Communications |
| 2019 Benefits Guide |
| 2019 Benefits Legal Notices |
Medical |
| UHC 2017 Group Policy #715601 |
| SBCs |
| UHC 2018 PPO SBC Plan 494 |
| UHC 2018 PPO SBC Plan 521 |
| UHC 2018 HDHP SBC Plan 557 |
| UHC 2018 HDHP SBC Plan 552 |
| UHC 2017 PPO SBC Plan 494 |
| UHC 2017 PPO SBC Plan 521 |
| UHC 2017 HDHP SBC Plan 557 |
| UHC 2017 HDHP SBC Plan 552 |
| Benefit Summaries |
| UHC 2018 PPO Benefit Summary Plan 494 |
| UHC 2018 PPO Benefit Summary Plan 521 |
| UHC 2018 HDHP Benefit Summary Plan 557 |
| UHC 2018 HDHP Benefit Summary Plan 552 |
| UHC 2018 Rx Benefit Summary Plan 494 and 521 |
| UHC 2018 Rx Benefit Summary Plan 557 and 552 |
| UHC 2017 PPO Benefit Summary Plan 494 |
| UHC 2017 PPO Benefit Summary Plan 521 |
| UHC 2017 HDHP Benefit Summary Plan 557 (pending) |
| UHC 2017 HDHP Benefit Summary Plan 552 |
| UHC 2017 Rx Benefit Summary Plan 494 and 521 |
| UHC 2017 Rx Benefit Summary Plan 557 and 552 |
| COCs |
| UHC 2017 PPO COC Plan 494 |
| UHC 2017 PPO COC Plan 521 |
| UHC 2017 HDHP COC Plan 557 |
| UHC 2017 HDHP COC Plan 552 |
| Other Medical Collaterals |
| UHC Health4me App |
| UHC myhealthcost Estimator |
| UHC myuhc.com Information |
| UHC Preventive Care Rx Drug List |
| UHC Rx Tiers Information |
| UHC Transition of Care (New Plan Members) |
| UHC Pharmacy Benefit Programs |
| UHC Medical Claim Form |
| Rx Claim Form |
| UHC Rx Mail Order Form |
| UHC Rx Mail Order Flyer |
| UHC HIPAA Disclosure Authorization Form |
| |
Dental |
| Guardian 2015 Policy 504434 |
| Guardian 2015 Policy 509597 |
| Guardian 2015 COC 504434 DPPO, DHMO, Vision FF |
| Guardian 2015 COC 509597 DPPO, DHMO, Vision EPA |
| Guardian 2015 Dental PPO Benefit Summary |
| Guardian 2015 Dental HMO and PPO Benefit Summary |
| Guardian Dental Claim Form |
| Guardian Dependent Eligibility Certification Form |
| |
Vision |
| Guardian 2015 Policy 504434 |
| Guardian 2015 Policy 509597 |
| Guardian 2015 COC 504434 DPPO, DHMO, Vision FF |
| Guardian 2015 COC 509597 DPPO, DHMO, Vision EPA |
| Guardian 2015 Davis Full Feature Benefit Summary |
| Guardian 2015 VSP Full Feature Benefit Summary |
| Guardian 2015 Davis Exam Plus Allowance Benefit Summary |
| Guardian 2015 VSP Exam Plus Allowance Benefit Summary |
| Davis Vision Claim Form |
| VSP Out-of-Network Claim Form |
| Guardian Dependent Eligibility Certification Form |
| |
Disability |
| Sun Life 2015 Life and Disability Policy |
| Sun Life 2015 Life and Disability Booklet-Certificate |
| Sun Life EOI Form |
| Sun Life STD Claim Form |
| Sun Life LTD Claim Form - Attending Physician |
| Sun Life LTD Claim Form - Claimant |
| Sun Life LTD Claim Form - Employer |
| |
Life and Accident
|
| Sun Life 2015 Life and Disability Policy |
| Sun Life 2015 Vol AD&D Policy |
| Sun Life 2015 Life and Disability Booklet-Certificate |
| Sun Life 2015 Vol AD&D Booklet-Certificate |
| Sun Life 2015 Life, Accident, Disability Rates |
| Sun Life 2015 AD&D Rates |
| Sun Life EOI Form |
| Sun Life Assist America Mobile App |
| Sun Life Travel Assistance & Identity Theft Flyer |
| Sun Life Portability Kit |
| WageWorks - Salary Redirection Agreement |
| Sun Life Death Claim Packet |
| |
Employee Assistance Program |
| ComPsych 2015 EAP Overview |
| ComPsych-SunLife 2015 Service Agreement |
| |
Flexible Spending Accounts |
| WW Health Care FSA Claim Form |
| WW Dependent Care FSA Claim Form |
| WW Health Care FSA Plan Document (pending) |
| WW Dependent Care FSA Plan Document (pending) |
| |
401(k) Plan |
| MED3OOO 401(k) SPD |
| |
Voluntary Plans |
| Unum 2016 VCII Booklet-Certificate |
| Unum 2016 VAI Booklet-Certificate |
| Unum 2015 VAI Policy |
| Unum 2015 VAI Booklet-Certificate |
| Unum 2015 VAI Benefits Schedule |
| Unum 2015 VAI Benefits Flyer |
| Unum VAI Claim Form |
| Unum 2015 VCII Policy |
| Unum 2015 VCII Booklet-Certificate |
| Unum 2016 VCII Benefits Schedule (pending) |
| Unum VCII Benefits Flyer |
| Unum VCII Claim Form |
| Unum VCII Claim Form (Health Screening) |
| LegalGuard 2015 Contract |
| LegalGuard 2016 Product Flyer |
| InfoArmor 2016 Product Flyer |
| |
Eligibility and Enrollment |
| MED3OOO Domestic Partner Affidavit |
| MED3OOO Domestic Partner FAQ |
| MED3OOO Domestic Partner Termination Form |
| |
Compliance |
| |
