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CareHarmony

CareHarmony health, dental and vision enrollment form

Please review your plan and use the form below for your selections.

View your CURRENT 2025 Benefits

Hello, CHARLES 
Name: CHARLES HARDMAN
Email:
Emp#:
  Your current 2025 benefits:
BRITTANY HARDMAN
DOB: March 31, 1991 – (Female)
SUBSCRIBER
Tier: Family
Health: waive
Dental:  Enrolled
Vision:  No
CHARLES HARDMAN
DOB: August 3, 1984 – (Male)
SPOUSE
Tier: Family
Health: waive
Dental:  Enrolled
Vision:  No
KACEE DOCKERY
DOB: July 1, 2010 – (Female)
CHILD
Tier: Family
Health: waive
Dental:  Enrolled
Vision:  No
DESMOND HARDMAN
DOB: October 27, 2010 – (Male)
CHILD
Tier: Family
Health: waive
Dental:  Enrolled
Vision:  No
Hello, KACEE 
Name: KACEE DOCKERY
Email:
Emp#:
  Your current 2025 benefits:
BRITTANY HARDMAN
DOB: March 31, 1991 – (Female)
SUBSCRIBER
Tier: Family
Health: waive
Dental:  Enrolled
Vision:  No
CHARLES HARDMAN
DOB: August 3, 1984 – (Male)
SPOUSE
Tier: Family
Health: waive
Dental:  Enrolled
Vision:  No
KACEE DOCKERY
DOB: July 1, 2010 – (Female)
CHILD
Tier: Family
Health: waive
Dental:  Enrolled
Vision:  No
DESMOND HARDMAN
DOB: October 27, 2010 – (Male)
CHILD
Tier: Family
Health: waive
Dental:  Enrolled
Vision:  No
Hello, DESMOND 
Name: DESMOND HARDMAN
Email:
Emp#:
  Your current 2025 benefits:
BRITTANY HARDMAN
DOB: March 31, 1991 – (Female)
SUBSCRIBER
Tier: Family
Health: waive
Dental:  Enrolled
Vision:  No
CHARLES HARDMAN
DOB: August 3, 1984 – (Male)
SPOUSE
Tier: Family
Health: waive
Dental:  Enrolled
Vision:  No
KACEE DOCKERY
DOB: July 1, 2010 – (Female)
CHILD
Tier: Family
Health: waive
Dental:  Enrolled
Vision:  No
DESMOND HARDMAN
DOB: October 27, 2010 – (Male)
CHILD
Tier: Family
Health: waive
Dental:  Enrolled
Vision:  No
Hello, CALYN 
Name: CALYN BREWER
Email:
Emp#:
  Your current 2025 benefits:
WENDY BREWER
DOB: June 8, 1978 – (Female)
SUBSCRIBER
Tier: Employee/Child
Health: Plan 3 – PPO 4600
Dental:  Enrolled
Vision:  Enrolled
CALYN BREWER
DOB: May 1, 2001 – (Female)
CHILD
Tier: Employee/Child
Health: Plan 3 – PPO 4600
Dental:  No
Vision:  No
JAXON STEWART
DOB: October 11, 2012 – (Male)
CHILD
Tier: Employee/Child
Health: Plan 3 – PPO 4600
Dental:  Enrolled
Vision:  Enrolled
Hello, JAXON 
Name: JAXON STEWART
Email:
Emp#:
  Your current 2025 benefits:
WENDY BREWER
DOB: June 8, 1978 – (Female)
SUBSCRIBER
Tier: Employee/Child
Health: Plan 3 – PPO 4600
Dental:  Enrolled
Vision:  Enrolled
CALYN BREWER
DOB: May 1, 2001 – (Female)
CHILD
Tier: Employee/Child
Health: Plan 3 – PPO 4600
Dental:  No
Vision:  No
JAXON STEWART
DOB: October 11, 2012 – (Male)
CHILD
Tier: Employee/Child
Health: Plan 3 – PPO 4600
Dental:  Enrolled
Vision:  Enrolled
Hello, MICHAEL 
Name: MICHAEL LOVEALL
Email:
Emp#:
  Your current 2025 benefits:
LINDSAY LOVEALL
DOB: August 20, 1982 – (Female)
SUBSCRIBER
Tier: Family
Health: waive
Dental:  Enrolled
Vision:  Enrolled
MICHAEL LOVEALL
DOB: August 6, 1978 – (Male)
SPOUSE
Tier: Family
Health: waive
Dental:  Enrolled
Vision:  Enrolled
AIDAN LOVEALL
DOB: December 30, 2005 – (Female)
CHILD
Tier: Family
Health: waive
Dental:  Enrolled
Vision:  Enrolled
MEG LOVEALL
DOB: December 20, 2003 – (Female)
CHILD
Tier: Family
Health: waive
Dental:  Enrolled
Vision:  Enrolled
Hello, AIDAN 
Name: AIDAN LOVEALL
Email:
Emp#:
  Your current 2025 benefits:
LINDSAY LOVEALL
DOB: August 20, 1982 – (Female)
SUBSCRIBER
Tier: Family
Health: waive
Dental:  Enrolled
Vision:  Enrolled
MICHAEL LOVEALL
DOB: August 6, 1978 – (Male)
SPOUSE
Tier: Family
Health: waive
Dental:  Enrolled
Vision:  Enrolled
AIDAN LOVEALL
DOB: December 30, 2005 – (Female)
CHILD
Tier: Family
Health: waive
Dental:  Enrolled
Vision:  Enrolled
MEG LOVEALL
DOB: December 20, 2003 – (Female)
CHILD
Tier: Family
Health: waive
Dental:  Enrolled
Vision:  Enrolled
Hello, MEG 
Name: MEG LOVEALL
Email:
Emp#:
  Your current 2025 benefits:
LINDSAY LOVEALL
DOB: August 20, 1982 – (Female)
SUBSCRIBER
Tier: Family
Health: waive
Dental:  Enrolled
Vision:  Enrolled
MICHAEL LOVEALL
DOB: August 6, 1978 – (Male)
SPOUSE
Tier: Family
Health: waive
Dental:  Enrolled
Vision:  Enrolled
AIDAN LOVEALL
DOB: December 30, 2005 – (Female)
CHILD
Tier: Family
Health: waive
Dental:  Enrolled
Vision:  Enrolled
MEG LOVEALL
DOB: December 20, 2003 – (Female)
CHILD
Tier: Family
Health: waive
Dental:  Enrolled
Vision:  Enrolled
Hello, HUDSON 
Name: HUDSON DION
Email:
Emp#:
  Your current 2025 benefits:
PAIGE MURPHY
DOB: October 31, 1993 – (Female)
SUBSCRIBER
Tier: Employee/Child
Health: Plan 1 – HSA 5400
Dental:  Enrolled
Vision:  Enrolled
HUDSON DION
DOB: April 16, 2022 – (Male)
CHILD
Tier: Employee/Child
Health: Plan 1 – HSA 5400
Dental:  Enrolled
Vision:  Enrolled
Hello, Julie 
Name: Julie Doe
Email:
Emp#:
  Your current 2025 benefits:
Jane Doe
DOB: February 5, 1988 – (Female)
Subscriber
Tier: Employee/Child
Health: Plan 1 – HSA 5400
Dental:  Enrolled
Vision:  Enrolled
Julie Doe
DOB: February 11, 2020 – (Female)
Child
Health: Plan 1 – HSA 5400
Dental:  Waived
Vision:  Enrolled
Hello, Bud 
Name: Bud Boston
Email:
Emp#:
  Your current 2025 benefits:
Sally Boston
DOB: February 4, 1987 – (Female)
Subscriber
Tier: Family
Health: Plan 1 – HSA 5400
Dental:  Enrolled
Vision:  Enrolled
Bud Boston
DOB: March 5, 1988 – (Male)
Spouse
Tier: Family
Health: Plan 1 – HSA 5400
Dental:  Enrolled
Vision:  Enrolled
Pappy Boston
DOB: February 10, 2023 – (Male)
Child
Tier: Family
Health: Plan 1 – HSA 5400
Dental:  Enrolled
Vision:  Enrolled
Gigi Boston
DOB: February 11, 2020 – (Female)
Child
Tier: Family
Health: Plan 3 – PPO 4600
Dental:  Enrolled
Vision:  Enrolled
Hello, Pappy 
Name: Pappy Boston
Email:
Emp#:
  Your current 2025 benefits:
Sally Boston
DOB: February 4, 1987 – (Female)
Subscriber
Tier: Family
Health: Plan 1 – HSA 5400
Dental:  Enrolled
Vision:  Enrolled
Bud Boston
DOB: March 5, 1988 – (Male)
Spouse
Tier: Family
Health: Plan 1 – HSA 5400
Dental:  Enrolled
Vision:  Enrolled
Pappy Boston
DOB: February 10, 2023 – (Male)
Child
Tier: Family
Health: Plan 1 – HSA 5400
Dental:  Enrolled
Vision:  Enrolled
Gigi Boston
DOB: February 11, 2020 – (Female)
Child
Tier: Family
Health: Plan 3 – PPO 4600
Dental:  Enrolled
Vision:  Enrolled
Hello, Gigi 
Name: Gigi Boston
Email:
Emp#:
  Your current 2025 benefits:
Sally Boston
DOB: February 4, 1987 – (Female)
Subscriber
Tier: Family
Health: Plan 1 – HSA 5400
Dental:  Enrolled
Vision:  Enrolled
Bud Boston
DOB: March 5, 1988 – (Male)
Spouse
Tier: Family
Health: Plan 1 – HSA 5400
Dental:  Enrolled
Vision:  Enrolled
Pappy Boston
DOB: February 10, 2023 – (Male)
Child
Tier: Family
Health: Plan 1 – HSA 5400
Dental:  Enrolled
Vision:  Enrolled
Gigi Boston
DOB: February 11, 2020 – (Female)
Child
Tier: Family
Health: Plan 3 – PPO 4600
Dental:  Enrolled
Vision:  Enrolled

View 2026 Plan Summaries

Health

Dental

Vision

Care Harmony 2026 Enrollment-new

Begin 2026 Enrollment

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Name
First Name
Last Name
Begin your selections

Health | Dental | Vision

Select 2026 health plan:
Add dental plan?
Add vision plan?
Are you adding dependents to your plan?

Use this section to add your dependents

Select your dependent's enrollment.

If your child is under the age of 19 and enrolled with you in a CareHarmony medical plan,  they will have dental/vision included with your medical coverage.

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