Benefits Enrollment Forms for The Hartford

Learn more about what the Hartford has to offer here.

Instructions

Please find your respective union and complete all parts of the form. To submit the completed form, you can either:

• Email to smh@employee-plans.com with the subject title "(Your Name) - (Your Union) Benefits Enrollment Form"

      (Example: "Jane Doe - TAAAC Benefits Enrollment Form")

• Mail to 7100 Baltimore Avenue Suite #502 College Park, MD 20740 addressed to "Benefits Enroller"
• Fax to (301) 985 - 5114

For assistance or questions on completing this form, please call our office at (301) 985 - 2020 or toll-free at 1 (877) 884 - 3784.