Skip to content
main navigation
MySLC
Login
User ID:
Password
Forgot Password?
Search
Search
Search
Home
Academics
Campus Life
Employee
Faculty
Student
You are here:
Employee
Benefits
Insurance Benefits
Medical
Medical Plan Forms
Insurance Benefits
Menu
Quick Links
Insurance Benefits
Eligibility
Medical
Managed Care Health Insurance
Summary of Benefits Documents
Medical Plan Forms
Dental
Vision
Flexible Spending
Life Insurance
Disability Insurance
Supplemental Pet, Legal, IT Theft Insurance
Cancer Supplemental Plan
Auto & Homeowners Insurance
COBRA Rights
Children's Health Insurance Program
Medical Coverage in Retirement
Quick Links
Public Website
MySLC on Instagram
MySLC on Twitter
MySLC on Facebook
Sidebar
Medical
Send to Printer
Medical Plan Forms
Search
Search
Clear search
Handouts list view
Handouts card view
Collapse all sets
Medical Forms
Toggle Medical Forms
Title
Description
File type
Waiver of Health Insurance
.pdf
Medical Enrollment & Change Form
.pdf
Medical Claim Form
.pdf
Payflex
Toggle Payflex
Title
Description
File type
Payflex FSA/DCA Enrollment Form
.pdf
Payflex Health Savings Account (HSA) Form
.pdf
OptumRx
Toggle OptumRx
Title
Description
File type
OptumRX Mail Order Prescription Form
.pdf
OptumRX Prescription Claim Form
.pdf
MySLC Help