Thank you for providing your completed SDCERA Health Insurance Plans Enrollment form.
Please provide your first name, last name, email address, and phone number. You will receive an email confirmation that your submission was successful.
Then, click “browse” to locate the applicable documents that you would like to submit.
Once you have located the applicable documents in your directory, click open. The name of the file will appear in the field below.
You must check the box that you have read all information on the form(s).
By clicking on “Submit”, you will have completed your request.