When and How to Enroll
First, verify your eligibility.
Next, you may take advantage of these three enrollment opportunities:
Complete the Open Enrollment Form here to enroll or make changes during Open Enrollment
Enroll or make changes by completing The Hartford Enrollment Form.
Submit your completed Form to Benefits & Employee Wellness via Secure Document Upload or fax to 505-277-2278 within 60 Calendar Days of your newly benefits-eligible position or your Qualifying Change in Status Event.
Note: If you separate from employment, termination of coverage will occur.