Need to make changes to your health insurance? Please review the applicable information below to make your changes.
Newly Hired MCG Employees
If you are newly hired, visit the New Employee webpage to access your mandatory online forms.
Current MCG Employees
If you have a qualifying life event, you have 60 days from the date of the event to make health insurance changes. For a list of qualifying events and required documentation, refer to Required Documentation & Qualifying Life Events. To make your selections, you can use either Self-Service Benefits or an online form:
- Self-Service Benefits (refer to the System User Guide to access the system and make your changes)
provides proof of your enrollment.
Participating Agency Employees
If you are newly hired or a current employee who has recently experienced a qualifying life event, you have 60 days from your hire date or the event date to make health insurance selections. For a list of qualifying events and required documentation, refer to Required Documentation & Qualifying Life Events. To make your selections, please use the 2023 Participating Agency Election Form.
Retired Employees
If you are a retiree, you can make changes at any time. To see what documentation is required, refer to Required Documentation & Qualifying Life Events. To make your selections, use the 2023 Retiree Election Form. Form. Enrollment submissions must be received by the 10th of the month for changes to become effective on the 1st of the following month.
Other Important Forms
Domestic Partner Dissolution Form
Beneficiary Forms
TIP: Don't forget to select or update your beneficiaries whenever you have a major life change.
Life Insurance Needs Estimator
Flexible Spending Account Estimator
Imputed Income Domestic Partner (New Domestic Partner Enrollments ended as of June 28, 2016)
Imputed Income Estimator for Basic Life over $50K
Children's Health Insurance Program ( CHIP) Notice
COBRA Information
Grandfathered Health Plan Status
HIPAA Privacy Notice
New Health Insurance Marketplace Coverage Options & Your Health Coverage Marketplace Notice
Newborns' and Mothers' Health Protection Act Notice
Women's Health and Cancer Rights Act Notice
Active Employees
Health Insurance Rates for 2023 (Regular Employees)
Health Insurance Rates for 2023 (10-Month Employees)
Health Insurance Rates for 2023 (Full-Scope Temporary Employees)
Health Insurance Rates for 2023 (100% Rate for Participating Agencies)
Retirees
Retiree Rates for 2023
COBRA
COBRA Rates for 2023
Montgomery County Retired Employees Association (MCREA)
MCREA Welcome Application Form
MCREA Meeting June 2017 Presentation
Click here for the MCREA Membership Information Website