Resources

Documents

Enrollment Information TrustMark Enrollment Form HSA_payroll deduction TrustMark Mobile App TrustMark Member Portal Registration MOO Enrollment Form EyeMed Enrollment Form Benefits Overview HSA online account setup
Medical & Prescription Drug Medical Plan Document & Summary Plan Description Medical Plan Amendment 1 Medical Plan Amendment 2 Medical Plan Amendment 3 Medical Claim Form HDHP Summary of Benefits PPO Summary of Benefits EPO Summary of Benefits HSA_Life Events Finding a Provider – Anthem Blue Cross Medical Insurance Tips Coordination of Benefits (Secondary Medical Coverage) CVS Caremark Getting Started Guide CVS Caremark Readyfill Brochure CVS Caremark Mail Service Order Form Prescription Reimbursement Claim Form OneRX – Shopping Tool CVS/Caremark Maintenance Choice Program CVS/Caremark Generic Medication Info My Nurse Autism Spectrum Disorder
Dental Dental Plan Document & Summary Plan Description Cigna Dental PPO Dental Claim Form
Vision EyeMed Summary of Benefits EyeMed Mobile App EyeMed Overview
Hearing Aid Mutual of Omaha Hearing Discount Program Epic Hearing Discount Program
Flexible Spending Accounts FSA WageWorks Enrollment Form FSA Direct Deposit Form WageWorks URM Claim Form WageWorks DDC Claim Form FSA Plan Description FSA Plan Summary FSA Website Instructions
Wellness Vaccines
LiveHealth Online LiveHealth Online Information
Annual Health Benefit Notices Annual Health Benefit Notices Packet Annual Benefit Summary Plan Description

Documents

401(k) Account 401(k) Safe Harbor Notice 401(k) Automatic Account Rebalancing Brochure 401(k) In-Service Withdrawl Form 401(k) Loan Request 401(k) Rollover Policy 401k Enrollment Guide
Pay Periods and Pay Days Direct Deposit Form (payroll) Direct Deposit Form (expense) W4 CA State Withholding form D4 Paycheck Access
Identity Theft Protection LifeLock Membership Election Form
Financial Wellness Plan Momentum onUp Informational Flyer Momentum OnUp Sign Up Info
Accident Plan Voluntary Accident Summary Accident Claim Form Accident Health Screening Benefit Claim Form
Critical Illness Plan Voluntary Critical Illness Summary Critical Illness Form Express Benefit Form Health Screening Form
Disability Insurance Voluntary Short-Term Disability Summary CA & NY Employees Voluntary Short-Term Disability Summary Non CA & Non NY Employees
Life and AD&D Insurance Mutual of Omaha Beneficiary Form Mutual of Omaha Evidence of Insurability Form Mutual of Omaha Voluntary Life Insurance Mutual of Omaha Voluntary Life Rate Sheet
Long Term Care Insurance Long Term Care Overview Summary Plan Description LTD - Home and Community-based with InflationSummary Plan Description – B LTD - Home, Community-Based and Immediate Family Member Care with Inflation

Documents

Educational and Tuition Assistance Programs Application for Tuition Assistance Tuition Reimbursement Program Policy Info on Education Assistance Program Application for Educational Assistance
Rideshare Rideshare Points System Rideshare Reimbursement
Time Off Your AbsencePro Program Info Leave of Absence Claim Form AbsencePro – Report Your Leave Online Holiday Schedule_2020 Parental Leave Maternity Leave
Employee Assistance Program SupportLinc EAP Program Flyer SupportLinc EAP Brochure Mental Health – Anti-Stigma Campaign EAP Training Calendar
Sick Leave Donation Sick Leave Donation Info. Sick Leave Donation Form
Travel Assistance Travel Assistance
Rocket Lawyer Legal Benefits Access Instructions Plan Summary Rocket Lawyer FAQ Benefits Flyer

Documents

Employee Referral Program Employee Referral Policy
Employee Recognition Program Employee Recognition Guidelines Employee Recognition Nomination Form
Company Sponsored Events Company Sponsored Activity Guidelines

Documents

COVID-19 Helpful Info & FAQs COVID-19 FAQs COVID-19 Helpful Tips Vision Online Options & Medical FAQ Eye Med Vision FAQs
EAP Resources Support Linc EAP Program Mental Health & Coping During COVID-19 Corona Virus Tip Sheet
Ergonomics While Working From Home Stretch Your Comfort Zone Work from Home Ergonomics