Human Resources Department

Benefits Forms and Documents


Library image Open Enrollment Documents
Medical Plan Documents
Pharmacy Documents
Dental Plan Documents
Vision Plan Documents
Flexible Spending Plan Documents
Supplemental Insurance Plan Documents
Life Insurance Documents
Forms
Urgent Care Information
Retirees
Retirees Forms

Open Enrollment Guides


Medical Plan Documents


Pharmacy Plan Documents


Dental Plan Documents

Dental Rates and Comparison Chart (pdf)
Dental Provider Nomination Form (pdf)
DHMO FAQs (pdf)
DHMO Orthodontics in Progress FAQs (pdf)
DHMO Patient Charge Schedule (pdf)
DHMO Provider Directory (pdf)
DHMO Find a Dentist Flyer
DPPO Benefits Summary (pdf)
DHMO Find a Dentist Flyer
DPPO FAQs (pdf)
DPPO Orthodontics in Progress (pdf)
Summary of Benefits DHMO Cigna Dental Plan (pdf)
DPPO Provider Directory (pdf)
Find a Doctor, Dentist, or Facility at myCigna.com
Transition of Care FAQs (pdf)
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Vision Plan Documents

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Flexible Spending Plan Documents


Supplemental Insurance Plan Documents



Forms


Life Insurance Documents



Retirees Under 65 Documents


Medicare Advantage Documents