Important Documents and Forms
- 1-1-25 Enrollment Change Form
- Beneficiary Questions & Answers
- Part Time Resolution Template
- Schedule B for Birth Registration
- Schedule C for Marriage Registration
- Sample Loss of Coverage Form
- Release of Health Information
- Affidavit for Domestic Partner
- Termination of Domestic Partner
-
Retiree Life Insurance Application
(under age 65) -
Options for Continuing Life Insurance
Due to Retirement - Board Member Enrollment Application
Employer Domestic Partner Coverage
Mandatory ACA Notice for New Hires