Health Insurance

Highlights and Premiums:

Forms:

*For a Qualifying Event Change, please include:

1) Appropriate Enrollment Form (Medical/Dental or just Dental)
2) Spousal Surcharge Questionnaire (if appropriate)
3) Qualifying Event Change Form
4) Letter of Creditable Coverage or documentation of Qualifying Event (this indicates date of event and comes from the current or past provider)

Policies and Notices: