Please be sure to enter your Member ID WITHOUT
the NSA prefix—only the numbers, no letters.
Please be sure to enter your Member ID WITHOUT
the NSA prefix—only the numbers, no letters.
A completed New Dependent Form and a copy of the adoption/placement papers issued by the court must be submitted to the Plan within 60 days in order to qualify for the special enrollment opportunity. You can also add dependents and submit a copy of the adoption/placement paper issued by the court in your Benefits Manager.