The following Vision and Dental Plan is offered:

Ameritas

Plan Information:

• Ameritas Benefits Highlight Sheet

Forms:

• Ameritas Enrollment, Change & Termination Form
  • At the time of enrollment, employees must provide original supporting documentation for any dependents being added.  Only original documents can be accepted. 
    • To enroll a spouse: marriage certificate and social security card must be presented.
    • To enroll a child(ren):  birth certificates and social security cards must be presented.

All completed forms should be sent to the attention of Yvette Maag, HR Benefits Coordinator.