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How to Enroll/ Back
Once you are eligible for benefits, you must enroll within 30 days to have the medical and dental options you want. Future changes in your options can be made during the annual Open Enrollment period.
You enroll yourself and your eligible dependents by completing the following forms (found in the Enrollments Materials folder of Your Benefit Package):
- TBT Enrollment Form. The process of starting your benefits won't begin until this form is received (see Why Enroll? in next column).
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Medical Option Form to choose your TBT medical option (which must be the same for you and your covered dependents).
- HMO Application. If you choose coverage under an HMO, the HMO application is also needed. If you need an HMO packet and application, contact the TBT Plan Administration Office.
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Dental Option Form to choose your TBT dental option (which must be the same for you and your covered dependents). If you are a newly hired employee, restrictions may apply (link to Dental Options).
Copyright © 2000 Teamsters Benefits Trust, All rights reserved.
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