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Dental-Vision Plan Open Enrollment

Employees have the option every year to add or delete dependents for their dental/vision plan for the following calendar year. If you'd like to make changes in dependent coverage for 2022, please download the form below and return the completed form to Haley Dodson by Monday, December 6, 2021. Please note there is no premium rate change for calendar year 2022.

Ameritas Enrollment/Change/Waiver Group Insurance Form

If you have any questions, please contact Haley Dodson.

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