2021 Summary Plan Description
(Benefits Handbook) |
2020 Documents and Links
- Benefits at a Glance
- 2020 Severance Policy
- 2020 SMM Severance Plan
- 2020 Summary Plan Description
- 2020 Metro and Enid - Summary of Benefits and Coverage
- 2020 Regional - Summary of Benefits and Coverage
- 2020 Out of State Dependent - Summary of Benefits and Coverage
- 2020 - Summary of Benefits and Coverage
- 2020 INTEGRIS Formulary
- 2020 INTEGRIS PDL
- 2020 INTEGRIS Formulary Drug Exclusions
- 2020 Pharmacy Plan Detail
- 2020 How To Use The ConnectYourCare Employee Portal
2020 Forms
- Dependent Verification Form - Spouse
- Dependent Verification Form - Child
- Spouse Employment Verification Form - Surcharge
- Out of State Dependent Proof of Residency Form
- Common Law Marriage Affidavit
- Dependent Disability Affidavit
- Medical Claim Form
- Mail Order Prescription Drug Form
- HIPAA Privacy Notice
- Caregiver Reduction in Hours Form
- Caregiver Increase in Hours Form
- How To File A Claim With ConnectYourCare
- ConnectYourCare Healthcare Reimbursement Claim Form
- ConnectYourCare Dependent Care Reimbursement Claim Form