Health Insurance Forms & Publications

Below you may download the current Health Insurance Handbook and various health insurance enrollment forms.

Health Insurance Handbook

• 2021 Health Insurance Handbook
  • One-Page Summary of 2021 Changes
• 2020 Health Insurance Handbook
• 2019 Health Insurance Handbook
• 2018 Health Insurance Handbook

Health Insurance Enrollment/Change

• Form 350: Health Insurance Enrollment/Change

Proof of Prior Creditable Prescription Drug Coverage

• Form 309: Proof of Prior Creditable Prescription Drug Coverage

MedPay Enrollment

• Form 301: MedPay Enrollment

HIPAA Authorized Representative Designation

• Form 345: HIPAA Authorized Representative Designation