Employee Open Enrollment

Open Enrollment Information

  1. 2024 Employee Annual Open Enrollment

Health/Dental Insurance

  1. Health Insurance Enrollment Form
  2. Health Insurance Change Form

Flexible Spending

  1. Flexible Spending Enrollment Form

Mission Square - 457 and IRA Change Forms

  1. 457 Change Form
  2. IRA Change Form

Supplemental Life Insurance - NO GUARANTEE ISSUE at OPEN ENROLLMENT

  1. Supplemental Life Insurance Rates
  2. Supplemental Life Insurance Enrollment Form

Vision Insurance

  1. Vision Benefit Summary
  2. Avesis Enrollment Form

Annual Health Insurance Documents to Review

  1. Summary of Benefits and Coverage

Health Plan Compliance Notices

  1. Health Plan Compliance Notices