Helpful Links, Documents & Forms

Links:

• Social Security
• Medicare 
• Cigna Website
• Anthem Website

Documents:

• 2020-2021 Insurance Rates
• OAP Summary of Benefits
• 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. 

To view the life insurance document click here, please reference the Class Definition under Becoming Insured on page 1 to find your class and read information pertinent to you.

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