Thank you for visiting your open enrollment elections on-line. Please remember that your enrollment is not complete until processed and  approved by plan administrators and providers. If you have any questions, please contact the Teamwork HR Benefits Department at 888-652-9056.

Teamwork HR provides your company with voluntary benefits plans.   * All benefit plans with a red * listed below are available to all employees meeting their 90 day introductory period and working a continuous 30 or more hour work week.  To find out if you qualify, please contact your benefits specialist at Teamwork HR.    

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	Benefits Plan Enrollment
	* All benefit plans with a red * listed below are available to all employees meeting their 90 day introductory period and working a continuous 30 or more hour work week.
	401k
	401K Salary Reduction
	Aflac – Supplemental Insurance
	Aflac Info Sheet
	Blue Cross
	Blue Cross Affidavit of Domestic Partnership
	Blue Cross Employee Application
	Blue Cross HIPAA Notice of Privacy Practices
	Blue Cross Instructions for Small Group HIPAA Individual Authorization Form
	Blue Cross Patient Claim Form
	Blue Cross Small Group Change of Coverage Application
	Blue Cross Small Group HIPAA Individual Authorization
	Blue Shield
	Blue Sheild Affidavit of Domestic Partnership Form
	Blue Sheild Authorization for Release of Personal & Health Information
	Blue Sheild Direct Reimbursement Claim Form
	Blue Sheild Employee Application
	Blue Sheild Full-time Student Certification Form
	Blue Sheild Refusal of Coverage
	Blue Sheild Small Group Health Questionnaire Form
	Blue Sheild Subcriber Change Request
	Blue Sheild Subscribers Statement of Claim
	California Choice
	CalChoice Renewal Change Request Form
	CalChoice Employee Change Request Form
	CalChoice Employee Domestic Partnership Form
	CalChoice Employee Full Time Student Verification
	CalChoice Employee Health Questionnaire Form
	CalChoice Employee Medical, Dental, Life & Vision Enrollment Application
	EAP - Employee Assistance Program
*	Teamwork HR Employee Assistance Program Enrollment Form
	Eye Med Vision
*	Eyemed Vision
*	Eye Med Enrollment Form
*	Eye Med Access A Benefit Summary
	Flex Account
*	2009 Employee Flexible Spending Account Enrollment Form
	Fortis - Dental
*	Fortis Dental
*	Fortis Dental Application and Summary

Additional Resources

As part of our commitment to become your single source for employment and business related matters, we have designed a resource center for your use as you feel necessary. The resource center is made up of helpful and useful links, resource library of work related material and networking tools to help you succeed.
Linking you to helpful sites

	Human Resource
	SHRM
	HR California
	Government
	Internal Revenue Service
	Social Security Administration
	Employment Development Department
	Risk Management
	State Compensation Insurance Fund
	Contractors State License Board
	Occupational Health and Safety
	Payroll
	Paycheckcity.com
	Salary.com
	Employee recruiting and selection
	Monster.com
	Hotjobs.com
	Careerbuilder.com