MILITARY RESERVIST CALLED TO ACTIVE DUTYMilitary Reservist Active Duty Notification • July 16th, 2008
Contract Type FiledJuly 16th, 2008Health insurance Yes No Optional dental Standard life insurance Dependent life insurance Flex medical reimbursement acctFlex dependent care reimbursement acct Certification Requirements/PTSB
MILITARY RESERVIST CALLED TO ACTIVE DUTYMilitary Reservist Active Duty Notification • July 16th, 2008
Contract Type FiledJuly 16th, 2008If you elect to continue with your current coverage, you will be responsible to pay any premium amount over the District non-base contribution. Please complete the attached Authorization Agreement for Direct Payments and return with this form