Open Enrollment
Open Enrollment 2010 is from Oct. 1 to Oct. 23. Forms and information for Seattle Housing Authority employees and their dependents can be be found on this page. If you have more questions that can't be answered on this page, contact Maria Sahagun at 206-615-3328, or by email at msahagun@seattlehousing.org.
Open Enrollment Information
Annual Notices
Open Enrollment Guides
Other Information
Open Enrollment Forms
- 2010 Benefits Election Form
- Affidavit of Marriage / Domestic Partnership Form
- Medical History Statement - Must be completed if enrolling or increasing life insurance. Please contact Maria Sahagun at 206-615-3328 for this form.
- Long Term Care Evidence of Insurability - Must be completed if enrolling or increasing Long Term Care coverage. Please contact Maria Sahagun at 206-615-3328 for this form.
Flexible Spending Plan Forms
- Flexible Spending Plan Open Enrollment Kit
- Flex Plan Enrollment Form (for 2010)
- Flex Plan Reimbursement Claim Form (for 2010)
- Flex Plan Reimbursement Claim Form (for 2009)
- Frequently asked questions about Benny Card
Wellness Tools
Aetna Tools
- Aetna Wellness Tools
- Simple Steps to a Healthier Life
- Personal Health Record Example
- Informed Health Line
- Informed Health Line Wallet Card
Group Health Tools
Health Risk Assessment Comparisons
