4094 Majestic Lane, #378 Fairfax, VA 22033


Open season for enrollment will be once annually during October.

You may only apply during the following times:
-Within 30 days of hire or appointment
-Within 30 days of swearing in (sworn employees only)
-During open season (October 1-31)

SOME AGENCIES REQUIRE A DEDUCTION CARD- If your agency is listed below, please complete an application AND a deduction card. Click on the form you wish to use then fill it out online.   


Information Change Form

All Agency Change / Termination Form 
This one form will handle all your changes regardless of your agency or department.