Since the enrollment period is not open,
the form is not available. You can, however, login to verify the details of your last enrollment (if any).
This form is provided to all CWA employees during an annual open
enrollment period in order to provide an opportunity for said employees
to sign themselves and their spouses for free diagnostic screening / health
risk assessment at no cost and during the employees' work time. In exchange,
the University will provide the payment of $60, which is considered taxable
income for the employee during the first pay period following the open
enrollment period (02/21/2014).
The University of Toledo • 2801 W. Bancroft
• Toledo, OH 43606-3390© 2012 The University of Toledo. All rights reserved.
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