 |
 |
Benefits for Administrative, Professional, and Technical Employees
| General Insurance Information | |
| 2009 - 2010 Benefits | |
| 2009-2010 Summary of Plan Changes | |
| 2009-2010 Employee Choice Flexible Benefit Plan Booklet | |
| Monthly Premium Rates 2009-2010 | |
 | |
| Dental Benefits | |
| Option I | |
| Option II | |
| Claim Form | |
| |
| Vision Service Plan | |
| Evidence of Coverage | |
| |
| Basic Life Insurance | |
| UNUM Certificate of Coverage | |
| UNUM Evidence of Insurability Form | |
| UNUM Life / Accidental Death & Dismemberment Claim Form | |
| |
| Voluntary Life Insurance | |
| PERA Certificate of Coverage | |
| PERA Enrollment Form | |
| PERA Beneficiary Form | |
| PERA Rates/Plan Highlights | |
| |
| Long Term Disability Insurance | |
| UNUM Policy | |
| UNUM LTD Claim Form | |
| |
| Business Travel Accident Insurance | |
| Certificate of Coverage | |
| |
| Voluntary Accidental Death and Dismemberment Insurance – Effective July 1, 2009 | |
| Benefits Summary | |
| Premium Rates | |
| Enrollment Form | |
| |
| COBRA | |
| 2009 - 2010 Benefits | |
| COBRA Monthly Premium Rate Sheet | |
| COBRA Continuation Form | |
| COBRA Brochure | |
 | |