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Employee Benefit Trust

Cities

Any city can enroll in any one (or more) of the AWC plans at any time during the year. We encourage you to contact Trust staff well in advance of your anticipated enrollment date so we can assist you in a smooth transition.

  1. Letter of intent from the city indicating what plans you'll be purchasing, and the effective date. (The effective date must be the first of the month.)
  2. Completed AWC Employer Master Participation Agreement.
  3. Attached list of employees' names and social security numbers.
  4. AWC Combined Insurance Enrollment Form for each covered employee.
  5. For life insurance and long term disability insurance, a Standard Insurance Participation Agreement must also be completed. For life insurance, an Evidence of Insurability Form may be needed.
  6. We offer an Online Billing option to pay your monthly premiums. Complete the Online Billing Authorization Form.
  7. For medical, Delta Dental and/or vision, submit a completed resolution approving the AWC Trust Health Care Program’s Interlocal Agreement.
  8. Must commit to a minimum of 3 years participation in the Trust.
  9. Benefit programs will not be specifically tailored to the individual city.

This information should be sent to the AWC at least 3 weeks prior to your proposed effective date, in order to allow for processing time and for identification cards to be generated.

Please consult the Administrative Guide for more information. This guide is sent to all Trust members each year.

Terminating participation in the Trust

Termination criteria is located in Article IX “Joining, Participating and Terminating Participation in the Trust” in the Trust’s governing document, the Trust Agreement.

If you have questions on enrolling, or questions regarding any Trust plan, contact Trust staff at 1-800-562-8981 or benefitinfo@awcnet.org.

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