2011 OPEN ENROLLMENT
Benefit Summaries
Third Circuit Court
Wayne County Probate Court
- Executive & Non-Executive
- Government Administrators Assoc (GAA)
- AFSCME Employees
- Elected Officials & Judges
Wayne County
- Michigan Building & Construction Trades Council
- Government Administrators Assoc (GAA)
- Commission Contractual Employees
- Dieticians and Nutritionists
- Elected Officials & Judges
- Executive & Exempt Employees of WC Commission
- AFSCME Local 1862, 2057, 2926
- GAA Nurses
- Government Bar Association
- Unite HERE Local 24
- IUOE Local 324
- AFSCME Local 3317
- POAM Sheriff Deputies
- AFSCME Locals 25, 101, 409, 1659
- Executive & Exempt Employees of Wayne County
Benefit Information
General Information
Forms
- Open Enrollment Plan Change Form - Actives
- Open Enrollment Plan Change Form - Retirees
- Enrollment Change of Status Form
- Dependent Verification IRS Form 4506T
- Health Care Opt-Out Form
- Dependent Verification of No Other Coverage
Health, Dental & Vision
Health Savings Accounts (HSA)
Other Benefits
Flexible Spending Accounts (FSA)
Health Plan Notices / Employee Rights
- Federal Health Reform Notices
- Women's Health & Cancer Rights Notice
- Newborns & Mothers Health Protection Act Notice
- HIPAA Notice of Privacy Practices
- Rights Under COBRA
- Medicare Drug Creditable Coverage Notice
- Mental Health Parity & Addiction Equity Notice
- Children's Health Insurance Program Notice
- Public Act 152- SB 7 FAQs

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