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Dependent Care Program (D-Care) Enrollment Form

You are here: Home▸Departments▸Human Resources▸Benefit Packages▸Open Enrollment▸D-Care
  • Open Enrollment Home
  • 2026 Employee Benefits
  • 2026 Rate Sheets
  • Open Enrollment Information and Mailings
  • Important Reminders
  • Benefits Support
  • Virtual Health Plan Events
  • Medical Enrollment Changes and Opt-out Forms
  • Dental and Vision Enrollment Change Form
  • Basic and Supplemental Life Insurance Enrollment Change Forms
  • Flexible Spending Account (FSA) Enrollment Form
  • Dependent Care Program (D-Care) Enrollment Form
  • Health Care (H-Care) Pre-Tax Medical Premium Program Enrollment Form
*Please Note*
Employees currently enrolled in D-Care must re-enroll during Open Enrollment to continue participating in this program.

Forms(The DocuSign forms have been updated this year with a step-by-step guide to assist you.)

  • 2026 D-Care Form – DocuSign
  • 2026 D-Care Form
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  • Terms Of Use
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