Utili-Serve Benefits
New Enrollments
- Download and read this package to understand your benefits
- Contains an overview of all health benefits in the plan
- Contains coverage details for MedCost and Guardian benefits
- To be completed by all eligible new employees
- Use this form to enroll in or waive each available benefit
- Return this form to Utili-Serve HR
Medical Benefits Enrollment:
- MedCost Enrollment Form - to be completed by all new medical enrollees
- MedCost Waiver Form - to be completed if you're NOT enrolling in a medical plan
December 2020 - Open Enrollment for 2021
- Download and read this package to understand your benefits
- Contains an overview of all health benefits in the plan
- Contains coverage details for MedCost and Guardian benefits
- Print the form from this link
- Complete the form to add or cancel medical coverage for the new plan year
- Return this form to Utili-Serve HR
Guardian Benefits Change Form
- These individual employee forms are available from Utili-Serve HR
- Each employee's form shows their existing Guardian benefits.
- Complete the form to keep or change your existing benefits
- Return your completed form to Utili-Serve HR