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Fall 2019 Open Enrollment

July 1, 2019 - September 30, 2019

BluesEnroll Portal - changes to your enrollment will be effective August 1, 2019.

Enrollment Guide - this guide will assist you with the online enrollment process.


Qualifying Events

Enrollment Form - The paper enrollment form may be used for qualifying events such as loss of coverage, birth, marriage, etc. Documentation of these events is required and should be attached to the paper enrollment form.

Declaration of Domestic Relationship - This form is required for declaring a domestic partnership.

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