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Benefits for Administrative, Professional, and Technical Employees
| General Insurance Information 2011 - 2012 Benefits | |
| 2011-2012 Employee Choice Flexible Benefit Plan Booklet | |
| Monthly Premium Rates 2011-2012 | |
| Insurance Enrollment / Change Form 2011-2012 | |
| Flexible Spending Election / Change Form 2011-2012 | |
| 2011-2012 Benefit Changes | |
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| Dental Benefits / Delta Dental 2011-2012 Benefits | |
| Delta Dental Fact Sheet | |
| Option I Summary Plan Description | |
| Option I Benefit Information Overview | |
| Option II Summary Plan Description | |
| Option II Benefit Information Overview | |
| Sealant Rider | |
| Dependent Age 26 Rider | |
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| Vision Service Plan | |
| Evidence of Coverage | |
| 2011 Vision Service Plan Amendment | |
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| Basic Life Insurance – Standard Insurance Company 2011-2012 | |
| Accelerated Benefit Claim Form | |
| Accidental Death and Dismemberment Claim Form | |
| Beneficiary Designation/Change Form | |
| Certificate of Coverage | |
| Conversion Request Form | |
| Life Claim Form | |
| Med Ex Travel Assistance brochure and card | |
| Medical History Statement | |
| Portability and Conversion at a Glance | |
| Portability Claim Form | |
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| Voluntary Life Insurance | |
| PERA Certificate of Coverage | |
| PERA Enrollment Form | |
| PERA Beneficiary Form | |
| PERA Rates/Plan Highlights | |
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| Long Term Disability Insurance – Standard Insurance Company 2011-2012 | |
| Certificate of Coverage | |
| Long Term Disability (ASO) Claim Form | |
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| Flexible Spending Account | |
| Direct Deposit Authorization | |
| Frequently Asked Questions about the Health Care Debit Card | |
| FSA Claim Form (fillable) | |
| HealthHub Mobile Application | |
| IRS Publication 502 - Includible Medical and Dental Expenses | |
| Participant Welcome Kit | |
| Letter of Medical Necessity | |
| Over the Counter Drugs Reimbursement Information | |
| Pay Your Provider Directly Using "Pay Them" Feature | |
| Pharmacy Providers Certified to Accept FSA Debit Cards | |
| Using the PayFlex Card for Dental Expenses | |
| What is a Flexible Spending Account? | |
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| Business Travel Accident Insurance | |
| Certificate of Coverage | |
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| Voluntary Accidental Death and Dismemberment Insurance | |
| Benefits Summary | |
| Premium Rates | |
| Enrollment Form | |
| Certificate of Coverage | |
| Rider to Certificate of Coverage | |
| Individual AD&D Policy Conversion Form | |
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| COBRA 2011 - 2012 Benefits | |
| COBRA Monthly Premium Rate Sheet | |
| COBRA Enrollment Form | |
| Employee’s Guide to Understanding COBRA | |