PDF FORMS

Security Standards Chart
Other Health Information For Insured
Other Health Information For Spouse
Other Health Information For Child
Dental Claim Form
FSAs, HRAs, HSAs: Just the Basics
FSAs, HRAs, HSAs: Eligibility Chart
Authorization for Medical Access
Termination of Coverage Notification
Health Savings Account
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Personalized Tools

 

Med-Pay Plus Your online site that provides access to your medical claims history through this web page. This information is password protected. Instructions for login are provided separately as they are plan-specific as well as individual-specific.

MyTakeCare This is your Flexible Spending Account tool. This important site allows enrollees to access their individual accounts to see what their current status is on submitted claims as well as any balance in the account. Having all of this information available makes it easy to utilze the money you've set aside on a pre-tax basis. This information is password protected. Instructions for login are provided at enrollment.

 
MiQuotes  Providing on-line access to quality individual insurance and designed to suppplement your current insurance plans. Feel free to obtain quotes for the products that interest you the most.