Open Enrollment 2021

Documents

Employee Benefit Record Form (enrollment form) (PDF)

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2021 Open Enrollment Information (PDF)

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2021 Medical Plan Rates - Full-Time (excludes Sworn Fire) (PDF)

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2021 Medical Plan Rates - Sworn Fire (PDF)

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2021 Health Plan Rates - Permanent Part-Time (PDF)

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FSA Program Highlights (PDF)

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FSA Enrollment Instructions (PDF)

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Voluntary Life Insurance Enrollment Form (PDF)

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