HEALTH & LIFE BENEFITS

• SUMMARY OF BENEFITS & COVERAGE

• MY HEALTH PLAN - BENEFITS EDUCATION VIDEO
• BENEFIT GUIDE 2024-25
• HELPFUL INSURANCE INFORMATION
• ACA PLAN - through 6/30/23
• PPO Plan 1 - through 6/30/23

• DENTAL - DELTA

• DENTAL ID CARD NOT REQUIRED
• DELTA DENTAL MEMBER PORTAL INFO
• SUMMARY OF DENTAL PLAN

• MEDICAL - MEDICAL MUTUAL

• NO SUPRISES ACT/TRANSPARENCY UNDER THE CONSOLIDATE APPROPRIATIONS ACT, 2021
• NURSE LINE
• SMARTCHOICE PATIENT OUTREACH PROGRAM

• PRESCRIPTIONS - CVS

• CVS 2021 FORMULARY

• VISION-MEDICAL MUTUAL EYEMED VISION CARE

• BENEFITS
• BENEFITS - effective 7/1/23
• EYEMED MEMBER FAQ
• EYEMED OUT OF NETWORK VISION CLAIM FORM

LIFE INSURANCE

• LIFE INSURANCE BENEFICIARY CHANGE FORM
• ONE AMERICA LIFE ENROLLMENT FORM

• OTHER INFORMATION

• DEFENSIVE COORDINATOR OF BENEFITS
• DEPENDENT ELIGIBILITY
• FLEXIBLE SPENDING ACCT (FSA) ENROLLMENT
• Health Insurance Change Form
• INSURANCE ENROLLMENT FORM
• INSURANCE CHANGE FORM
• INSURANCE WAIVER FORM
• INSURANCE RATES 2024-2025
• INSURANCE RATES 2023-2024
• INSURANCE RATES 2022-2023
• INSURANCE RATES 2021-2022
• NEW HEALTH INSURANCE MARKETPLACE COVERAGE
• SPOUSE ELIGIBILITY-HEALTH INSURANCE FORM