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Forms & Guides - College Insurance Plan

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College Insurance Program

The following forms and guides provide information regarding premiums, providers, and changes to the College Insurance Program (CIP). These resources are hosted on the MyBenefits Marketplace website.

Document Date Pages
Click cover for CIP enrollment info Traditional or Portable College Insurance Program Information Packet - Traditional and Portable Plan Members Only
Eligible members who have completed the eligibility requirements under the College Insurance Program may elect to participate in the College Insurance Program at the time of their retirement. Participation in the College Insurance Program is optional.
Click here to download the Participation Election Form by itself.
10/16 1
Click cover for CIP enrollment info SMP College Insurance Program Information Packet - Self-Managed Plan Members Only
Eligible members who have completed the eligibility requirements under the College Insurance Program may elect to participate in the College Insurance Program at the time of their retirement. Participation in the College Insurance Program is optional.
Click here to download the Participation Election Form by itself.
10/16 1
Click cover for 2018 CIP Benefit Choice FY 2018 State Benefits Choice Handbook
The Community College Employee Benefit Choice Period began May 1, 2017, with selections effective July 1, 2017, through June 30, 2018. Benefit Choice is the only time, other than a qualifying change in status, that members can change plans or dependent coverage.Open Enrollment Period is May 1- June 1, 2017.
FY 2018 20
Click cover for 2017 CIP Benefit Choice FY 2017 State Benefits Choice Handbook
The Community College Employee Benefit Choice Period began May 1, 2016, with selections effective July 1, 2016, through June 30, 2017. Benefit Choice is the only time, other than a qualifying change in status, that members can change plans or dependent coverage. Open Enrollment Period is May 1- June 1, 2016.
FY 2017 32
Click cover for CIP Handbook CIP Benefits Handbook
This Benefits Handbook is intended to assist Plan Participants in the Program understand and become familiar with the benefits available under the College Insurance Program(CIP).
11/11 58