Health Care

Short Term Income Protection (STIP)

Long Term Income Protection (LTIP)

  • LTIP Enrollment Form (coming soon)
  • LTIP Claim Form 
  • LTIP Statement of Health Form (coming soon)

 

Privacy Notice: Information requested on these forms is necessary to enroll in the benefit selected; to ensure compliance with federal Equal Employment Opportunity laws; to meet reporting requirements for state and federal laws; for retirement and insurance purposes; and/or for statistical reports. To the extent permitted by law, this information will be kept confidential by the County and its benefit providers.