Forms

BENEFITS FORMS

To enroll in benefits or change your benefits:

  • ‚ÄčBCPS Enrollment/Change Form (Effective 1/1/19-12/31/19)
    New hires must submit form within 60 days of your hire date.  Current employees must submit changes within 30 days of a qualifying event.  All other changes must be submitted during the annual Open Enrollment period.

Medical:

Prescription:

Dental:

Vision:

Flexible Spending Account:

Life Insurance and PAI (Personal Accident Insurance)