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RETIREE ANNUAL BENEFIT ENROLLMENT FORM **Only complete this form if you are making an enrollment change** All elections are effective March 1, 2022, through February 28, 2023, Employee Full Name:___
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How to fill out retiree annual benefit enrollment
How to fill out retiree annual benefit enrollment
01
Log in to the retiree benefits portal using your username and password.
02
Select the option for annual benefit enrollment from the menu.
03
Review the available benefit options and select the ones that best suit your needs.
04
Fill out the required information for each selected benefit, including dependent information if applicable.
05
Review your selections and make any necessary changes before submitting your enrollment.
Who needs retiree annual benefit enrollment?
01
Retirees who are eligible for benefits from their former employer
02
Retirees who want to enroll in or make changes to their annual benefits plan
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What is retiree annual benefit enrollment?
Retiree annual benefit enrollment is the process by which retirees can review and select their benefits for the upcoming year.
Who is required to file retiree annual benefit enrollment?
All retirees who wish to make changes to their benefits or continue coverage for the next year are required to file retiree annual benefit enrollment.
How to fill out retiree annual benefit enrollment?
Retirees can fill out the annual benefit enrollment form either online through the retirement system portal or by submitting a hard copy form to the benefits department.
What is the purpose of retiree annual benefit enrollment?
The purpose of retiree annual benefit enrollment is to allow retirees to review and make changes to their benefit options for the upcoming year.
What information must be reported on retiree annual benefit enrollment?
Retirees must report any changes to their personal information, dependent information, and benefit elections on the annual benefit enrollment form.
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