Making Plan Choices and completing the Enrollment Form
This section contains the following information and forms:
Enrolling in this benefit program is simple. To get started, please click on the New Hire Enrollment Form Instructions which provides step-by-step instructions for each section of the form. Please print the instructions first to assist you in completing the Enrollment Form online. Certain areas of the form are required to be completed before you may hit the "Submit and Create Printable Form" button. These areas are marked with a .
For newly appointed Postdoctoral Scholars
Your coverage in your selected plans begins on your appointment date. Please note that if you wish to add your eligible dependents, you must add them at the time of your initial enrollment, which is the 30-day initial period of eligibility that begins with your appointment date. Your eligible dependents must be enrolled during this time as well, unless you experience a qualifying ‘life’ event, as marriage, divorce, adoption or placement for adoption of a child, birth of a child, or dependent loss of coverage. In this event, you will have 30 days from the date of the qualifying life event to enroll your eligible dependents.
There are two documents that must be read before you are able to submit and print your form. They are: the General Notice of COBRA Continuation Rights and the Insurance Carrier Privacy Notice.
Please click Yes on the Enrollment Form after reading these documents in order to submit the form for enrollment. If you do not click Yes, you will not be able to submit the form.
Please also print and complete the Standard Life Insurance Beneficiary Designation Form and submit the form to: Diana Fox, Director of the Office of Postdoctoral Affairs, School of Graduate Studies,Case Western Reserve University, Tomlinson Hall 215, 10900 Euclid Ave., Cleveland, Ohio 44106-7027.
You may view the rates and contributions by clicking on 2016 Monthly Rates/Contributions.
Garnett-Powers is pleased to offer a Case-PBP Customer Service Representative, dedicated to this program. Please address benefit and enrollment questions to:
Garnett-Powers & Associates
23361 Madero, Suite 240
Mission Viejo, CA 92691
Or call us Monday - Friday, 8 am - 5 pm PST
Toll free at 1-844-315-4550
Contact Case-PBP Customer Service
We thank you for the opportunity to be of service to you and your family.
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