Update your contact information

You can also update your information by logging in to your Benefits Manager. All Health Plan documents that are completed can be emailed to

• 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

• A completed Dependent Enrollment Form and a copy of the guardianship papers issued by the court must be submitted to the Plan within 60 days in order to qualify for the special enrollment op

What is COBRA, and what does it mean to me?

In 1986, Congress passed the Consolidated Omnibus Budget Reconciliation Act (COBRA) health benefit provisions.

You can pay your premium in any of the following ways:

• A completed New Dependent Form and a copy of the recorded birth certificate must be submitted to the Plan within 60 days in order to qualify for the specia

• When you get married, a completed New Dependent Form and a copy of the recorded marriage certificate must be submitted to the Plan within 60 days in order to qu

Forms can be downloaded and completed directly on your computer before saving or printing.