Important Documents and Forms

• Employee Enrollment Application
• Schedule A for Beneficiary Designation
• Beneficiary Questions & Answers
• Change Card
• 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
• Notice of Work Accident