Employee Benefits

Selection	File type icon	File name	Description	Size	Revision	Time	User

	401(k)

Selection	File type icon	File name	Description	Size	Revision	Time	User
	Ċ	401(k) Change Form.pdf View Download		2733k	v. 1	Jan 10, 2018, 1:44 PM	Nicholas Skoglund

	COBRA

Selection	File type icon	File name	Description	Size	Revision	Time	User
	Ċ	Notice of Cobra Rights- updated 2019 template.docx.pdf View Download		182k	v. 2	Mar 13, 2019, 8:18 AM	Erica Chavez

	Dental

Selection	File type icon	File name	Description	Size	Revision	Time	User
	Ċ	2019-20 Vision and Dental Benefits.pdf View Download		189k	v. 4	May 17, 2019, 12:22 PM	Erica Chavez
	Ċ	Delta Dental Application.pdf View Download		801k	v. 1	Jun 22, 2017, 1:06 PM	Nicholas Skoglund
	Ċ	Delta Dental Benefit Certificate (detailed).pdf View Download		379k	v. 2	Jan 15, 2020, 12:36 PM	Erica Chavez
	Ċ	Delta Dental SPD.pdf View Download		1299k	v. 2	Jan 3, 2019, 8:27 AM	Erica Chavez

	Flex

Selection	File type icon	File name	Description	Size	Revision	Time	User
	Ċ	FSA Eligible Expenses.pdf View Download		200k	v. 2	May 17, 2019, 12:29 PM	Erica Chavez
	Ċ	Kabel FSA Enrollment Form.pdf View Download		587k	v. 2	May 17, 2019, 12:29 PM	Erica Chavez
	Ċ	Kabel FSA Flier.pdf View Download		1213k	v. 2	May 17, 2019, 12:29 PM	Erica Chavez
	Ċ	Mobile App. Flier.pdf View Download		255k	v. 2	May 17, 2019, 12:29 PM	Erica Chavez

	Group Health Plan: Medical Associates HMO

Selection	File type icon	File name	Description	Size	Revision	Time	User
	Ċ	EBC MA Buy Up HMO Summary of Benefits and Coverage.pdf View Download		563k	v. 2	Jul 22, 2019, 6:30 AM	Erica Chavez
	Ċ	EBC MA Core HMO Plan Summary of Benefits and Coverage.pdf View Download		563k	v. 2	Jul 22, 2019, 6:30 AM	Erica Chavez
	Ċ	HMODirectory 2018.pdf View Download		1600k	v. 3	Mar 13, 2019, 2:02 PM	Erica Chavez
	Ċ	Instructions PHCS Provider Search for Care Package Program.pdf View Download		652k	v. 3	Mar 13, 2019, 2:02 PM	Erica Chavez
	Ċ	MA HMO Options 2019.pdf View Download		207k	v. 2	May 17, 2019, 12:24 PM	Erica Chavez
	Ċ	Medical Associates Care Package Program.pdf View Download		209k	v. 2	Mar 13, 2019, 2:02 PM	Erica Chavez
	Ċ	Medical Associates My eLink instructions.pdf View Download		623k	v. 3	Mar 13, 2019, 2:02 PM	Erica Chavez
	Ċ	Medical Associates Waiver of Coverage.pdf View Download		588k	v. 2	Mar 13, 2019, 2:02 PM	Erica Chavez

	Life and Long Term Disability

Selection	File type icon	File name	Description	Size	Revision	Time	User
	Ċ	24755LifeCertificate-01.pdf View Download		402k	v. 2	Jan 3, 2019, 8:25 AM	Erica Chavez
	Ċ	24755LifePolicy.pdf View Download		442k	v. 2	Jan 3, 2019, 8:25 AM	Erica Chavez
	Ċ	24755LTDCertificate-01.pdf View Download		416k	v. 2	Jan 3, 2019, 8:25 AM	Erica Chavez
	Ċ	24755LTDPolicy.pdf View Download		264k	v. 2	Jan 3, 2019, 8:25 AM	Erica Chavez

	Vision

Selection	File type icon	File name	Description	Size	Revision	Time	User
	Ċ	12269 VSP Vision Welcome Kit.pdf View Download		54k	v. 2	Jan 3, 2019, 8:15 AM	Erica Chavez
	Ċ	24755VisionCertificate.pdf View Download		604k	v. 2	Jan 3, 2019, 8:22 AM	Erica Chavez
	Ċ	24755VisionPolicy.pdf View Download		337k	v. 2	Jan 3, 2019, 8:22 AM	Erica Chavez