2019 Retiree Open Enrollment
Retirees Information and Forms
- Summary of Medical Benefits (PDF)
- Retiree Enrollment Form (PDF)
- Benefits Bottom Line (PDF)
- Retiree Medical Rates (PDF)
- CIGNA Translation Notice (PDF)
- Preventive Generic Prescriptions List (PDF)
- Form: Authorization for Bank Draft (PDF)
- Form: Authorization for TMRS Draft - Police Only (PDF)
- Form: Doctor or Dentist Nomination (PDF)
Hyatt Legal Plans
- How to Use Your City of Irving Hyatt Legal Plans Benefit Opens a New Window.
- Hyatt Legal Plans FAQs Opens a New Window.
- Hyatt Legal Plan Enrollment/Termination Form Opens a New Window.