| HEALTH |
| BlueAccess for Employees |
| BCBS Medical Comparison Chart |
| Provider Directory for Medical on the internet - Click on "People Finder" then select "PPO - BlueChoice" |
| Provider Directory for Mental Health/Substance Abuse |
| *BCBS Insurance Claim Form |
| Employee Health Insurance Contract and Info (Required Posting) |
|
| DENTAL |
| * Guardian Base Plan 2006-2007 Summary |
| * Guardian Buy-Up Plan 2006-2007 Summary |
| * Guardian Base Plan 2006-2007 Booklet |
| * Guardian Buy-Up Plan 2006-2007 Booklet |
| Provider Directory for Dental on the internet |
| Guardian Dental - Monthly Premiums 09/01/06 |
| Base Plan |
Employee Only |
$ 17.16 |
| |
Employee/Spouse |
$ 25.18 |
| |
Employee/Child(ren) |
$ 34.70 |
| |
Employee/Family |
$ 48.45 |
| |
|
|
| Buy-Up Plan* |
Employee Only |
$ 28.03 |
| |
Employee/Spouse |
$ 42.32 |
| |
Employee/Child(ren) |
$ 56.92 |
| |
Employee/Family |
$ 82.08 |
| *Subject to 12-month waiting period for new enrollees on Major and Ortho services. |
|
| Guardian Dental ID cards are available at all campus front desks or by contacting Diana Perez at Central Office 830-221-2000. |
|
| HEALTH / DENTAL CHANGE FORMS |
| * BCBS Enrollment/Change form |
| * Guardian Dental Enrollment/Change Form |
| * Flexible Benefits Plan Change Form |
|
| PRESCRIPTION DRUGS |
| * BCBS Mail Order RX Claim Form |
|
| LIFE INSURANCE |
| Contact Riata Financial - 830.606.5100 |
|
| VISION INSURANCE |
| * Spectera Vision Insurance Benefit Summary and Enrollment Form |
| Search For an Eye Doctor |
| Spectera Vision does not provide ID cards. Please contact a Spectera Network Provider for instructions for making an appointment. |
|
| DISABILITY INSURANCE |
| UNUM Disability Claim Form |
| UNUM Doctor Visit Claim Form |
|
| CANCER INSURANCE |
Allstate Cancer Claim Form
Allstate Wellness Claim Form
Allstate Duplicate Policy Form |
|
