Health Care

Medical Insurance

• Summary Plan Description (pdf) - 2008/2009 Plan Year
• Summary Table of Benefits (pdf) - 2009/2010 Plan Year
• Preferred Provider Search/Directory (Plan Type - Care Plus)
• After Hours Physicians List (Southern Utah County)
• Traveling Out of State - Coverage Information
• Enrollment/Change Form
• Reimbursement Form (pdf)
• Electronic Explanation of Benefits
• Notice of Privacy Practices (pdf)
• COBRA Notice (pdf)

Dental Insurance

• Summary Plan Description (pdf) - 2008/2009 Plan Year
• Summary Table Of Benefits (pdf) - 2009/2010 Plan Year
• Preferred Provider Search/Directory (Plan Type - Premier)
• Enrollment/Change Form
• Electronic Explanation of Benefits

Prescription (Rx)

• Summary Plan Description (pdf)  - 2008/2009 Plan Year
• Summary Table of Benefits (pdf) - 2009/2010 Plan Year
• Medco Online Services
  (Secure Account Access, Find A Local Pharmacy, Price Medication, Refill & Renewal Of Prescriptions, etc.)
• Price Your Medication Using The NEW 2007/2008 Plan Benefits
  (Pay for your portion of medications tax free by enrolling in a Flexible Spending Account -> Available during open enrollment only, the month of April.)
• Enrollment/Change Form
• Reimbursement Form (pdf)
• Mail Order (90 day supply) (pdf) *
  *Mail your prescription(s) along with the above completed form to:
  Medco
  PO BOX 30493
  Tampa, FL 33630-3493

Vision

• Summary Plan Description (pdf) - 2008/2009 Plan Year
• Summary Table of Benefits (pdf) - 2009/2010 Plan Year
• Enrollment/Change Form
• Reimbursement Form (pdf)
• Electronic Explanation of Benefits

Flexible Spending (FSA)

• FSA Hand Book (pdf)
• FSA Enrollment Form (pdf)
• FSA Reimbursement Form (pdf)
• FSA Online