Staff Insurance

Health Plan Election Form - this form is emailed to all employees who are eligible for insurance during the insurance enrollment period. ALL ELIGIBLE STAFF need to fill this out, every year--even if you elect NOT to take the  insurance benefits. 

 

Spouse COB - you will need to fill this out if you have your spouse on our health insurance.

 

AGA Employee Enrollment - you only need to fill this out if you have not done so already and were not on our health insurance plan last year or you are making changes to what you did last year (Plan, dependents, spouse coverage, dental, vision).

 

Change Form - this form is for during the year and you have a HIPPA qualifying event and need to change plans or if you want to drop dependents.

 

HSA Enrollment - If you are moving to a High Deductible Plan from Plan 1 you will need to fill this out.