Insurance Information (31 files)
Open Enrollment for FY24 April 15, 2023 to May 13, 2023 for plans to start 07-01-2023
- DENTAL- Information Enrollment Form.pdf
- Dental Plans - 07-01-2023.pdf
- Direct Deposit Form ver-2021.docx
- FY24 OPEN ENROLLMENT 04-12-2023.pdf
- HCGIT Meds CanaRx Enrollment Packet 01-2022.pdf
- HCGIT Meds CanaRx Formulary 01-2022.pdf
- HEALTH- Blue Care Elect Preferred PPO Summary effective 07-01-2022.pdf
- HEALTH- Blue Care Elected PPO Summary effective 07-01-2022.pdf
- HEALTH- CanaRx Enrollment Information.pdf
- HEALTH- CanaRx Other Information.pdf
- HEALTH- Diabetes Care Value Program.pdf
- HEALTH- Fillable Enrollment Form.pdf
- HEALTH- Health Insurance Glossary.pdf
- HEALTH- Health Insurance Information.pdf
- HEALTH- HMO Information.pdf
- HEALTH- Introducing Smart90.pdf
- HEALTH- Marital Status Affidavit.pdf
- HEALTH- Network Blue NE HMO SBC Summary - effective July 1 2022.pdf
- HEALTH- Network Blue NE HMO Summary - effective July 1 2022.pdf
- Insurance Costs Spreadsheet FY23.pdf
- Insurance Required Docs and Info .pdf
- LIFE- Basic Life Insurance Enrollment.pdf
- LIFE- Optional Life Insurance Rates Existing Policies Only.pdf
- MEDICARE- 2022 Blue Medicare RX PDP Enrollment Form.pdf
- MEDICARE- 2022 Blue Medicare RX PDP Summary of Benefits OPT26.pdf
- MEDICARE- 2022 PDP Drug Formulary Book OPT26.pdf
- VISION- Employee Retiree Enrollment Form.pdf
- VISION- General Benefit List.pdf
- VISION- Hearing Benefits.pdf
- VISION- Member Brochure.pdf
- VISION- Plan Allowances.pdf
