HR - Links and Resources


2013 Benefits Enrollment


(Open Enrollment Dates: November 12 – December 12, 2012) All employees eligible for benefits MUST complete a Benefits Enrollment Form for 2013 (electronic form accessible through MYFranciscan employee login;  or see Human Resources for a paper form)

Reference Materials:

Highmark BCBS HealthInsurance Coverage - Core Grid
Highmark BCBS HealthInsurance Coverage – Buy-Up Grid

Highmark Blue CrossBlue Shield Enrollment Application
Highmark Blue CrossBlue Shield Member Change Form

Davis Vision Plan Grid

Affidavit to Add aNon-Dependent Child under the age of 26
 

United Concordia Voluntary Dental Plan - Core Grid United Concordia Voluntary Dental Plan -Buy-up Grid

Unum Voluntary Life/ADD Program – Plan Highlights
Unum Life/ADD Calculator
Unum Life/ADD Enrollment Form
Unum Evidence of Insurability Form

HRA Schedule for 2013

Disclosures:

Summary of Benefits and Coverage (SBC) Notice
SBC for Highmark BCBS Core Plan
SBC for Highmark BCBS Buy Up Plan

Notice of Opportunity to Enroll Extension of Dependent Coverage to Age 26

Grandfathered Health Plan Disclosure Notice

Notice of Continuation of Coverage Rights Under COBRA

Notice of Prescription Drug Coverage and Medicare

Notice of Women’s Health and Cancer Right Act of 1998 (WHCRA)

Notice Regarding Pharmacy Network Change

 


Links and Resources












United Concordia  



Social Security Administration



TIAA-CREF Retirement Accounts  
Summary Plan Description for the Defined Contribution Plan  
Web Seminars
Strength & Stability
Staying on Track  


IRS Web Site and Tax Forms
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