Common Contracts
1 similar Natomas Basin Conservancy contracts
Enrollment Form and Election AgreementNatomas Basin Conservancy • May 29th, 2022
The Natomas Basin Conservancy (“Conservancy”) has adopted the Natomas Basin Conservancy Health Premium Reimbursement Plan (“Plan”) effective October 1, 2017 to reimburse Medicare premiums for eligible employees. As an eligible employee, you may elect to participate in the Plan pursuant to the terms set forth therein and as described in a notice provided to you by the Conservancy. Please complete this form and return it to the Plan Administrator.
