| CO-638 | NOTICE OF DEATH - STATE EMPLOYEE | 8/2015 | |
| CO-744 Active | Active Employee Health Enrollment/Change Form | 03/2021 | |
| CO-744 Retiree | CHOICE OF HEALTH SERVICES AFTER RETIREMENT | 03/2021 | |
| CO-819 | APPLICATION FOR WAIVER OF GROUP LIFE INSURANCE PREMIUM PAYMENTS | 12/2019 | |
| CO-1048NQ | NON-QUALIFIED CHILD (FORMER WARD) ENROLLMENT APPLICATION | 5/2012 | |
| CO-1048RQ | QUALIFIED DEPENDENT (FORMER WARD) ENROLLMENT APPLICATION | 5/2012 | |
| CO-1300 | OPEB Enrollment Form - Retiree Health Fund | 12/2019 | |
| CO-1300B | ENROLLMENT FORM RETIREE HEALTH FUND FOR EMPLOYEES FIRST HIRED ON OR AFTER 7/1/2017 | 12/2019 | |
| CO-1301 | Application for Refund - Retiree Health Contributions | 12/2019 | |
| CO-1302 | Repayment of Retiree Health Fund For Prior Service Credit | 12/2019 | |
| CO-1303 | Affidavit | 12/2019 | |
| CO-1304 | Exemption Application and Waiver | 12/2019 | |
| CO-1305 | Rehired Employee's Waiver of Right to Restore Prior Service Credit for Retiree Healthcare Eligibility | 12/2019 | |
| CO-1306 | Medflex Open Enrollment Plan Year 2020 | 1/2020 | |
| CO-1306A | MEDICAL FLEXIBLE SPENDING PROGRAM (MEDFLEX) MID-YEAR ENROLLMENT OR STATUS CHANGE | 1/2020 | |
| CO-1307 | MEDFLEX Claim Reimbursement Form | 9/2018 | |
| CO-1308 | MEDFLEX Medical Necessity Form Letter | 1/2019 | |
| CO-1309 | MEDFLEX Capital Expense Form | 9/2018 | |
| CO-1310 | Dependent Care Assistance Open Enrollment Form | 9/2019 | |
| CO-1310A | Dependent Care Assistance Program Mid-Year Enrollment or Status Change Form | 9/2019 | |
| CO-1311 | Dependent Care Assistance Program Claim Reimbursement Form | 9/2018 | |
| CO-1312 | Qualified Transportation Account
ENROLLMENT/CHANGE FORM | 1/2020 | |
| CO-1313 | PBS Claim Form - Qualified Transportation Account | 9/2018 | |
| CO-1314 | HEP Enrollment Form | 9/2015 | |
| CO-1315 | Emergency Room Copayment Waiver Request | 1/2021 | |
| CO-1315 | Emergency Room Copayment Waiver Request - Partnership Plan | 1/2021 | |
| CO-1317 | For Doctors: Physician Notification Form | 1/2016 | |
| CO-1318 | Legal Guardianship Notification and Dependency Verification | 5/2012 | |
| CO-1319 | CHANGE IN MARITAL STATUS NOTIFICATION AND CONTINUATION OF COVERAGE REQUEST | 5/2012 | |
| CO-1321 | ANNUAL CERTIFICATION QUALIFIED DEPENDENT | 12/2019 | |
| CO-1323 | RETIREE HEALTH FUND CONTRIBUTION | 12/2019 | |
| CO-1328 | RETIREE HEALTH FUND PAYMENT ADJUSTMENT | 12/2019 | |
| CO-1329 | Application for Refund Incorrectly Coded | 12/2019 | |
| CO-1331 | Lab and Radiology Coinsurance Waiver Request | 04/2021 | |
