Important Documents and Forms

• 1-1-2026 Enrollment Change Form
• Sample Loss of Coverage Form
• Release of Health Information
• Affidavit for Domestic Partner
• Termination of Domestic Partner
• LTD Claim Packet
• Retiree Life Insurance Application (under age 65)
• Options for Continuing Life Insurance Due to Retirement
• Life Claim Packet
• Board Member Enrollment Application