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New Employee Enrollment

Insurance benefits are a large part of your compensation, and some benefits can only be guaranteed if you enroll within your initial enrollment period the first 31 days of State employment or eligibility. You can choose to have your coverage effective on your date of hire or the first day of the pay period following receipt of the form in the Benefits Division. You can expect to receive medical, dental, vision, and prescription drug identification cards within six weeks of returning your forms. Please contact HCBD at (406) 444-7462, (800) 287-8266, or TTY (406) 444-1421 if you need to receive treatment prior to receipt of your identification cards.

Enrollment

If you are eligible and choose to participate in the benefits package offered by the State of Montana, you will receive an employer contribution (state share credit) each month toward your benefit costs. All employees who wish to have any benefits must enroll in the core benefits listed below:

  • One of the medical plans (Traditional or Managed Care Plan options)
  • Dental plan
  • Basic Life Insurance ($14,000)

There are add on benefits you may choose in addition to core benefits:

  • Medical and/or Dental Coverage for dependents
  • Vision Coverage
  • Additional Life Insurance for you and/or your dependents
  • Long-Term Disability (LTD) Coverage
  • Accidental Death & Dismemberment (AD&D) Coverage
  • Flexible Spending Accounts for Medical and/or Dependent/Childcare
  • Long-Term Care Coverage

2011 Benefit Plan Rates

2012 Benefit Plan Rates

How to Enroll

Complete the forms listed below. All forms are available on this website.

  1. For Medical, Dental, Vision insurance, and the Pre-tax Plan election complete the State of Montana Employee Group Benefits Plan Enrollment/Change Form.
  2. For Life Insurance, AD&D, and LTD complete the Standard Life Insurance Co. Enrollment/Change form.
  3. For the Flexible Spending Accounts (FSA) complete the Flexible Spending Account Enrollment/Change Form.
  4. To enroll in Long Term Care Insurance, complete the Long Term Care Enrollment Form.

All forms must be returned to:

Health Care and Benefits Division
P.O. Box 200130
Helena, MT 59620-0130

Waiving Coverage

If you choose to waive coverage and do not wish to participate in the group health insurance offered, please check the WAIVER of Coverage box located toward the top of the Employee Group Benefits Plan Enrollment/Change Form. You will also be waiving the monthly employer contribution.

 

For additional information refer to the New Employee Insurance Benefits booklet.

Health Care and Benefits Division