Benefits Documents

Showing 231 documents.

Retiree Medical & Dental Change Form for DSA/Civil Deputy, FOPPO, IUOE, MCCDA and Prosecuting Attorneys (201.29 KB)

Posted on Monday, January 22, 2018

Retiree Medical & Dental Change Form for Local 88, Non-Represented, ONA, IBEW, JCSS, Painters and Physicians (220.02 KB)

Posted on Monday, January 22, 2018

RR EFT Authorization (215.57 KB)

Posted on Thursday, January 11, 2018

Change Form (Fill-in) MCCDA, DSA/CD, FOPPO, IUOE, Prosecuting Attorneys (739.87 KB)

Posted on Tuesday, December 5, 2017

Change Form - Local 88, JCSS, IBEW, ONA, Painters, Physicians, Non-Represented (742.02 KB)

Posted on Tuesday, December 5, 2017

NH Med-Den Enrollment Form Pref-Perf (754.84 KB)

Posted on Monday, December 4, 2017

2018 COBRA Enrollment (DSA, FOPPO, IUOE, MCCDA, MCPAA) (71.39 KB)

Posted on Wednesday, November 8, 2017

2018 COBRA Rates (Local 88, JCSS, IBEW, Painters, Non-rep, ONA, Physicians) (13.88 KB)

Posted on Wednesday, November 8, 2017

2018 COBRA Rates (MCCDA, DSA/CD, FOPPO, IUOE and Prosecuting Attorneys) (13.56 KB)

Posted on Wednesday, November 8, 2017

2018 Kaiser Senior Advantage Summary (222.35 KB)

Posted on Thursday, October 26, 2017

2018 Retiree Medical/Dental Plan Costs - IBEW Local 48 (26.77 KB)

Posted on Monday, October 23, 2017

2018 Retiree Medical/Dental Costs (24.38 KB)

Posted on Wednesday, October 18, 2017

2018 Retiree Medical/Dental Costs for ONA (27.83 KB)

Posted on Wednesday, October 18, 2017

2018 Retiree Medical/Dental Plan Costs - DSA/CD, FOPPO, MCCDA, Pros Attnys (25.28 KB)

Posted on Wednesday, October 18, 2017

2018 Retiree Medical/Dental Plan Costs - IUOE Local 701 (28.64 KB)

Posted on Wednesday, October 18, 2017

2017 Transportation SPD (309 KB)

Posted on Tuesday, October 17, 2017

2018 RR Enrollment Change Form (271.29 KB)

Posted on Tuesday, October 17, 2017

2018 RR Enrollment Change Form (PPMKKM) (213.23 KB)

Posted on Tuesday, October 17, 2017

2018 SBC Kaiser Maintenance Plan (634.91 KB)

Posted on Tuesday, October 17, 2017

2018 SBC Kaiser Maintenance Plan (Spanish) (988.16 KB)

Posted on Tuesday, October 17, 2017

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