Enrollment
NEW HIRE/NEW ENROLLMENT To enroll in coverage, click on this link. Newly hired employees will complete the health status questionnaire during this process.
New Hire Instructions Click on this link to download instructions on how to enroll in coverage. This document is in Acrobat .pdf format.
DEPENDENT ELIGIBILITY GUIDELINES If you are adding dependents to your medical and/or dental coverage, click on this link to determine if your dependents meet CIS' eligibility requirements. Supporting documentation may be required.
MID-YEAR ENROLLMENT CHANGE Click this link to make a mid-year enrollment change due to marriage, birth, death, divorce or loss/gain of other coverage. To determine if the event qualifies as a mid-year enrollment change, contact the person who handles benefits for your employer. Supporting documentation may be required.
BENEFICIARY DESIGNATION Click on this link to assign a beneficiary to your life plan(s). Click here to print instructions on how to assign a beneficiary. If you have requested an amount over the guarantee issue, and the amount is still pending approval from The Hartford, you will not be able to assign a beneficiary until approved or denied.
CIS FORMS
- Definition of Eligible Dependents - The Dependent Eligibility & Documentation Requirements document provides a detailed explaination of who is considered an eligible dependent and what documentation is required to enroll a spouse or domestic partner.
- Adoption/Placement for Adoption - A Certificate of Placement form is required to add a child to your coverage who has been placed in your home for the purpose of adoption, or has been adopted.
- Beneficiary Designation - The Beneficiary Designation Form can be used to add or change a beneficiary for the life insurance coverage. You must return this completed form to your HR/Benefits representative.
- Child Dependent - An Affidavit of Dependency form is required to verify dependent eligibility status of unmarried child under the age of 23.
- Incapacitated Child - An Affidavit of Qualifying Incapacitated Dependent Eligibility form is required to certify that your child, who is over the age of 23, is incapacitated due to medical disability, developmental disability or mental disorder.
- Domestic Partner - A Certificate of Domestic Partnership form is required for affirmation of domestic partnership. (The county Certificate of Registered Domestic Partnership is also allowed).
- Domestic Partner (Termination) - A Termination of Domestic Partnership form is required to terminate a domestic partner from your coverage. (The county Dissolution of Domestic Partnership document is also allowed).