Medical
Insurance Plans

2025 HMO SBC

2025 PPO SBC

HMO Summary Plan Description

PPO Summary Plan Description

PHI Authorization Form

Vision
Insurance Plan

Benefit Summary

Certificate of Ins

Out-of-Network Claim Form

Dental
Insurance Plans

Dental Network Access Plan Summary

2025 MetLife Dental Choice Plan Summary

Transition of Care

MyBenefits_Registration Flyer

MetLife Dental PPO High Certificate

MetLife Dental PPO Low Certificate

Life/AD&D
Insurance Plan

Benefit Summary

Cert and Summary Plan Desc

Medical History Statement

Medical Evac/Repatriation FAQ

Evac/Repatriation Details

Short Term Disability

Summary of Benefits

Certificate of Ins

Claim Form

Long Term Disability

Summary of Benefits

Certificate of Ins

Claim Form

Misc.

BCBS HIPAA Notice

BCBS Info. Practices

Carrier Privacy Notice

Travel Assist

Basic Travel Assistance Employee Flyer

Basic Travel Assistance Program Description

Extended Travel Assistance Employee Flyer

Extended Travel Assistance Program Description

Extended Travel Assist Wallet Card

Travel Assistance Mobile App

Assist America Services Introduction