Medical Waivers are to be Submitted each Fiscal Year

Medical Waiver Form FY2007-08

Medical Waiver Form FY2008-09

Employee's currently on a Waiver:

All Waivers must be re-submitted each fiscal year.  Exception can not be made.

Failure to provide a new waiver each Fiscal Year will result in the loss of the waiver.  The employee will be enrolled in Employee Only Core medical coverage effective July 1st of the new Fiscal Year.

Please keep a copy of the completed waiver for your records before sending it to the Benefit Office. 

When the waiver arrives in the Benefit Office, a written confirmation verifying receipt will be sent to the employee. 

You must attend an Open Enrollment session to submit a waiver for the first time.  Multiple forms must be completed.

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