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Employee Benefits

Open Enrollment Changes become effective January 1st of each year.

Note:  Changes to Benefit Plans Outside of Open Enrollment Require a "Qualifying Event"       
Examples:

  • Birth
  • Adoption
  • Marriage
  • Divorce
  • Loss of Benefits Coverage on Another Plan

Benefit changes may be made within 31 days of the "Qualifying Event". Documentation of the event is required to be turned in along with Enrollment Forms, such as; recent tax return, marriage certificate, birth certificate, court documents, etc.

Medical Rates 

Benefit Enrollment Forms
Medical Plan Changes
VEBA Universal Enrollment Form
Delta Dental Enrollment Form
MetLife DHMO Enrollment Form
Metlife Legal Plan Enrollment/Cancel Form
VSP Enrollment Form
Medical Insurance Waiver Statement



 

Contacts

Daniel Chavez
Senior Payroll & Benefits
Accountant

(619) 428-4476 ext. 3008