integrisok.com/-/media/total-rewards/Docs/2019AllCostSheets2019 Documents and Links
- 2019 Benefits at a Glance
- 2019 Rates
- 2019 Summary Plan Description
- 2019 Metro and Enid - Summary of Benefits and Coverage
- 2019 Regional - Summary of Benefits and Coverage
- 2019 Out of State Dependent - Summary of Benefits and Coverage
- 2019 INTEGRIS Formulary
- 2019 INTEGRIS PDL
- 2019 INTEGRIS Formulary Drug Exclusions
- 2019 Pharmacy Plan Detail
- 2019 How To Use The ConnectYourCare Employee Portal
2019 Forms
- 2019 Medical Claim Form
- Mail Order Prescription Drug Form
- Life Event Form
- Common Law Marriage Affidavit
- Dependent Disability Affidavit
- Benefits Appeal Form
- HIPAA Privacy Notice
- Dependent Verification Form - Spouse
- Spouse Other Benefits Authorization Form Surcharge
- Dependent Verification Form - Child
- Out of State Dependent Proof of Residency Form
- 2019 How To File A Claim With ConnectYourCare