Medical
2024-25 Employee Health Insurance Enrollment & Change Form
2024-25 Health Insurance Premiums - EE and ER monthly contributions
2024-25 Major Provisions and Plan Comparison Chart - Medical Dental Vision
HDHP with HSA Plan Benefits Summary
HDHP with HSA RX Benefits Summary
Major Provisions and Plan Comparison Chart of the Medical Plans
Standard Plan Benefits Summary
UHC Medical Summary of Benefits and Coverage - HDHP with HSA Plan Choice Plus
UHC Medical Summary of Benefits and Coverage - Premiere Plan Choice Plus
UHC Medical Summary of Benefits and Coverage - Standard Plan Choice Plus
Disabled Dependent Child Certification Form
HDHP with HSA Pharmacy Drug List - Preventative Medications Expanded List
OptumRx Home Delivery Mail Order Form
Spousal Surcharge Policy Highlights
UHC HIPAA Notice of Privacy Practices - Medical-EN
UHC OptumRx Pharmacy Drug List
7.1.2024 UHC SPD - Premier Plan Choice Plus Network
7.1.2024 UHC SPD - QHDHP with HSA Plan Choice Plus Network
7.1.2024 UHC SPD - Standard Plan Choice Plus Network