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Human Resources

5885 Haven Avenue

Rancho Cucamonga, CA 91737


Fax: 909-652-6533


Monday - Friday

7:30 am - 4:30 pm

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Human Resources

Open Enrollment - April 29, 2014 - May 30, 2014

The open enrollment period for group health benefits begins April 29, 2014, and will conclude on Friday, May 30, 2014.  Any health plan changes will be effective July 1, 2014.  During this period of time, eligible individuals are provided the opportunity to change medical plans, add eligible dependents, and elect coverage under employee-paid life insurance plans.

Questions? Please contact Danni Gilley in Human Resources at (909) 652-6524

Following are related open enrollment information/forms. Click on an item to dowload the information/form in PDF format:

Annual Notice & Benefit Summaries
Annual Open Enrollment Notice
Medical Plan Highlights
Enrollment Forms
Anthem Blue Cross Enrollment Form and Provider Finder Information
Delta Dental Enrollment Form
Dependent Eligibility Certification
ING - Life Insurance Enrollment Forms
Kaiser Enrollment/Change Form
VSP (Vision) Enrollment Form

Rev. 4/29/14

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