Enrollment Forms and instruction:

  1. All Eligible Employees must complete an UMR form, this is REQUIRED for those waiving or enrolling in medical and/or dental coverage. Medical and Dental – UMR
  1. Employees must submit an enrollment form for the following benefits if you are wanting to have the coverage in 2018. IF you are waiving the coverages mentioned below no form is required. 2017 Enrollment will not carry over from 2017 into 2018.
  1. 2017 Sunlife Benefits will carry into 2018. You only need to submit an enrollment form if you plan to make any changes to this benefit. Life and AD&D Insurance, Long and Short-Term Disability – Sun Life

Benefit forms submitted during Open Enrollment will be effective 1/1/2018.


Kathy Ramsay – 317-333-8503 – kramsay@dickinsonfleetservices.com

Alyce Hammond – 317-333-8566 – ahammond@dickinsonfleetservices.com

Summary and Cost Detail:

We keep you on track

Dickinson Fleet Services is your one-stop shop for fleet maintenance and management