Open Enrollment

Open Enrollment Information

Important 2023 Information

Open Enrollment 2023 FAQ

(.pdf, 40K)

Download

2023 Medical Plan Comparison

(.pdf, 487K)

Download

2023 Insurance Rates

(.pdf, 39K)

Download

Preliminary 2023 IRS Limits

(.pdf, 53K)

Download

How To Search Cigna Network

(.pdf, 136K)

Download

CoreSource-Trustmark Online Registration

(.pdf, 676K)

Download

CoreSource-Trustmark Welcome Kit

(.pdf, 409K)

Download

Optum RX Generic Welcome Kit

(.pdf, 415K)

Download

HDHP/HSA Overview

(.pdf, 133K)

Download

Educational Materials

Helpful Guides and Materials

Health Savings Account and High Deductible Plan Overview

(.pdf, 133K)

Download

How to Use Teladoc

(.pdf, 1260K)

Download

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

(.docx, 13K)

Download

Aflac Supplemental Cancer Insurance

(.pdf, 1128K)

Download

How Do My Health Insurance Benefits Work

(.pdf, 438K)

Download

Medical Plans Summaries & Forms

Forms

Title	Description
Cigna-CoreSource Medical Enrollment & Change Form
Payflex Health Savings Account (HSA) Form
Payflex Flexible Spending Account (FSA) Form
Dental Enrollment/Change Form
VSP Vision Plan Enrollment Form	Please note: VSP is now AmWINS Group Benefits.
Optum RX Mail Order Prescription Form
Trustmark Medical Claim Form
OptumRX Prescription Claim Form

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.

Title	Description
2021/22 HDHP Plan Summary
2021/22 EPO Plan Summary
2021/22 POS/PPO Plan Summary
Summary of Benefits DMO Dental Plan
Summary of Benefits PPO Dental Plan
Summary of Benefits VSP Vision Plan

Flexible Spending

Information

How to Use the Payflex App

Visit

Forms

Payflex Claim Form

Visit

Payflex FSA Enrollment Form

Visit

TIAA Information & Forms

Forms

2023 TIAA Salary Reduction Agreement

Visit

2022 TIAA Salary Reduction Form

Visit

Voluntary Supplemental Benefits

Supplemental Life Insurance

Sun Life Voluntary Supplemental Life Insurance Overview

Visit

Sun Life Supplemental Life Insurance Rates

Visit

Sun Life Supplemental Life Insurance Enrollment Form

Visit

Supplemental Pet, Legal and Identity Theft Insurance

Pet, Legal and Identity Theft Insurance Information

Visit