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Open Enrollment period is from 9/30/14 through 10/15/14. All necessary forms must be returned to Priya Patel in Pomona no later than Friday, 10/17/14.

The Health Insurance Plan again has 2 Plan Design Options with 2 separate payroll deduction schedules. We will be doing away with the Silver Plan. Our plan administrator will remain Horizon Healthcare Services and the Horizon Direct Access Network. It is important that you make every effort to attend one of these Open Enrollment Meetings and ask as many questions as necessary so that you may make informed decisions about your health insurance for the plan year that begins on 11/1/2014.


Representatives from Gallagher Benefit Services, Horizon Healthcare Services and Human Resources will be visiting offices to discuss our Benefit Plans for the new plan year as follows:


Pomona   (Monday, 10/06/2014 @ 9:30 a.m.)
Galloway   (Monday, 10/06/2014 @ 11 a.m.)
Galloway – Scheduling   (Monday, 10/06/2014 @ 12:30 p.m.)
Festival   (Monday, 10/06/2014 @ 3 p.m.)
Cape May Court House   (Tuesday, 10/07/2014 @ 9 a.m.)
Somers Point   (Tuesday, 10/07/2014 @ 11 a.m.)
Egg Harbor Township   (Tuesday, 10/07/2014 @ 12:30 p.m.)
Northfield   (Tuesday, 10/07/2014 @ 3 p.m.)
Brick 455   (Wednesday 10/8/2014 @ 10:30 a.m.)
Brick 495   (Wednesday 10/8/2014 @ 1:30 p.m.)
Wall   (Thursday, 10/9/2014 @ 9:30 a.m.)
Toms River  (Thursday, 10/9/2014 @ 12 p.m.)
Hammonton   (Friday 10/10/2014 @ 8:30 a.m.)




We are happy to provide you with Interactive Enrollment Forms again this year via myAMI Health Source and via links that appear in the Open Enrollment Announcement.

Every form that you need to complete is formatted to allow you to fill it out on-line, print, sign and date it, and then fax it to Priya Patel in Human Resources. If you’d prefer, you may print the forms, fill them out by hand, sign and date them and then fax.

We are suggesting fax rather than email for security purposes.

The Human Resources fax number is: 609-653-8764


  • For privacy and security, DO NOT use the computer in the Internet Café
  • Once you complete your forms on your computer, make sure you log out before someone else uses that computer. Otherwise, your forms could be viewed by the next user.
  • Please keep copies of the forms you complete and fax to us for your own records.
  • Don’t hesitate to contact Desi Palumbo or Priya Patel with any questions about your benefits. 


Open Enrollment Period is the ONLY TIME* that you may do the following:


  1. Enroll in health/prescription and/or dental plan if you are currently opting-out.
    2015 Election/Payroll Authorization Form >>>
    2015 Spousal Affidavit Form >>>
  2. Add dependents to your benefits plan.
    2015 Election/Payroll Authorization Form >>>
  3. Remove yourself from your benefit plan with proof of valid coverage elsewhere.
    2015 Election/Payroll Authorization Form >>>
    Opt-Out Form >>>
  4. Remove dependents from your benefit plan.
    2015 Election/Payroll Authorization Form >>>


*Unless you have a “life changing event”: loss of health coverage due to divorce, death, loss of spouse’s job, etc.


Enrollment forms are available by clicking the form name, or from the 2015 OPEN ENROLLMENT navigation section, located at the top of the left column.



Please return all forms, including Opt-Outs [with copies of current insurance card], and Enrollment Forms to Priya Patel in Pomona no later than Friday, October 17, 2014.



For more information about additional benefits, select from the list below: