Open Enrollment for the 2009 Plan Year has ended.

 

2009 FSA and DCAP Communication Materials

 

You can only enroll (or modify your election) in the 2009 Plan Year if you have experienced a Qualifying Event. 

 

2009 Plan Year FSA/DCAP Enrollment Form

Click above to download the FSA/DCAP Enrollment Form.  Please follow the instructions at the bottom of the form for submitting this information.

 

Change of Election Form

If you have experienced a qualifying event and need to modify your FSA and/or DCAP election, please fill out the Change of Election Form.