Insurance Enrollment & Change Forms

2021 Open Enrollment Memo

2021 Open Enrollment Vendor Schedule

**2021 Benefit Choice Form  (Every employee needs to fill this form out)

Other Medical Forms:

• AFLAC Enrollment Form
• AWC Change of Address Form (PDF)
• AWC Enrollment Form (PDF)
• AWC Life Insurance and Beneficiary Change Form
• Decision Point 457 (b) Enrollment Form
• Decision Point 457 (b) Elective Deferral Change Form
• DRS DCP Beneficiary Change From
• DRS DCP Enrollment Guide
• DRS DCP Quick Enrollment Form
• DRS PERS Plan Choice Booklet
• Health Benefit Summary: DEA Employees
• Health Benefit Summary: EXEMPT Employees
• Health Benefit Summary: Fire Employees
• Health Benefit Summary: Police Employees
• HSA Direct Deposit Authorization
• ICMA 457 Enrollment Book
• ICMA 457 (b) Contribution Change Form
• Waiver of Insurance