You want to enroll in Medical (special open enrollment) or add eligible family members to your current coverage

Medical open enrollment form

You are already enrolled in Medical but want to switch to the other plan option:   Point of Service or Classic 

Medical change of election form

You want to enroll in Dental (special open enrollment) or add eligible family members to your current coverage

Dental open enrollment form

Drop Medical or Dental coverage 

Call 686-5650 or pick up form in our office, as ending date for coverage will vary on an individual basis. 

Change how Medical, Dental or Vision premiums are deducted from your paycheck:   pre-tax premium conversion or regular after-tax 

Premium taxation form

Enroll in a 2009 Health Care or Dependent Care Flexible Spending Account
 

Enroll online at www.conexis.org.   Instructions on how to enroll on-line.

Call 686-5650 if you do not have access to a computer.

Enroll in Vision (special open enrollment), change to new Expanded plan, or add eligible family members to your coverage

Vision Enrollment Application

Drop vision plan

Drop vision form
Reduce vision coverage form (you remain covered but drop spouse and/or children)