Below you will find the following health insurance plan benefit documents. Completed forms should be submitted to your human resources / business office representative.
- Health and Dental Enrollment Form
- Health Plan 3 SBC 1500 Ded
- Health Plan 4 SBC 2500 Ded
- Health SBC Plan 5 8200 Ded
- How to find a Provider that is in the UMR Network
- Health Drug Plan MedOne
- Mail Order Form – fillable
- Teledoc 7 Reasons to Use
- Teledoc Smart Choice
- Teledoc Getting Started
- MedOne Diabetes Kannact Flyer
- Hawk i Medicaid
- Archdiocese Annual Notices Packet
- Health 2019 SPD
- Health 2018 Summary Annual Report
- Health Plan Creditable Coverage Document 2019
- Health Non-Creditable Covg Plan 5 $7,900 2019
- Heatlh Plan Cobra General Notice 2019