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

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

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Forms

Payflex Claim Form

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Payflex FSA Enrollment Form

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TIAA Information & Forms

Forms

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

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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