Open Enrollment for 2021 is here!
Click links below for Benefit Summary & Change Forms
All Full-Time employees should have received their PURPLE Election Return Forms by Friday, November 20th. Please review the information on this page.
"NO CHANGES" → If you are not making any changes or updates to your current elections, simply initial by your address, circle "No Change" next to Health, Dental & Vision and sign the bottom.
"MAKING CHANGES" → If you are making any changes to the information on your Election Forms, you must fill out the corresponding change forms by clicking the link below. You will need to circle the changes you are making on the PURPLE Election Form to indicate what changes you are making, and the completed change forms will need to be attached in order for changes to be applied.
"NO CHANGES" → If you are not making any changes or updates to your current elections, simply initial by your address, circle "No Change" next to Health, Dental & Vision and sign the bottom.
"MAKING CHANGES" → If you are making any changes to the information on your Election Forms, you must fill out the corresponding change forms by clicking the link below. You will need to circle the changes you are making on the PURPLE Election Form to indicate what changes you are making, and the completed change forms will need to be attached in order for changes to be applied.
All forms are due back to Human Resources by
Friday, November 20, 2020
** This page will NOT be accessible after the deadline **
Friday, November 20, 2020
** This page will NOT be accessible after the deadline **
CLICK BELOW TO VIEW SUMMARY & CHANGE FORMS:
(Download forms to your computer before filling out)
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