Insurance Department

Phone 734-374-1200 ext: 10106
Fax: 734-287-3710

Open Enrollment

2019 Benefit Enrollment or Election Form

2019 HAP HMO Enrollment Application

Privacy Policy

Flexible Spending

Flexible Spending information

2018 Healthcare FSA Reimbursement Form

2018 Dependent Care FSA  Reimbursement Form

NGE Anytime

MGEFS Next Day Pay

Forms

Cash in Lieu Waiver

HIPPA Authorization

Dental - Enrollment and Change (Delta Dental) 

Flexible Spending Enrollment 

Health - Change

Health - Enrollment 

Vision Enrollment - TFT

Vision Reimbursement - TFT

Vision Enrollment - NVA

Summary of Benefits

BCN Plan 2 (HSA)

BCN Plan 5

Other

EAP Program