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Open Enrollment
Please select from the lists below for more details:
Open Enrollment and
Vendor Fair Session

  • Tuesday October 6, 2009 and Wednesday October 7, 2009
    11:30am - 1:00pm
    Gengras Student Union
    Suisman Lounge


Full-time employee information:
  • Letter to Full-time Employees
  • Rates
  • United Healthcare POS Enrollment Application and Change Form
  • FSA Enrollment Packet
  • Same-sex Partner Information
  • Same-sex Partner Rates
  • Same-sex Partner Affidavit
  • Medical Insurance Benefit Comparison
  • Optional Life Enrollment Form
  • Insurance Enrollment Form (Open Enrollment Request Form)
  • Dental Enrollment Form
  • Dental Summary Plan for CT
  • Dental Summary Plan for MA


Part-time employee information:
  • Letter to Part-time Employees
  • Rates
  • United Healthcare POS Enrollment Application and Change Form
  • Part-Time Same-sex Partner Information
  • Same-sex Partner Affidavit
  • Medical Insurance Benefit Comparison
  • Optional Life Enrollment Form
  • Insurance Enrollment Form (Open Enrollment Request Form)
  • Dental Enrollment Form


Retired employee information:
  • Insurance Enrollment Form (Open Enrollment Request Form)
  • Medicare Supplement Benefit Sheet
  • Retiree Rates
  • Retiree Letter
  • Retiree Request Form


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