Enrollment Forms

The following forms are required to complete for NEW HIRES:

• Life Insurance Beneficiary Form

• BlueCross/BlueShield Application (if waiving benefits, still need to sign form and return)

• Optional Life Insurance Enrollment/Change Form (if waiving, please sign and return)

• Flexible Spending Account Enrollment Form (if waiving this benefit, please sign and return)

• Domestic Partner Affidavit and 3 additional documents listed ONLY if adding a domestic partner to insurance plan.

To print the enrollment forms, click on the pop-out box in the upper right hand corner of the desired form, then print from your browser.