Benefits

You can download the current Contract by clicking on the links below:

2020 Dental HMO Plan ( 674.06 KB)

2020 Dental PPO Plan ( 626.83 KB)

2020 Humana Vision ( 649.48 KB)

2020 Medical Plan ( 1491.09 KB)

2020 Summary of Benefits Coverage ( 324.43 KB)

2021 Summary of Benefits Coverage ( 329.23 KB)

EAP Provider List ( 301.74 KB)

List of Lab Tests Performed in Wellness Center Laboratory ( 86.42 KB)

List of Medications from Wellness Center ( 164.44 KB)

New Health Insurance Marketplace Coverage Notice ( 269.70 KB)

Notice of Privacy Practices ( 47.75 KB)

Recommended Annual Health Guidelines ( 640.95 KB)

RSL 24-7 Travel Assistance ( 690.17 KB)

RSL Bereavement Support Services ( 334.07 KB)

RSL Group Accident (Employee) ( 1006.28 KB)

RSL Group Accident (Retiree) ( 107.95 KB)

RSL Group Accident Policy Description ( 154.07 KB)

RSL Group Critical Illness (Employee) ( 185.64 KB)

RSL Group Critical Illness (Retiree) ( 107.95 KB)

RSL Group Critical Illness Policy Description ( 175.08 KB)

RSL Group Life Insurance (Employer Paid) ( 101.48 KB)

RSL Group Vol Term Life ( 552.17 KB)

RSL Identity Theft / Card Monitoring ( 655.64 KB)

SavRx Mail Order Form ( 433.80 KB)

SavRx Medication Formulary List ( 235.62 KB)

Wellness Center Services ( 134.27 KB)

Last updated: Jan. 16, 2020

 

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