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The open enrollment period runs from June 1 through June 30.  Health plan change forms are accepted during this period.  No major changes to your health selections have been made this year.  When you are ready to submit this open enrollment form (SCROLL DOWN TO VIEW), be sure you have checked and updated your dependent data through the Members Login function.  Some of our health carriers will only accept additions (other than newborns) during open enrollment. 

Health care costs continue to rise.  In order to maintain the long term success of your health and welfare plan, your Trustees continue to monitor and adjust the level and type of benefits which are made available to you through various health insurance carriers and HMO's.

Health policy experts agree that one of the most effective ways to control health care costs is for informed consumers to make considered choices in selecting the way in which health care will be provided.

We encourage you to look through the BenefitTabs to compare benefits;  also, we encourage you to use the Locate a Provider function in order to make sure that you are adequately covered by medical practicioners in your area.  Then, fill in your name and other personal information in the form areas provided below.

Name

 

 

Social Security Number

 

 

Address

 

 

City

 

 

State

 

 

ZIP

 

 

Phone Number

 

 

1. Medical Plan (including Managed Mental Health Services and Prescription Drug Benefits)

  Kaiser coverage

  Cigna PPO coverage

  Indemnity (only where PPO is not available)

 

2. Dental Plan

  Delta Dental Plan

  Dental HMO

3. Vision Plan

  VSP Vision Plan

  MES Vision

   

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