Human Resources - Employee Benefits
Benefit Forms
Health, Prescription, Vision & Dental Benefit Waiver Form
Medical Enrollment Change Form
Tab through to complete the form. Use this form for new enrollment and to make changes in coverage. Upon completion, submit to Human Resources Benefits Division.
Horizon Dental Enrollment Form
Dental Services Organization (DSO) Enrollment Form
Horizon Vision Enrollment Form
Certification for Dependent Children to age 26
Complete and submit to the Human Resources Benefits Division.
Tab through to complete the form. Print, sign and return to the Human Resources Benefits Division.
Retirement Plans
-
PERS
or
PFRS
Member Benefit Online Services
IAA Claim Form
Employee Benefits
Health Benefits
Retirement Plan Information
Voluntary Benefits
Group Medical Insurance Eligibility
Insurance Timelines
Benefit FAQs
Plan Administrators
Horizon Dental Enrollment form
Affidavit Of Dependency
IAA Summary of Benefits