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Open Enrollment Secure Upload

Newly Enrolled Dependents for 2021

You must provide the following documents for new dependents you are enrolling: 

Natural Child: Birth Certificate.

Step-Child: Birth Certificate and Marriage Certificate showing you are married to the child’s natural parent.

Adopted Child: Adoption paperwork which lists adoptive parents,

Spouse: Marriage Certificate.

Our enrollment department will advise you if any additional documentation is needed.

Fields marked with an asterisk (*) are required. You may send files up to 18 MB in size, in the following formats:Thank you!

Image Formats: JPEG, JPG, GIF, PNG, BMP
Portable Document Format (PDF)

Use the “Browse” buttons to select your file for upload. Once you have attached the files you wish to upload, click the “Submit” button to complete your submission.