Benefit Forms

​The following documents pertain to the 2017 Annual Benefit Enrollment.
1095-C Medical Eligibility Coverage IRS Form.pdf
2017 Annual Enrollment Benefit Brief.pdf
2017 Annual Enrollment Letter.pdf
2017 Annual Enrollment Meeting Schedule.pdf
2017 CHIP Notice.pdf
2017 Dental Summary.pdf
2017 Medical Plan Summary.pdf
2017 Vision Plan Summary.pdf
E-Learning Guide Rev 10282016.pdf
Employer Notice of Exchange.pdf
Glossary of Health Coverage and Medical Terms.pdf
Health Insurance Portability and Accountability Act Notice (HIPAA).pdf
Medicare Part D Creditable Coverage Discolosure Notice.pdf
Pharmacy Value Network Flyer.pdf
Summary of Benefits and Coverage (Advantage Plus).pdf
Summary of Benefits and Coverage (Advantage).pdf
Virtual Visits Flyer.pdf