Employee Benefits Fund

All participants of the PBC FF’s Employee Benefits Fund are eligible to use the EAP network of over 20 local providers. Wide variety of counseling services are available, and the best part…………

It’s absolutely

100% confidential

Call Ellen Flaum, Administrator of the EAP @ 561-968-1505 to get started today.

EAP PROVIDER LIST

Newborn

Cord Blood (Stem Cell)

Benefit

Adult Stem Cell

Forms

2020 Active Employee Status Change Form

Jan 03, 2019

2020 Benefits Fund Enrollment Form

Oct 29, 2019

2020 Retiree Status Change Form

Sep 29, 2016

Claims Submission Form (Medical)

Feb 06, 2012

Hearing Aid Program

Mar 11, 2020

Hearing Aid Program

Mar 11, 2020

How to Read UMR Explanation of Benefits

Sep 18, 2019

Beneficiary Form

Jan 11, 2017

RSL Wellness Claim Form

Jan 02, 2019

How to File a Reliance Standard Claim

Apr 29, 2019

Humana Out of Network Claim Form

Mar 08, 2019

Reject Medical Dental

Nov 15, 2017

Nationwide Brochure

May 25, 2016

SavRx Mail Order Form

Jul 01, 2016

PHI Protected Health Information

Jun 27, 2013

Change of Address

May 16, 2012

Nationwide Retirement Withdrawl Form

May 12, 2016

Physician Lab Report

Oct 13, 2011

Request for Reconsideration UMR

Oct 13, 2011

Appeal to Board of Trustees

Oct 13, 2011

Sign up a Doctor

Oct 13, 2011

New Health Insurance Marketplace Coverage Notice

Sep 25, 2013

Page Last Updated: Oct 29, 2019 (11:22:00)

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April 02, 2020

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