Open Enrollment

Open Enrollment Information

Important 2023 Information

Title	Description	File type
Open Enrollment 2023 FAQ		.pdf
2023 Medical Plan Comparison		.pdf
2023 Insurance Rates		.pdf
Preliminary 2023 IRS Limits		.pdf
How To Search Cigna Network		.pdf
CoreSource-Trustmark Online Registration		.pdf
CoreSource-Trustmark Welcome Kit		.pdf
Optum RX Generic Welcome Kit		.pdf
HDHP/HSA Overview		.pdf

Educational Materials

Helpful Guides and Materials

Title	Description	File type
Health Savings Account and High Deductible Plan Overview		.pdf
How to Use Teladoc		.pdf
How to Submit a Claim for Out-of-Network Medical Expense		.docx
Aflac Supplemental Cancer Insurance		.pdf
How Do My Health Insurance Benefits Work		.pdf

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

Title	Description
How to Use the Payflex App

Forms

Title	Description
Payflex Claim Form
Payflex FSA Enrollment Form

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

Title	Description
Sun Life Voluntary Supplemental Life Insurance Overview
Sun Life Supplemental Life Insurance Rates
Sun Life Supplemental Life Insurance Enrollment Form

Supplemental Pet, Legal and Identity Theft Insurance

Title	Description
Pet, Legal and Identity Theft Insurance Information