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Rates
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| Enrollment in the Vision plan requires submission of a Cafeteria Form. This form must be submitted each year during Open Enrollment. If the form is not submitted, Vision coverage will end on December 31, 2025. The Cafeteria Form link will become active at the start of Open Enrollment. |
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- 2025 Cafeteria Plan Enrollment Form - use this link for mid-year changes before
Adding Dependents:
For more information on adding a dependent to coverage, see Adding a Dependent to Insurance.
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