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2007 Publications

2007 Benefits & Enrollment Guide for Employees
2007 Three-Tier Prescription Drug List Reference Guide  
Benef​acts

2007 Forms

Medical

Domestic Partnership Affidavit
Termination of Domestic Partnership
UHC Drug Mail Order Form

Life Insurance

Standard Life Insurance Conversion Requ​est Form 
Standard Life Insurance Beneficiary Designation/Change Form 
Standard Life Insurance Amendment Form 
Accelerated Benefits

Deferred Compensation

401(k) Plan Enrollment Guide
457 Plan Enrollment Guide

401(k) Retirement Savings Plan Beneficiary Designation Form  
457 Deferred Compensation Plan Beneficiary Designation Form 
457 PST Plan Beneficiary Designation Form

Beneficiary Designation

Employees' Retirement Fund (ERF) Designee Form  
Active Employee Final Paycheck Beneficiary Designation Form

2007 PPO Plans - United Healthcare

80-20 PPO Plan - $300/$1000/$3000 Deductible
70-30 PPO Plan - $300/$1000/$3000 Deductible

2007 EPO Plan

EPO Summary Plan Description (Revised)

2007 Voluntary Benefits - Marsh @ Work Solutions (see the Voluntary Benefits Program section of the 2007 Benefits & Enrollment Guide for a description of each of these voluntary benefits)

Dental Plans - Safeguard  (Page 62)
Vision Plan - Spectera  (Page 73)
Long-term Care Insurance - Metropolitan   (Page 83)
Paycheck Protector - The Hartford  (Page 77)

2007 Life Insurance Plans - Standard (see the Standard Insurance section of the 2007 Benefits & Enrollment Guide for a description of this benefit)

Group Life Insurance Policy Amendment No. 6 to Policy 642563-A
Group Life Insurance Policy Amendment No. 8 to Policy 642563-A

2007 Flexible Spending Accounts - United Healthcare

United Healthcare Flexible Spending Account (EMSP and DCAP) Reimbursement Claim Form 
Over-the-Counter (OTC) Medical Care Items eligible and Ineligible for Reimbursement under UnitedHealthcare Plans

 

2007 Legislative Notices

HIPAA Privacy Notice 
HIPAA Plan Amendment

2007 Vendor Web Sites

UnitedHealthcare
SEA - Employee Benefits Web Enrollment 
Safeguard Dental Plans 
Spectera Vision 
Marsh@WorkSolutions-Voluntary Benefits

Archives

2006
2005
2004