Benefit Information

• 2022 Benefit Booklet
• 2022 Online Enrollment Guide
• 2022 Rates - Medical - Dental and Vision
• 2022 Health Savings Account (HSA) Employer Contribution Plan
• 2022 Health Reimbursement Account (HRA) Information
• Employee Assistance and Work-Life Program (EAP) Information
• Federal Notices - Part D Creditable Coverage

Claim Forms & Related

• Health Reimbursement Arrangement (HRA) Claim Form - McGregor & Associates
• Health Savings Account (HSA) Contribution Coupon
• Vision Reimbursement Claim Form - Out of Network

Summary of Benefits & Coverage

• Core Dental SBC 2022
• Buy Up Dental SBC 2022
• Medical SBC 2022
• Vision SBC 2022

Go365 Forms

• Go365 Physical Form
• Little Clinic Voucher

Voluntary Workplace Benefits

• Accident & Critical Illness Insurance-Rates
• Critical Illness-Health Screening Benefit Claim Form
• Critical Illness Claim Form & Instructions
• Critical Illness Summary
• Long Term Disability Summary & Rates
• Short Term Disability Summary & Rates