Benefits Administration

2018-19 Open Enrollment Packet

Employee Health Benefits Plan
Information Packet 2017-18

Health Benefits Contact Sheet (Updated 5/8/18)

United Healthcare ("UHC")
Kaiser Medical
Envision Rx

Kaiser Dental
Delta Dental
Willamette Dental

VSP

Kaiser Medical and Dental: Map of Locations

MHN - Employee Assistance Plan

Unum - Long and short-term disability and life insurance coverage

BAS Healthcare FSA
BAS Dependent Day Care FSA
Healthcare FSA Reimbursement (Elecronic Form)
Heathcare FSA Reimbursement (Mail-in Form)

Employees and spouses are only eligible to participate in the Reta Trust WebMD Wellbeing Program if they are enrolled in medical insurance. Employees who have waived medical coverage are not eligible to participate.

Wellbeing Program FAQ
Wellbeing Rewards
Biometric Screening Flyer

Dependent Care Reimbursement Plan

EnvisionRx Prescription Reimbursement Form

EnvisionRx Prescription Exception Authorization Form

Healthcare FSA Reimbursement (Electronic Form)

Healthcare FSA Reimbursement (Mail-in Form)

Life Event Change Form 2017-18

Medicare Employment Verification Form

Tax Sheltered Annuity Program Guide and Election Form