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Important Reminders:

  • Completed forms and supporting documentation must be received by Human Resources Department, Benefits Unit between 8:00am on September 15, 2025 and 5:00pm on October 10, 2025.
  • Employees opting out of County medical coverage for 2026 must submit form HBD-12, the Health Insurance Waiver/Annual Certification, and proof of alternate coverage (i.e., insurance card). To receive a stipend benefit, the alternate coverage must meet IRS requirements.
  • Annual enrollment is required to participate in D-Care and FSA.
  • To enroll dependents onto your benefits, you must provide the required documentation:
    • Copy of Social Security Card for each dependent
    • Copy of Birth Certificate for child dependents
    • Copy of Marriage Certificate or County Affidavit of Domestic Partnership for spouse/domestic partner dependent
  • Medical premiums are paid one month in advance. Changes to your contribution amount will be reflected on your December 12, 2025, earnings statement (pay period 25).
  • Open Enrollment changes are effective January 1, 2026.
  • If you change health plans, a new medical card will be issued by the new plan. Review the information on your new card. For changes to your medical provider, contact the health plan or visit them online.
  • Please take a moment to carefully review your DocuSign and/or PDF submission to ensure all information is accurate and complete before submitting.