These documents will help you to make decisions on and execute changes to your plan choice.

“How to Make Changes” Guide – A quick and easy guide for requesting health plan changes.

Plan Comparison Tool –Look at more than one plan to compare or change using this Excel program.

NEW! Plan Comparison Tool– For health Plan changes on plans with 7/01/09 effective dates.

Plan Comparison Tutorial – A complete guide to using the Plan Comparison Tool.

Provider Finder – Use this link to select a new HMO plan or to find a provider.

Chase Application/Group Initiation, Enrollment information and form – for groups that have or are selecting the PPO 2400 or 3500 plans.

Plan Change Request Forms – Use this document to switch from your current plan to another plan listed on the “Estimated Monthly Rate Options” sheet included in your renewal packet.

• EmployeeElect Plan Change Request Form – “All Plans”
• EmployeeElect Plan Change Request Form – “Single or Designated”
• EmployeeChoice Health Plan Change Request
• Plan Change Request Form - Dental
• Life Change Request Form