2021 Employee Benefits
Open Enrollment: November 2 - 20, 2020
Notices and Forms
Affidavit of Domestic Partner
Beyond Your Benefits
Creditable Coverage Disclosure
Declination of Healthcare Coverage Affidavit
Dependent Documentation Requirements
Domestic Partner Eligibility
Adult Child Dependent Package
Social Security Notice
Creditable Part D Notice
Newly Eligible Adult Child Dependent Package
Are you Enrollment Ready?
Your enrollment journey begins here. Click the Learn More link below for a smooth enrollment.
Meet Your Benefits Team
We are here to provide you assistance with all your benefits needs, contact our onsite representatives.
Enrollment Tools & Resources
The tools and resources that will help you get the most out of your benefits.
Notices & Forms
Review your plan document, notices or download the forms you need.
FBMC Service Center
Mon - Fri, 7 a.m. to 7 p.m. ET