CKFR Benefits Open Enrollment Information
Benefits Videos
Click on the Benefit below to view the recorded educational video.
Aflac web portal: https://www.aflacenrollment.com/CENTRALKITSAPFIRE/DC2583734603
Employee Assistance Program (EAP)
The Hartford (Disability Insurance)
The Standard Life Insurance (Life and AD&D Insurance)*
*This is a pre-recorded PowerPoint that will download and require you to toggle through the slides. When the audio stops on each slide, move to the next.
Enrollment Forms
Medical Enrollment/Change Form
Medical Enrollment Form
File size: 185.34 KB
Created: 11/01/2023
Updated: 11/01/2023
Hits: 59
Dental Enrollment/Change Form
Dental Demographic Change Form
File size: 229.46 KB
Created: 11/01/2023
Updated: 11/01/2023
Hits: 37
Voluntary Life Enrollment Form
Voluntary Life Insurance - The Standard Enrollment Booklet
File size: 839.94 KB
Created: 11/01/2023
Updated: 11/01/2023
Hits: 45
Voluntary AD&D Form
Voluntary Accidental Death and Dismembement - The Standard Enrollment Booklet
File size: 1.80 MB
Created: 11/01/2023
Updated: 11/01/2023
Hits: 39
Aflac Interest Form
AFLAC Interest Form
File size: 2.45 MB
Created: 11/01/2023
Updated: 11/01/2023
Hits: 41
Summary Plan Documents
HR
| Title | Description | Size | Date added | Download |
|---|---|---|---|---|
| Medical Enrollment Form | 185.34 KB | 11/01/2023 | DownloadPreview | |
| Dental Enrollment Form | 597.34 KB | 11/01/2023 | DownloadPreview | |
| Dental Demographic Change Form | 229.46 KB | 11/01/2023 | DownloadPreview | |
| Voluntary Life Insurance - The Standard Enrollment Booklet | 839.94 KB | 11/01/2023 | DownloadPreview | |
| Voluntary Accidental Death and Dismembement - The Standard Enrollment Booklet | 1.80 MB | 11/01/2023 | DownloadPreview | |
| AFLAC Interest Form | 2.45 MB | 11/01/2023 | DownloadPreview | |
| Delta Dental Plan D - Summary | 207.22 KB | 11/01/2023 | DownloadPreview | |
| Dental My Smile Portal Instructions | 345.70 KB | 11/01/2023 | DownloadPreview | |
| AFLAC Mobile App How To | 150.46 KB | 11/01/2023 | DownloadPreview | |
| Medical PP0 100 Rates | 1.03 MB | 11/01/2023 | DownloadPreview | |
| Medical PPO 100 Plan Summary | 370.04 KB | 11/01/2023 | DownloadPreview | |
| Teladoc Flyer | 176.95 KB | 11/01/2023 | DownloadPreview | |
| Medical Preventive Services List | 606.52 KB | 11/01/2023 | DownloadPreview | |
| Rebound How to Use Flyer | 180.32 KB | 11/01/2023 | DownloadPreview |

