Open Enrollment

Open Enrollment Information

Important 2023 Information

Open Enrollment 2023 FAQ

(.pdf, 40K)

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2023 Medical Plan Comparison

(.pdf, 487K)

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2023 Insurance Rates

(.pdf, 39K)

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Preliminary 2023 IRS Limits

(.pdf, 53K)

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How To Search Cigna Network

(.pdf, 136K)

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CoreSource-Trustmark Online Registration

(.pdf, 676K)

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CoreSource-Trustmark Welcome Kit

(.pdf, 409K)

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Optum RX Generic Welcome Kit

(.pdf, 415K)

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HDHP/HSA Overview

(.pdf, 133K)

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Educational Materials

Helpful Guides and Materials

Health Savings Account and High Deductible Plan Overview

(.pdf, 133K)

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How to Use Teladoc

(.pdf, 1260K)

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How to Submit a Claim for Out-of-Network Medical Expense

(.docx, 13K)

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Aflac Supplemental Cancer Insurance

(.pdf, 1128K)

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How Do My Health Insurance Benefits Work

(.pdf, 438K)

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Medical Plans Summaries & Forms

Forms

Cigna-CoreSource Medical Enrollment & Change Form

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Payflex Health Savings Account (HSA) Form

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Payflex Flexible Spending Account (FSA) Form

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Dental Enrollment/Change Form

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VSP Vision Plan Enrollment Form

Please note: VSP is now AmWINS Group Benefits.

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Optum RX Mail Order Prescription Form

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Trustmark Medical Claim Form

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OptumRX Prescription Claim Form

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2023 Summary of Benefits Documents

2023 Plan Documents are identical to 2022 posted documents. Once the 2023 documents are officially issued, they will be posted here.

2021/22 HDHP Plan Summary

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2021/22 EPO Plan Summary

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2021/22 POS/PPO Plan Summary

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Summary of Benefits DMO Dental Plan

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Summary of Benefits PPO Dental Plan

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Summary of Benefits VSP Vision Plan

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Flexible Spending

Information

How to Use the Payflex App

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Forms

Payflex Claim Form

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Payflex FSA Enrollment Form

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TIAA Information & Forms

Forms

2023 TIAA Salary Reduction Agreement

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2022 TIAA Salary Reduction Form

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Voluntary Supplemental Benefits

Supplemental Life Insurance

Sun Life Voluntary Supplemental Life Insurance Overview

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Sun Life Supplemental Life Insurance Rates

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Sun Life Supplemental Life Insurance Enrollment Form

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Supplemental Pet, Legal and Identity Theft Insurance

Pet, Legal and Identity Theft Insurance Information

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