The deadline to submit Open Enrollment forms to the Human Resources Department is October 4, 2019, at 5:00 p.m.
All Open Enrollment forms are provided below. Please forward all completed Open Enrollment forms to the Human Resources Department no later than 5:00 pm on October 4, 2019.
If you are not making any changes you do not need to submit any forms. Your benefits will remain the same and will continue without any interruption. The only exception is the Flexible Spending Account. If you elect to participate in the Flexible Spending Account (FSA) plan for the 2020 calendar year, a new enrollment form is required.