All All changes must be received by the deadline, 

November 17, 2017 

for coverage to be effective January 1st. 
Any enrollment received after this date, will not be considered
and can impact eligibility for enrollment.

Click Here  to access the Open Enrollment video regarding insurance benefits available to you. 

If you wish to make changes, you will need to complete:
    1. Flex Form for your pay type (Hourly or Salary)
    2. Enrollment Form for the specific benefit(s) you wish to change/add/cancel
    3. For FSA participants -you MUST complete a new FSA Enrollment Election Form for the 2018 plan year. 

For example, if you are an hourly employee and wish to make a change or add medical coverage, you will need to complete and submit the Flex Form - Hourly/Bi-weekly and the Medical Enrollment form for changes to be effective. 

Flex Forms (rate forms) 

Medical Insurance - United Health Care ( 

Flexible Spending Account (FSA) - Advantage Administrators (

Dental Insurance - Delta Dental of Iowa (

Vision Insurance - Avesis (


Voluntary Life Insurance - UNUM (