Medical Benefits --
Under Age 65
___________________

Information on this page includes:

1. Open Enrollment for
   Under Age 65 Retirees
   (cover letter & calculation rate chart)
    DOWNLOAD

2. Health Insurance Application
    DOWNLOAD
   
   
3. Instructions for Application
    DOWNLOAD
   
   
4. Health Insurance Handbook
    DOWNLOAD
   
   
5. 2009 Dependent ADD Form
    DOWNLOAD
   This form must be used for any qualifying event (QE) that allows you to ADD dependents to your plan. You must complete a Health Insurance Application for election changes such as option changes, new coverage, new waiver or to begin a cross-reference plan.
   
   
6. 2009 Dependent DROP Form
    DOWNLOAD
   This form must be used for any qualifying event (QE) that allows you to DROP dependents from your plan. You must complete a Health
   Insurance Application to request other coverage election changes such as electing new coverage, option changes, new waiver or to cease a cross reference plan.
   
   
7. QUALIFIYING EVENT chart
   with documentation requirements
    DOWNLOAD
   
   
8. Are You Turning 65 in 2009?
    DOWNLOAD
   
   
9. Humana Online Health Assessment
    LINK
   

_____________________________