Medical
Insurance Plans

2022 HMO Sum of Ben

2022 PPO Sum of Ben

2022 PPO Summary Plan Desc

HMO Summary Plan Desc

PPO Summary Plan Desc

PHI Authorization Form

Vision
Insurance Plan

Benefit Summary

Certificate of Ins

Out-of-Network Claim Form

Dental
Insurance Plans

2023 HMO SBC

2023 PPO SBC

2023 Dental Choice Plan Summary

2023 Dental Network Access Plan Summary

2023 Dental Network Access TX_LA ONLY

2023_Dental_Plan_Overview

2022 MetLife Den High Plan

2022 MetLife Den Low Plan

2022 MetLife Den Low Plan TX/LA

Transition of Care

MyBenefits_Registration Flyer

Dental Low SPD TX/LA

Dental High SPD

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