INSURANCE OPTIONS (OLD)

A.Blue Cross Blue Shield Of Kansas - Website1. USD 290 BCBS Plan Summary Effective 10-1-19 thru 9-30-20

  1. BCBS Enrollment Form

  2. BCBS Waiver of Enrollment

  3. BCBS Option Selection Form

  4. BCBS Change Form

2. Health Care Reform Notices

  1. Model Notice

  2. SBC- Glossary

  3. Comprehensive Major Medical Option A (Effective 10-1-19)

  4. Comprehensive Major Medical Option B (Effective 10-1-19)

  5. Comprehensive Major Medical Option C (Effective 10-1-19)

  6. Comprehensive Major Medical Option D (Effective 10-1-19)

3. Cobra Notices

  1. Cobra Continuation Election Notice

  2. Cobra - BCBS Application

4. HSA-Furthera. Contribution FormB.Dental Insurance1. Delta Dental - Website

  1. Plan Summary (Effective 10-1-19)

  2. Enrollment / Change Form

  3. Cobra Form

C.Vision Insurance1. VSP Vision Care

  1. Plan Summary (Effective 10-1-19)

  2. VSP Enrollment Form

  3. Cobra Form

D.Advance Life Insurance

  1. Application

  2. Change Form

E.KPERS Optional Group Life

  1. KPERS Optional Life Insurance

  2. Application

F.Benefits Direct1. Benefits Direct Website

  1. Flexible Spending Account - Flex Made Easy

    1. Flex Made Easy App Instructions

    2. Flex Made Easy Frequently Ask Questions

    3. Flex Made Easy FSA Claim Form

    4. Flex Made Easy Recurring Dependent Care Claim Form

  2. Accident - Guardian

    1. Accident Wellness Claim Form

    2. Group Accident Claim Form

    3. How to File a Claim

  3. Cancer - Loyal American

    1. Loyal American Wellness Claim Form

    2. Loyal American Cancer Claim Form

  4. Critical Illness - Loyal American

    1. Loyal American Critical Illness Claim Form

  5. Identity Theft - InfoArmor

  6. Voluntary Term Life - One America Group

    1. Voluntary Term Life - One America Group Claim Form

  7. Short Term Disability - One America Group

    1. Short Term Disability Claim Form

    2. Short Term Disability Claim Form (Maternity Only)

  8. Universal Life - TransAmerica

    1. TransAmerica Multipurpose Claim Form

  9. Legal - MetLaw

    1. MetLaw Plan Description

  10. Hospital Indemnity - Reliance Standard

    1. Hospital Indemnity Claim Form