IMPORTANT: If
you plan to make any changes in your coverage,
all enrollment forms are due in the Office of
Human Resources by 5:00 p.m., Friday,
December 4, 2009. The Office of Human Resources will
NOT accept forms received
after this deadline.
You MUST re-enroll
for Flexible
Spending accounts if you plan to keep this benefit
in 2010. No
paper forms are
being accepted
this year. You
MUSTenroll
online.
PLEASE NOTE:
Both
CIGNA medical
and dental
plans will
now offer
dependent coverage
to age
25 provided
they are
a full-time student
OR an
IRS qualified
tax dependent.
Kaiser already
offers this
benefit. If
you have
a tax dependent
who is
eligible to
be on
the Cigna
plans, a new
enrollment
form
must be
completed.
If
they are
a full-time
student,
please submit
the Cigna
affidavit
form
and the
Group Insurance
Enrollment
Form.
If they
are not
a full-time
student,
but an
IRS qualified
tax dependent,
you must
submit a copy
of your
most recent
tax return
(first page
only) that shows
the
dependent listed, along
with the Group Insurance
Enrollment
Form. Please black out the financial numbers.