Overview of PPO Plans

How to Enroll

To enroll in a plan, follow these simple steps:

• Verify with your Health Benefit Representative if your enrollment is done through an electronic enrollment system or by completing a paper application.
• Employees that enroll through the BEACON system, click here for instructions.
• Employees that enroll through eBenefitsNow^SM, click here for instructions.
• HR InTouch Website Addresses
  This document contains a listing of the HR InTouch website addresses along with links for the agencies that are live on eBenefitsNow.
• Retirees, click here for instructions on enrolling through ORBIT.

Complete any necessary forms for your dependents:

• Certification of Dependent Eligibility – If you have a foster child, you will need to complete this form.
• Coverage Request for Incapacitated Dependent – If you have a child over age 26 who is eligible as a mentally or physically incapacitated dependent, complete this form.

Indicate if you were covered under a previous plan:

• Prior Health Coverage Information – If you had coverage under a previous plan, you can apply to receive credit against the waiting period for pre-existing conditions

Please print out the appropriate forms above and give the completed forms to your Health Benefits Representative for processing.

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