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Open Enrollment

Open Enrollment Information

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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

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Helpful Guides and Materials

Health Savings Account and High Deductible Plan Overview
(.pdf, 133K)
Download Health Savings Account and High Deductible Plan Overview
How to Use Teladoc
(.pdf, 1260K)
Download How to Use Teladoc
How to Submit a Claim for Out-of-Network Medical Expense
(.docx, 13K)
Download How to Submit a Claim for Out-of-Network Medical Expense
Aflac Supplemental Cancer Insurance
(.pdf, 1128K)
Download Aflac Supplemental Cancer Insurance
How Do My Health Insurance Benefits Work
(.pdf, 438K)
Download How Do My Health Insurance Benefits Work

Medical Plans Summaries & Forms

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Forms

Cigna-CoreSource Medical Enrollment & Change Form
Visit Cigna-CoreSource Medical Enrollment & Change Form
Payflex Health Savings Account (HSA) Form
Visit Payflex Health Savings Account (HSA) Form
Payflex Flexible Spending Account (FSA) Form
Visit Payflex Flexible Spending Account (FSA) Form
Dental Enrollment/Change Form
Visit Dental Enrollment/Change Form
VSP Vision Plan Enrollment Form

Please note: VSP is now AmWINS Group Benefits.

Visit VSP Vision Plan Enrollment Form
Optum RX Mail Order Prescription Form
Visit Optum RX Mail Order Prescription Form
Trustmark Medical Claim Form
Visit Trustmark Medical Claim Form
OptumRX Prescription Claim Form
Visit 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.

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

Flexible Spending

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Information

How to Use the Payflex App
Visit How to Use the Payflex App

Forms

Payflex Claim Form
Visit Payflex Claim Form
Payflex FSA Enrollment Form
Visit Payflex FSA Enrollment Form

TIAA Information & Forms

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Forms

Title Description
2023 TIAA Salary Reduction Agreement
2022 TIAA Salary Reduction Form

Voluntary Supplemental Benefits

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Supplemental Life Insurance

Sun Life Voluntary Supplemental Life Insurance Overview
Visit Sun Life Voluntary Supplemental Life Insurance Overview
Sun Life Supplemental Life Insurance Rates
Visit Sun Life Supplemental Life Insurance Rates
Sun Life Supplemental Life Insurance Enrollment Form
Visit Sun Life Supplemental Life Insurance Enrollment Form

Supplemental Pet, Legal and Identity Theft Insurance

Pet, Legal and Identity Theft Insurance Information
Visit Pet, Legal and Identity Theft Insurance Information
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