April 11, 2013 Update
The next open enrollment for health and dental insurance will be April 10 – May 8, 2013 for July 1, 2013 start date.
During this open enrollment, you will have the option of changing your health plan coverage effective July 1, 2013. If you don’t want to change your insurance you don’t have to do anything.
– Benefit Decision Guide
– Rate Sheet (PDF)
– Enrollment and change form (PDF)
– Dependent (ages 19-26) enrollment and change form a (PDF)
– Dependents/spouse enrollment form (PDF)
– Delta Dental enrollment form (PDF)
– Insurance change form for Medicare Retirees/Survivors (PDF)
– Municipal employee acknowledgement form (PDF)
– Employee health insurance responsibility disclosure form (PDF)