Premium Conversion Plan (pretax)
Enrollment & Change Period
October 1-November 1, 2012
Your Premium Conversion Plan election can only be changed during the annual benefits enrollment and change period or within 30 days of a qualifying life event such as::
- Birth/adoption of a child
- Change in spouse's employment
- Loss of dependent(s)
To request a change, complete the Premium Conversion election form and forward it to your personnel assistant.