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Benefits Forms and Notices

The following files are in Adobe Acrobat PDF format. To view these files please download the Acrobat Reader from the bottom of this page.

- 2023 AvMed Affidavit of Extended Eligibility
- Pension Plan Pretax Direct Rollover form
- Catch Up
- 2023 MDC Benefits Election Form for Group Health Plans
  Applicable to all newly hired or newly benefits-eligible employees
- AvMed Away from Home Program
- Benefits Plans Change in Status Form
- MissionSquare Retirement (formerly ICMA-RC) Online Enrollment Form
- Nationwide Online Enrollment Form
- New Employee Orientation - Benefits Presentation
- Healthcare FSA Reimbursement Request Form
- Dependent Care FSA Reimbursement Request Form
- FRS Contribution Rate
- Basic Life Certificate of Insurance
- Optional Life Certificate of Insurance
- Voluntary AD&D Certificate of Insurance
- Voluntary AD&D Certificate of Insurance – PBA Employees Only
- Lifestyle Benefits - Summary Overview
- Lifestyle Benefits - Legal, Financial and Grief Resources
- Lifestyle Benefits - Legacy Planning Resources
- Love Beneficiary Flyer

View Your Current Benefits

Log in to INFORMS
Select the Employee Self-Service tile
Then select the Benefit Details tile

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