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Insurance Enrollment/Change Request (R0452B) — Use this form to enroll in the retirement system’s insurance plans; change from one insurance plan to another; or add, delete, or change a name or address for anyone on your existing insurance coverage. Also use this form to notify the Michigan Office of Retirement Services (ORS) if you, your spouse, or any of your covered dependents become eligible for other health, dental, vision, or prescription group insurance coverage, including Medicare.
Life Insurance Beneficiary Designation (R0782GHB) — Use this form to designate your primary and secondary beneficiaries for your life insurance.
Release of Information Authorization (R3488CGHBD) — If you need to request a copy of documents located in your account, please complete and submit this form.
