Content Information

Content Information

Content ID:(Required:)	MTABSCDMPRD8482136
Revision:(Required:)	2
Type:(Required:)	Authored
Title:(Required:)	HR-BEN-068A CIGNA Health Plan Enrollment Change Form Active MNR MTA Police
Author:(Required:)	1213888
Type:(Required:)	HR - Benefits
Sub Type:(Required:)	Enrollment Forms & Change Forms
Document:(Required:)	HR-BEN-068A CIGNA Health Plan Enrollment Change Form Active MNR MTA Police
Business Unit:
Batch Origin:
Status:	Open
Reason:
DMC User ID:
Service Request:
Comments:
Human Resources Fields [ Hide ]
Employee ID:
Applicant ID:
First Name:
Middle Initial:
Last Name:
Suffix:
Personnel File:
Benefit Program:
Agency Pass Number:
Last Four SSN:
Exam Number:
Position Number:
Job Code:
Agency Review:
Position Name:
Job ID:
Mail Code:
Template Type:
Accounts Payable Fields [ Hide ]
Vendor Name:
Vendor ID:
Transmittal Number:
Payroll Fields [ Hide ]
Payroll Source:
PayPeriod - End Date:
Folder Name:
Portal Roles:	General Employee (Self-Service), All Employees
Date Fields [ Hide ]
Recieved Date:	1/9/25 3:43 PM
Release Date:(Required:)	2/6/25 3:58 PM
Expiration Date:
End Date:
Library:
Procurement Fields [ Hide ]
PurchaseOrderNumber:
RFQ_RFP_Number:
BuyerName:
Contract ID:
Security Group:(Required:)	Public
Account:(Required:)
Checked Out By:
Status:	Released
Formats:	application/pdf

Links
Web Location:	https://www.mymta.info/cs/groups/public/sg/000/851/d/mtabscdmprd8482136.pdf
Native File:	HR-BEN-068A CIGNA Health Plan Enrollment Change Form.pdf
Discussion:	Create Discussion

Revision	Spacer Column	Release Date	Spacer Column	Expiration Date	Spacer Column	Status	Spacer Column	Actions
[ 2 ]		2/6/25 3:58 PM		None		Released		Delete
1		1/9/25 3:43 PM		None		Released		Delete