Benefits Office

WELFARE (ACTIVE PARTICIPANTS)

Welfare - Summary Plan Description

Forms

Asbestos Screening Form
Authorization for Release of Health Information
CDPHP Enrollment Form
Claim Reimbursement Form
Dental Out-of-Network Member Claim Form
Letter of Medical Necessity Template
Medical Out-of-network Member Claim Form
Notice of Privacy Practices Form
OptumRX Claim Form
Waiver of Coverage Form



Benefits

COBRA Coverage (See Section E-F - "COBRA CONTINUATION COVERAGE")

Death

Dental

Disability - Loss of Time Benefit for Active Participants

Hearing

Medical

Prescription

Vision



Resources

Find-A-Doc

Fitness Reimbursement

Health Hub

Asbestos Screening

Doctor on Demand

Doctor on Demand for Mental Health



Health Reimbursement Account

How to Find CDPHP Explanation of Benefits
How to Find Delta Dental Explanation of Benefits
HRA Description

 


 

FAQs (Click Here)