Helpful Links, Documents & Forms

Links:

• Social Security
• Medicare 
• Cigna Website
• Anthem Website

Documents:

• 2019-2020 Insurance Rates
• 2019-2020 OAP Summary of Benefits
• 2019-2020 OIN Summary of Benefits
• Dental Summary of Benefits

Forms:

• Cigna Enrollment & Change Form
• Anthem Enrollment & Change Form
• Medical Claim Form
• Vision Claim Form
• Pharmacy Claim Form

Life Insurance Information

Do I have Life Insurance?

Yes, secretaries have BOE provided life insurance with a value of $20,000. 

Need to make a change to your life insurance beneficiaries?
Download this form, fill it out, and send it into benefits.