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Forms & Guides - College Insurance Plan

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College Insurance Program

The following forms and guides provide information regarding premiums, providers, and changes to the College Insurance Program (CIP). These resources are hosted on the MyBenefits Marketplace website.

Document Date Pages
Click cover for CIP enrollment info Traditional or Portable College Insurance Program Information Packet - Traditional and Portable Plan Members Only
Eligible members who have completed the eligibility requirements under the College Insurance Program may elect to participate in the College Insurance Program at the time of their retirement. Participation in the College Insurance Program is optional.
Click here to download the Participation Election Form by itself.
10/16 1
Click cover for CIP enrollment info SMP College Insurance Program Information Packet - Self-Managed Plan Members Only
Eligible members who have completed the eligibility requirements under the College Insurance Program may elect to participate in the College Insurance Program at the time of their retirement. Participation in the College Insurance Program is optional.
Click here to download the Participation Election Form by itself.
10/16 1
Click cover for 2015 CIP Benefits FY 2017 CIP Benefits Choice Handbook
This handbook contains information for the College Insurance Program (CIP) Benefit Choice period begins May 1, 2016. Benefit Choice is the only time, other than a qualifying change in status, that members can change plans or add/drop dependent coverage. 2017 College Insurance Benefit Choice Information.
FY 2017 32
Click cover for 2015 CIP Benefits FY 2016 CIP Benefits Choice Handbook
This handbook contains information for the College Insurance Program (CIP) Benefit Choice period begins May 1, 2015. Benefit Choice is the only time, other than a qualifying change in status, that members can change plans or add/drop dependent coverage. 2016 College Insurance Benefit Choice Information.
FY 2016 28
Click cover for CIP Handbook CIP Benefits Handbook
This Benefits Handbook is intended to assist Plan Participants in the Program understand and become familiar with the benefits available under the College Insurance Program(CIP).
11/11 58