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Enrollment Checklist

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Please follow the steps below to complete your enrollment in your IAFF Health & Wellness Trust plan:

Prepare Everything You’ll Need

Gather the Social Security numbers and birthdates for you and your family members.

Complete Your Enrollment Forms

Existing Employees: You only need to submit a new enrollment form if you’re making changes to your existing medical and/or vision coverage.

New Employees: You need to complete an enrollment form to be get medical and vision coverage.

Please remember to update your preferred contact information with the Trust Office as needed, to stay up to date and ensure receipt of important plan documents.

Submit Your Enrollment Form One of the Following Ways