Benefit Information

FormForm Description
FY24 Healthcare RatesFY 24 Rates (Effective 7/1/23-6/30/24)
Health Plans, Inc HMO Plan SummarySummary of coverages
Health Plans, Inc PPO Plan SummarySummary of coverages
HPI Enrollment/Change FormEnrollment/Change Form
Delta Dental Plan SummarySummary of coverages
Delta Dental Enrollment/Change FormEnrollment/Change Form
FSA Open Enrollment Information & Enrollment FormFY24 Information & Enrollment Form
Health Reimbursement FormReimbursement Form
Mission Square 457 Defined Contribution PlanRetirement Savings Plan 
SMART Plan - 457 Defined Contribution PlanRetirement Savings Plan - to enroll please contact HR for your access code
Disability Brochure

Benefit Summary

Life Insurance Plan SummariesBenefit Summary
Life Insurance Enrollment FormEnrollment Form
Cancer CoverageCancer Plan

Benefits for Active Health Insurance Members

ReviveHealth (Formerly Swift MD)Telemedicine            
ReviveHealth Counseling (Formerly Swift MD)Counseling Services
Good Health Diabetes Care RewardsDiabetes Care Rewards Program                                 
CanarxPrescription Drug Mail Order Program
PinnacleCareHealth Advisory Services
HealthJoy24/7 Healthcare Concierge