SCLEA, SCLEMA and SCPDIA Special Enrollment

SCLEA, SCLEMA and SCPDIA employees have an opportunity to make changes to their Annual Enrollment elections.

If you want to make changes to your previously selected benefit elections, you must complete and submit the applicable form(s) provided below by 5:00 p.m., Friday, June 24, 2016 to the Human Resources Benefits Unit.

SCLEA, SCLEMA and SCPDIA Enrollment Forms

Medical Enrollment Form

Dental Enrollment Form

Vision Enrollment Form

Supplemental Life Insurance Form (SCLEA and SCPDIA ONLY)

The Hartford Beneficiary Designation Form

Health Premium Transition from Bi-Weekly to Semi-Monthly Rates

Employee Benefit Enrollment Change Forms

2016 - 2017 Employee Benefit Enrollment Change form

2016 - 2017 Employee Benefit Enrollment Change Additional Dependents Form

Employee Benefits

The Employee Benefits Guide has been updated to reflect the most current MOU benefits.

Employee Benefits Guide Posted 5-24-2016