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

Cigna-CoreSource Medical Enrollment & Change Form

Visit

Payflex Health Savings Account (HSA) Form

Visit

Payflex Flexible Spending Account (FSA) Form

Visit

Dental Enrollment/Change Form

Visit

VSP Vision Plan Enrollment Form

Please note: VSP is now AmWINS Group Benefits.

Visit

Optum RX Mail Order Prescription Form

Visit

Trustmark Medical Claim Form

Visit

OptumRX Prescription Claim Form

Visit

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 EPO Plan Summary

Visit

2021/22 POS/PPO Plan Summary

Visit

Summary of Benefits DMO Dental Plan

Visit

Summary of Benefits PPO Dental Plan

Visit

Summary of Benefits VSP Vision Plan

Visit

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

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