- Retiree - Spouse as Primary Enrollment Form
Please be advised that this Enrollment Form is only used for Retiree "Spouse as Primary" enrollment.
All other enrollees must call the Benefits Service Center at 888-380-5173 to enroll or make eligible changes to their benefit elections.
Benefits Service Center Hours:
Monday - Friday 6:00 am - 5:00 pm, Saturday 7:00 am - 1:00 pm