The Health and Dental Premium Account (HDPA) allows you to pay your share of your employer's state-sponsored single or family medical and/or dental coverage premiums with pre-tax dollars if you are an active employee on payroll. You are automatically enrolled in this program when you sign up for insurance and it must be waived in order to pay your premiums on an after tax basis.

"> The Health and Dental Premium Account (HDPA) allows you to pay your share of your employer's state-sponsored single or family medical and/or dental coverage premiums with pre-tax dollars if you are an active employee on payroll. You are automatically enrolled in this program when you sign up for insurance and it must be waived in order to pay your premiums on an after tax basis.

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Below are the forms you need to make insurance changes. Use the sorting options and topic list on the right side of the page to help you find your form. Instructions on how to submit the form are included in each document.

Pre-Tax Health & Dental Premium Account (HDPA) Change in Participation

The Health and Dental Premium Account (HDPA) allows you to pay your share of your employer's state-sponsored single or family medical and/or dental coverage premiums with pre-tax dollars if you are an active employee on payroll. You are automatically enrolled in this program when you sign up for insurance and it must be waived in order to pay your premiums on an after tax basis.

Last Modified: 1/1/0001 Size: 0 Author: Categories: Tags: Enrollment/waiver,
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