Benefit Information
| Form | Form Description |
|---|---|
| FY25 Healthcare Rates | FY 25 Rates (Effective 7/1/24-6/30/25) |
| Health Plans, Inc HMO Plan Summary | Summary of coverage |
| Health Plans, Inc PPO Plan Summary | Summary of coverage |
| HPI Enrollment/Change Form | Enrollment/Change Form |
| HPI Fitness Reimbursement Form | Fitness Reimbursement |
| Delta Dental Plan Summary | Summary of coverage |
| Delta Dental Enrollment/Change Form | Enrollment/Change Form |
| FSA Open Enrollment Information & Enrollment Form | FY25 Information & Enrollment Form |
| Health Reimbursement Form | Reimbursement Form |
| Mission Square 457 Defined Contribution Plan | Retirement Savings Plan |
| SMART Plan - 457 Defined Contribution Plan | Retirement Savings Plan - to enroll please contact HR for your access code |
| Disability Brochure | Benefit Summary |
| Life Insurance Plan Summaries | Benefit Summary |
| Life Insurance Enrollment Form | Enrollment Form |
| Cancer Coverage | Cancer Plan |
Benefits for Active Health Insurance Members
| ReviveHealth (Formerly Swift MD) | Telemedicine |
| ReviveHealth Counseling (Formerly Swift MD) | Counseling Services |
| Good Health Diabetes Care Rewards | Diabetes Care Rewards Program |
| Canarx | Prescription Drug Mail Order Program |
| PinnacleCare | Health Advisory Services |
| HealthJoy | 24/7 Healthcare Concierge |