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Open Enrollment

2017 Open Enrollment

Open Enrollment Informational Meetings

November 1st at 11:00 a.m. and 1:00 p.m. in the Board of Commissioners Room
November 1st at  9:00 a.m. and 3:00 p.m. in the Sheriff Department Training Room
November 2nd at 9:00 a.m. and 6:00 p.m. in the Sheriff Department EOC Room

 

 2017 Health Insurance Open Enrollment Forms (MUST Be Completed)

1.  Benefit Election and Waiver of Health Coverage

2.  Spouse Affidavit - Non Union

3.  Spouse Affidavit - Union

2017 Enrollment or Change Forms

1.  BCBS Enrollment Form

2.  BCBS Change Form

3.  Delta Dental Enrollment or Change Form

2017 Health, Dental and Vision Information

1.  BCBS CB6 Benefit Summary

2.  BCBS CB12 Benefit Summary

4.  27-7 Online Health Care

4.  EyeMed Benefit Summary

5.  Delta Dental Benefit Summary

2017 Annual Notices

1.  Glossary of Health Coverage and Medical Terms

2.  Federal Regulation Notice

3.  Notice of Privacy Practices

4.  Marketplace Coverage Notice

2017 Heath Care Savings Program Open Enrollment Forms

1.  Health Care Savings Program Change Form

2017 American Fidelity (Flexible Spending Accounts, Life and Cancer) 

 1.  American Fidelity Online Instructions

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