Benefits Forms Manager
Newly Married Employees
Please fill out, print and send the attached forms along with a copy of
your marriage license to the Benefits Department within 30 days of marriage.
Adding Benefit Coverage
Employees wanting to add benefit coverage due to qualifying events such as spouse's retirement, spouse's loss of coverage, divorce, death, etc.,
must complete the attached forms and return them to the benefits office.
ACA Summary Benefits of Coverage
RX Saver Flyer
MESSA ABC 3 Plan
MESSA Choices ($10/$20 Drug Plan)
MESSA Choices (Saver RX)
Dental Benefits at a Glance
Adding/Deleting A Dependent to your Insurance
Please fill out, print and send the attached forms along with the date of birth for your child within 30 days of birth.