Open Enrollment

If you need to review a summary of the Open Enrollment options:

You will find the appropriate PDF forms below. Please download, fill, print and mail or fax the items. It is necessary to have the free Adobe Acrobat Reader to open and view these items. If you do not have the Adobe Acrobat Reader installed on your computer, you can obtain it free of charge at https://get.adobe.com/reader/

Select a category below:

Kaiser Permanente

Self Funded

United Healthcare Harmony

United Healthcare Value

Delta Dental

Dental Health Services

VSP Vision Coverage

United Healthcare