OE Forms For Changes via Paper: 2019 Open Enrollment Change Form (Medical/Dental)2019 Premium Surcharge Form2019 Surcharge Help Sheet2019 Navia Open Enrollment Form (FSA/DCAP)2019 Employee Authorization for Payroll Deduction to HSA 2019 Declaration of Tax Status For Changes via Online: My Account Access- Medical/Dental Changes2019 Navia Online Enrollment (FSA/DCAP)