Insurance Coordinators

Training and Information

• New Insurance Coordinator Training - Monthly (PDF- 323 KB)
• New Insurance Coordinator Training - Web Enroll (PDF 542 KB)
• Administrative Manual (PDF - 2 MB)
• Insurance Coordinator Responsibilities (PDF - 18 KB)

• Insurance Coordinator Listing (PDF - 158 KB)

Forms

• Transmittal Log (PDF - 10 KB)
• Health Insurance Update Form (PDF - 39 KB)
• Dependent Add Form (PDF - 73 KB)
• Dependent Drop Form (PDF - 71 KB)
• Post Tax Request Form (PDF - 31 KB)
• Non-Smoker Affidavit (PDF - 19 KB)
  • Smoking Status Change Memo (PDF - 73 KB)
• Insurance Coordinator Verification Form (PDF - 39 KB)
• Health Insurance Checklist for New Employees (PDF - 37 KB)
• FSA Qualifying Event Change Form (PDF - 67 KB)
• Medicaid Eligibility/Termination Form and Instructions (PDF -  40 KB)