2022-2023 Employer-Sponsored Health Care Plans
Professional and Administrative Employees
PDF File 2022 Preventive Schedule
May 5, 2022
PDF File Admin PPO Benefit Summary
May 5, 2022
PDF File Admin Summary of Benefits and Coverage
May 5, 2022
PDF File LBT Enrollment-Change Form
May 5, 2022
Support and Confidential Employees
PDF File 2022 Preventive Schedule
May 5, 2022
PDF File Confidential PPO Benefit Summary
May 5, 2022
Additional Forms
PDF File Dependent Care- Quick Start Guide
May 5, 2022
PDF File Spouse Employer Verification Form
May 5, 2022
Dental Coverage
PDF File Delta Dental (May 2022)
May 19, 2022
Mandatory Postings
PDF File 2021 Marketplace Notice
May 4, 2022
PDF File 2021 Medicare Part D Notice
May 4, 2022
Flexible Spending Account (FSA)
PDF File Flexible Spending Account FAQ
May 5, 2022
PDF File FSA Election Form- Existing
May 5, 2022
PDF File FSA Election Form- NEW
May 5, 2022
PDF File FSA- Quick Start Guide
May 5, 2022
Vision Coverage
PDF File Davis Vision (May 2022)
May 19, 2022
Wellness Highlights
PDF File Baby BluePrints
May 4, 2022
PDF File Cancer Screening
May 4, 2022
PDF File Care- Female
May 4, 2022
PDF File Diabetes- Highmark Prevention Program
May 4, 2022
PDF File Diabetes- Retrofit Program
May 4, 2022
PDF File Diabetes- YMCA Prevention Program
May 4, 2022
PDF File Hydration
May 4, 2022