Please return all completed forms to the Human Services Department

Plan Document and SPD

Summary of Employee Benefits
WellDyne Prescription Form (Mail Order)
For more information visit WellDyne's website @
CNIC Enrollment Change Form
CNIC Insurance Sign-In Instructions
CNIC Claims Form
For more information visit CNIC’s website @
Healthcare Bluebook

Click Here- For Teledoc Information

Change of Address Form  (Please see Employee Forms Tab on Main Page) 

If you have problems opening one of these forms -  try closing it and opening it again.  If that doesn't work, please report the problem to the Elko County Managers Office at 775-738-5398.