Verification of eligibility form (required) - signature required
Employee enrollment forms (applications- required) (a) proof of FT student status for college age student (required) (b) Student status letter (if student verification not included) will be mailed to the employee's home (c) Dependent will not be enrolled until verification is received.
Copy of quote/sold rates
Copy of wage & tax form (required)
Binder check for 1st month premium (optional)
Website user request form (required)
VISION (Vision Care Plus - Avesis, Fidelity Security)
