Cobra Enrollment information
Memorandum (pdf)
Premium Rate Sheet
Medical
COBRA Medical Open Enrollment Form (pdf)
2023 BCBSTX Get to Know Your Health Plan Guide
Tobacco User/Non-User Certification Form (pdf)
Dental
Delta Dental Open Enrollment Form (pdf)
Delta Dental High Plan Flyer (pdf)
Delta Dental Low Plan Flyer (pdf)
Vision
Avēsis Vison Care Open Enrollment Form (pdf)
Avēsis Vision Care Flyer (pdf)
Employee Assistance Program (EAP)
COBRA Employee Assistance Program EAP Enrollment Form (pdf)
ComPysch Flyer (pdf)
