Please click the links below to download the enrollment or change form, current rates, schedules, and additional information and forms for your health benefits.  Please note that all enrollment forms need to be signed and hand delivered to the address below in order to be processed.
 
2150 West 18th St.
Suite 112
Houston, TX  77008
 
Enrollment/Change Form  (application download and overview)
 
Current Rates
 
Benefit Plans
 
Common Law Certificate
 
Retirement Exit Form
 
Adding Dependents – Guidelines
 
Annual Enrollment Schedule