Benefits Enrollment


This site provides information about health, dental, life, short-term disability, and other benefits options for you and your family.

If you would like to view the Benefits Guide Click Here 

Below you will find the benefit enrollment forms.

As you complete your forms, please print and sign/date them. Once you are completed, please turn in your forms to Human Resources no later than November 12, 2019.

Required Forms

Health Insurance
Dental Insurance
Life Insurance and Short-term Disability
Long-term Disability
Flexible Spending Account (FLEX)
Permission to use image


Optional Forms

OAHS Christmas Savings Account – If you wish to participate, complete the form and return to HR.

PTO Cash-out Request Form – If you wish to participate, complete the form and return to HR.


OAHS Wellness Program

2020 Wellness Program Information – Click here to find out how to lower your health insurance premiums!

Annual Physical Verification Form – This form will need to be completed and returned to Human Resources if you participate in the wellness program for health insurance. If you do not participate in the wellness program, you do not need to return this form.


Additional Resources

Interested in learning about a Flexible Spending Account?
Interested in learning about a Health Savings Account?




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