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2016 Federal Notices
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Rights…………………………………………………………...3 Rules for Benefit Changes During the year……………………………………………………………4 Medicare ... FEDERAL NOTICES 4 | PAGE Rules for Benefit Changes During the Year Other than during annual openURL/globalassets/hr/media-library/documents/city-employees/employee-benefits/open-enrollment-benefits-information/2016-federal-notices
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2017 Retirees Benefits Overview Booklet
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2017 ... Overview 2017 Look Inside For 2017 Benefit Changes! Annual Open Enrollment: October 10 – 21, 2016 ... AM End of Open Enrollment (Last day to make changes!) Friday, October 21, 2016 N/A N/A NewURL/globalassets/hr/media-library/documents/city-employees/employee-benefits/open-enrollment-benefits-information/colb_2017_brochure_retiree_final1
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2017 Non-Permanent Employee Benefits Overview Booklet
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2017 ... Overview 2017 Look Inside For 2017 Benefit Changes! Annual Open Enrollment: October 10 – 21, 2016 ... PM End of Open Enrollment (Last day to make changes!) Friday, October 21, 2016 N/A N/A FluURL/globalassets/hr/media-library/documents/city-employees/employee-benefits/open-enrollment-benefits-information/colb_2017_brochure_nonpermanent_final
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2017 Active Employee Benefits Overview Booklet
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2017 ... Overview 2017 Look Inside For 2017 Benefit Changes! Annual Open Enrollment: October 10 – 21, 2016 ... PM End of Open Enrollment (Last day to make changes!) Friday, October 21, 2016 N/A N/A NewURL/globalassets/hr/media-library/documents/city-employees/employee-benefits/open-enrollment-benefits-information/1colb_2017_brochure_active-_final
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lbace-2010-2011-mou-final-w-signatures
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Notification of Classification Specification Changes 2 C. Representational Time-Off 2 D. Posting and ... submitted to the Director of Human Resources. Any changes to this list shall be submitted with the same requiredURL/globalassets/hr/media-library/documents/about-us/what-we-do/labor-relations/ace/lbace-2010-2011-mou-final-w-signatures
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final-poa-mou-2009-2014
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submitted to the Director of Human Resources. Any changes on this Board shall be submitted, with the same ... Resources within ten working days following such changes. C. Dues and Benefit Deduction ProgramURL/globalassets/hr/media-library/documents/about-us/what-we-do/labor-relations/poa/final-poa-mou-2009-2014
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rmform2
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rmform2 ... ____ _____________ PRINT PARENT/GUARDIAN NAME SIGNATURE ... ____ _____________ PRINT PARENT/GUARDIAN NAME SIGNATUREURL/globalassets/hr/media-library/documents/about-us/what-we-do/risk-management/special-events/rmform2
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rmform3
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rmform3 ... ____ _____________ PRINT PARENT/GUARDIAN NAME SIGNATURE ... ____ _____________ PRINT PARENT/GUARDIAN NAME SIGNATUREURL/globalassets/hr/media-library/documents/about-us/what-we-do/risk-management/special-events/rmform3
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FSA Dependent Eligible Expenses
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FSA Dependent Eligible Expenses ... service dates, dependent’s name, type of service amount billed, provider’s name and address. 3218 (10/14)©2014URL/globalassets/hr/media-library/documents/city-employees/employee-benefits/open-enrollment-benefits-information/fsadependentcare_eligibleexpenses
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Anthem Blue Cross PPO HMO Medical Plan Comparisons
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30-day supply. Important: If you request a brand-name drug when there is a generic equivalent, you must ... or pay 100% of the difference between the brand-name price and the generic price, plus the generic copaymentURL/globalassets/hr/media-library/documents/city-employees/employee-benefits/open-enrollment-benefits-information/anthem-blue-cross-ppo-hmo-medical-plan-comparisons