Health Benefits

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Health Benefits 6 documents

  • Employee Schedule of Benefits
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  • Summary Plan Description
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  • Plan Contribution Rates
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  • Dental Benefit Summary
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  • Amendments to Schedule of Benefits
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  • Doctors in Network
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Healthcare Information5 documents

  • Register with Coresource
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  • Understanding Your Explanation of Benefits
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  • Online Claims Management Portal
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  • Coresource Enrollment Form
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  • Coresource Claim Form
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Dental Coverage Information5 documents

  • Online Advantage for Members
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  • Employee Enrollment Form
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  • Employee Change Form
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  • Cobra Information
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  • Assurant Dental Network
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Manage your prescription drug benefits1 document

  • CVS/Caremark
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Wrap-around Coverage1 document

  • PHC/MultiPlan
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Retiree Information1 document

  • Creditable Coverage Disclosure Notice
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Family Medical Leave Act Information & Forms4 documents

  • nformation Regarding FMLA
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  • Information Regarding NJ FMLA
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  • Request for Leave Form (FMLA)
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  • Request for Leave Form (Under NJ-FLMA)
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