS YOU NEED, FILL OUT THE HIGHLIGHTED SECTIONS AND RETURN TO HUMAN RESOURCES AT CENTRAL OFFICE.  

OPEN ENROLLMENT FORMS – HEALTH AND DENTAL, HRA, HSA and FSA/DCA

Action Required Annually for the Following:

No Action Required Annually if you are keeping the same BC/BS insurance plan or Dental Plan

Only for New Enrollments or Changes: 

VEHI HEALTH PLANS INFORMATION:

MASTER CONTRACTS