DATE:             November 29, 2023
TO:                  All Retired Members of the Charlotte Fire Department
FROM:            Charlotte Firefighter Relief Fund Board of Directors
RE:                  Dependent Dental & Vision Coverage

It’s Open Enrollment Time!!!  You can add your eligible dependents to the dental and vision insurance
offered by the Charlotte Firefighters’ Relief Fund Board. The premium costs to cover your dependents
effective January 1, 2024 will be as follows:

If you would like to enroll your dependents in dental and vision insurance, please complete the attached form.
All completed forms must be returned to the below address no later than December 18, 2023.
(Hover over the link below to access the change form)

2024 Dental-Vision Enrollment and Change Form
Open Enrollment CFD Dependent Dental Vision Letter – 2024

Charlotte Fire Department Relief Board
Attn: Emily Lineberger
500 Dalton Avenue
Charlotte, NC 28206

This Open Enrollment election is effective January 1, 2024.  You cannot change your benefit election until
the next annual Enrollment period, unless you have a qualified family status change.

Please be advised that you will not receive your dental cards before January 1, 2024 and the cards will not
have your dependent’s name on them.  If you have an appointment before you receive your cards, please
contact us and we will give you the information to give to your provider.

If you do not wish to make any changes, no action is required.
If you have questions, please contact Emily Lineberger at 704-336-6119.