Insurance and Benefits
Ms. Betty King - 860-870-6000 Ext. 128
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Insurance Forms: Medco Prescription Mail Order Form
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CIGNA Medical Information:
- $20 OAP Plan Description
- $15 OAP Plan Description
- $20 OAP Plan Description for MA Residents
- H.S.A $2000/$4000 Plan Description
- H.S.A. $2000/$4000 with RX Co-Pay after July 2011
- H.S.A. $1500/$3000 Plan Description for Nurses
- CIGNA Preventive Care Coverage
- How to Find a Medical Provider online
- Physician Nomination Form (if doctor is not in CIGNA network)
- CIGNA Hotline 1-800-CIGNA24 (1-800-244-6224)
ANTHEM Dental Information:
- Co-Insurance Dental Librarian Nurse Paraprofessional Supervisor
- Co-Insurance with Rider A Nurse
- Co-Insurance with Riders ABC Librarian Paraprofessional Teacher
- Co-Insurance with Riders ABCD Supervisors
- Full Dental Administrator
- Full Dental Secretary Custodian Maintenance
- Full Dental with Riders ABCD Administrator
- Full Dental with Riders ABCD Secretary Custodian Maintenance
Flexible Spending Account (FSA)/Dependent Care Account (DCA) or Benny Card:
(updated 11/14/2011)
- Letter of Introduction
- FSA/DCA Reminders & DCA Plan Fact Sheet and Enrollment Form
- Log-in Directions for First Time Users
- Check Your Account Balance (Logging in) for Current Participants
- Eligible and Ineligible Expenses
- New and Replacement Benny Cards
- FSA/DCA Claim Form and Filing Instructions
INSURANCE OPEN ENROLLMENT INFORMATION AND FORMS
Life Insurance Certificates: