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Human Resources : OpenEnrollment
 
Human Resources
County Services Building
3283 122nd Ave.
Allegan, MI 49010
Phone: (269) 673-0205
Email Us

HOURS: 8:00am - 5:00pm
Monday - Friday

Open Enrollment 2018 - 11/7/17 through 11/29/17

Open enrollment for medical benefits will be done through a paper process not online. ALL benefit eligible employees must complete the paperwork for the open enrollment process this year.

As forms and additional information become available it will be placed on this webpage.

 

 Open Enrollment Announcements

 
Attachments
  
  
  
  
11/2/2017 11:37 AM

 

 

 Open Enrollment Documents, Forms, and Links

 
  
  
  
Notes
2018 Benefit Election Form OE.pdf
  
2018 Medical_Dental_Vision Rates.pdf
  
2018 Open Enrollment Benefit Guide.pdf
  
2018 Open Enrollment Calendar.pdf
  
2018 Open Enrollment Checklist.pdf
  
American Fidelity Enrollment Instructions Flyer.pdf
  
American Fidelity HSA Application.pdf
  
BCBS Benefits at a Glance Option 2 PPO 70.pdf
  
BCBS Change Form.pdf
  
BCBS Enrollment Form.pdf
  
BCBS Medical Waiver Form.pdf
  
BCBS Summary of Benefits 70 PPO Plan.pdf
  
HSA Bank Selection Questions.pdf
  
RETIREE HSA 100 BCBS Plan Details.pdf
  
RETIREE New Enrollment Form.pdf
  
RETIREE Open Enrollment Booklet.pdf
  
RETIREE PPO 80 BCBS plan details.pdf
  
Standard Life Ins. Enrollment_Change Form.pdf
  
Standard Life Ins. Rate Sheet.pdf