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Open Enrollment

Open Enrollment Information

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Important 2022 Information

Open Enrollment 2022 FAQ
(.pdf, 241K)
Download Open Enrollment 2022 FAQ
2022 Medical Plan Comparison Chart
(.pdf, 431K)
Download 2022 Medical Plan Comparison Chart
2022 Insurance Rates
(.pdf, 39K)
Download 2022 Insurance Rates
How To Search Cigna Network
(.pdf, 136K)
Download How To Search Cigna Network
Trustmark Online Registration
(.pdf, 676K)
Download Trustmark Online Registration
Trustmark Welcome Kit
(.pdf, 409K)
Download Trustmark Welcome Kit
Optum RX Welcome Kit
(.pdf, 415K)
Download Optum RX Welcome Kit

Educational Materials

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Helpful Guides and Materials

Title Description File type
Health Savings Account and High Deductible Plan Overview 2022
.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

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2021/22 Summary of Benefits Documents

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

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

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

2022 TIAA Salary Reduction Form
Visit 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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