Benefits Orientation and Online Enrollment


You can view the Benefits Orientation presentation HERE


Online Benefits Enrollment Forms to Complete:

Click HERE for PEIP Online Enrollment (Health Insurance)

PEIP Online Enrollment Portal Manual


Benefits Enrollment Forms to Complete (Forms found below):

  • Delta Dental and Vision Enrollment Form
  • HRA Enrollment Form
  • HRA Attestation Form (Single Coverage Only)
  • Life Insurance Enrollment Form
  • Long-Term Disability Enrollment Form
  • Section 125 Flexible Benefits Enrollment Form (optional)
  • Tax Shelter Annuities Salary Reduction Form (optional)

The forms listed below are fillable enrollment forms.  You will need to save them to your desktop and email them to the Benefits Department Secure email address -  Once they are received, we will send you a link to sign them electronically.  If you do not have the ability to save them and email them to us, please come to the Human Resources Department and complete the forms.

Please make sure that you have listened to the recorded Benefits Orienation listed above and reviewed your checklist to ensure that you are completing all of the mandatory enrollment forms.