The Annual Dental and Vision Enrollment and the Request to Terminate Dental and Vision Coverage forms are available.
If the TRS-Care form you need is not below, please call us at 1-888-237-6762 or send us a secure message via your MYTRS account at MyTRS Log In. If you send a message, a representative will respond to your secure message within 1-2 hours during regular business hours.
The Annual Dental and Vision Enrollment Form and the Request to Terminate Dental and Vision coverage are available in PDF fillable format. This means you can fill the information on the form using your keyboard. For quicker processing, we encourage you to complete your form electronically and submit it to TRS electronically, using the steps below.
If you prefer, you can view and print the forms using Acrobat Reader. Some TRS forms have multiple pages and therefore must be printed on separate pages.
- To add dependents, use the Annual Dental and Vision Enrollment form.
- To add a new plan if you're already enrolled in one plan, use the Annual Dental and Vision Enrollment form.
- To disenroll in either plan, use the Request to Terminate Dental and Vision Coverage form.
Sometimes during processing at TRS, the "front" and "back" pages of these forms can become separated. Please write your name and participant ID number (Social Security number) at the top of the "back" page of these forms to ensure proper identification and processing.