2017 Benefits Information and Forms
Use these forms for changes effective during calendar year 2017. For changes effective during calendar year 2018, use the 2018 forms.
Forms should be submitted to the Benefits section of Human Resource Management at:
433 Bolivar St. Suite 626 New Orleans LA 70112
Note: These forms should not be used for 2018 enrollments and cancellations. For 2018 enrollment and cancellation forms, visit the 2018 Benefits Annual Enrollment website.
Evidence of Insurability Forms: