US Worker Election

Please enter your information to enroll/disenroll into the USFWC benefit plans. If you want the benefit, make sure to select the plan you want. If you do not want the benefit, select "Waive". IF you are CURRENTLY enrolled and "Waive" is showing, you will be REMOVED from the insurance.

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If you are currently enrolled and you select "Waive" you will be REMOVED from the insurance
If you are currently enrolled and you select "Waive" you will be REMOVED from the insurance
If you are currently enrolled and you select "Waive" you will be REMOVED from the insurance
Your Physician's name
Select a date