Eligible individuals declining any type of coverage must sign a waiver for each coverage type.
Individuals Who May Be Eligible
An employee, the employee's spouse, and their two children are eligible to enroll in health benefits.
> The employee and one child want to enroll in medical coverage only.
> The spouse and other child must be listed on the medical waiver.
> All 4 family members (employee, spouse and 2 children) must be
listed on the dental and vision waivers.