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1.800.339.3548 | 602.230.8940 | Fax: 602.230.8969

Benefits Enrollment

Online Enrollment Forms

Medical, Dental, & Vision
401k Forms & Information

Medical Forms

Medical Plans: Please contact CPS or your employer for any medical plan options that might be available.

Aetna Enrollment Form

BCBS Enrollment Form

United Health Care (UHC) Enrollment Form

Waivers: for those waiving all medical coverage, use enrollment form for changes 

 Aetna Waiver Form  

BCBS Waiver Form

United Health Care (UHC) Waiver Form

Spanish Enrollment Forms: Dental & Vision

Dental Enrollment Form – Ameritas

Vision Enrollment Form – Alwayscare

Planes Medicos: Por favor contacte a CPS o a su empleador para informacion sobre planes medicos que puede haber disponibles.

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