Benefits Enrollment

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To show you available benefits and accurate pricing, we need some basic information.

$

This includes cigarettes, e-cigarettes/vape, pipes, snuff, chewing tobacco, or nicotine delivery device such as gum or the patch, or more than 24 cigars

This means you are currently employed and performing your normal work duties without limitation.

Important Notice

In order to be eligible for these plans you must be actively working. In the event you are no longer working, you are no longer eligible for these plans and claims may be denied. Please notify Optima immediately in the event you are no longer employed.