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

Cigna-CoreSource Medical Enrollment & Change Form

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Payflex Health Savings Account (HSA) Form

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Payflex Flexible Spending Account (FSA) Form

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Dental Enrollment/Change Form

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VSP Vision Plan Enrollment Form

Please note: VSP is now AmWINS Group Benefits.

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Optum RX Mail Order Prescription Form

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Trustmark Medical Claim Form

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OptumRX Prescription Claim Form

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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

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2021/22 EPO Plan Summary

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2021/22 POS/PPO Plan Summary

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Summary of Benefits DMO Dental Plan

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Summary of Benefits PPO Dental Plan

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Summary of Benefits VSP Vision Plan

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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

2023 TIAA Salary Reduction Agreement

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2022 TIAA Salary Reduction Form

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Voluntary Supplemental Benefits

Supplemental Life Insurance

Title	Description
Sun Life Voluntary Supplemental Life Insurance Overview
Sun Life Supplemental Life Insurance Rates
Sun Life Supplemental Life Insurance Enrollment Form

Supplemental Pet, Legal and Identity Theft Insurance

Title	Description
Pet, Legal and Identity Theft Insurance Information