EDIT MAIN
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BCBS Health Insurance
2020-2021 Plan Year

Health Savings Account
2020-2021 Plan Year
Delta Dental 
2020-2021 Plan Year

Benefits Summary

Essential Guide
Benefit Summary Report
Enrollment Form
Employee Application
Enrollment/Change Form
Change Form
Payroll Election Form
2019-2020 Plan Year
Waiver Form
Contribution Limits
Benefit Summary Report
Plan A Summary
HSA Fact Sheet
Enrollment/Change Form
Plan B Summary
HSA Frequently Asked Questions
Plan C Summary
HSA Reference Guide
Health Insurance Premium Cost
Plan D Summary
2019-2020 Plan YearInsurance Premium Chart
Coverage You Need Brochure
Essential Guide
Results RX Prescription Drug Guide
Employee Application
Results RX Drug CoveragePayroll Election Form
Telemedicine Summary
2019-2020 Plan SummaryFlexible Spending Account
2020-2021 Plan Year
Vision
2020-2021 Plan Year
Change Form
Plan GuideBenefit Summary Report
Benefits Summary
Employee ApplicationEnrollment Form
Plan A Summary
Contribution LimitsMember Benefit: Eyeconic
Plan B Summary
2019-2020 Plan YearMember Benefit: Extras
Plan C Summary
Plan GuideMember Benefit: Hearing Aid Discount
Plan D Summary
Employee Application2019-2020 Plan Year
Contribution LimitsBenefit Summary
Enrollment Form
Advance Life InsuranceKPERS
2020-2021 Plan YearKPERS Website
Life Insurance PolicyKPERS Online Access Info
Enrollment FormKPERS Fast Facts
Conversion Form
Tier 1
2019-2020 Plan Year
Tier 2
Life Insurance Policy
Tier 3

Beneficiary Form

Leaving Employment Info

Optional Group Life Insurance Summary with Enrollment Form and Rates

Optional Coverages

AccidentIdentity TheftCOBRA
2020-2021 Plan Year2020-2021 Plan YearEnrollment Form
Prosperity Accident Insurance Brochure with Premiums
Benefit Summary
COBRA Continuation Coverage Election Notice
Prosperity Accident Claim

Prosperity Wellness/Cancer Claim Form
CancerTerm Life Optional Life
2020-2021 Plan Year2020-2021 Plan Year2020-2021 Plan Year
Prosperity Cancer Brochure with Premiums
Benefit Summary
Enrollment Form
Prosperity Wellness/Cancer Claim Form
Beneficiary Claim Tips
Benefit Summary
Critical CarePre-Paid LegalLong-Term Care Insurance
2020-2021 Plan Year2020-2021 Plan Year2020-2021 Plan Year
Critical Care Info with PremiumsMetLaw Pre-Paid Brochure
Trustmark Universal Life Insurance Benefit Summary
Critical Care Claim Form
MetLaw Premiums
How Long-Term Care Works?
Wellness/Cancer Screen FormHelp Solving Long-Term Care Issues
Hospital IndemnityShort Term Disability
2020-2021 Plan Year2020-2021 Plan Year
Enrollment FormOne America Short Term Disability Benefit Summary
Benefit SummaryShort Term Disability Claim Form
Maternity Disability Claim Form