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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