Welcome to Open Enrollment 2015!

The Open Enrollment period is for all full-time, benefits-eligible employees and runs from November 10, 2014 through November 21, 2014. The benefits you elect during this Open Enrollment will be effective January 1, 2015 through December 31, 2015.

The links below provide important information on each of the benefit plans. Please be sure to review the General Guide to Employee Benefits to determine which enrollment/change forms, if any, you need to complete. It is important that you take the time to review all of the open enrollment materials, understand your options and make the right choices for you and your family. Once you have made your elections, you will not be able to change them until the next Open Enrollment period, unless you experience a qualified change in status.

Employee Contributions
Click Here to download the pdf

Tobacco Use Affidavit
Print, sign and return to Kathy Aimes in Human Resources
Click Here to download the pdf

General Guide to Employee Benefits
Click Here to download the pdf

Medical and Prescription Benefits

  • Medical and Prescription Guide
    Click Here to download the pdf

  • Horizon Enrollment/Change Form
    Click Here to download the pdf

Vision Benefits

  • Vision Guide
    Click Here to download the pdf

  • Vision Information
    Click Here to download the pdf

  • EyeMed Enrollment/Change Form
    Click Here to download the pdf

Dental Benefits

  • Dental Information
    Click Here to download the pdf

  • Guardian Enrollment/Change Form
    Click Here to download the pdf

Life Insurance Benefits

  • Life Insurance Information
    Click Here to download the pdf

  • Guardian Enrollment/Change Form
    Click Here to download the pdf

  • Guardian Evidence of Insurability Form
    Click Here to download the pdf

Flexible Spending Accounts

  • Medical and Dependent Care FSA Information
    Click Here to download the pdf

  • Benefit Tax Link FSA Election Form
    $2,550 maximum for Medical and $5,000 maximum for Dependent Care
    Click Here to download the pdf

Legal Notices and Disclosures
Click Here to download the pdf


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