Note:  If you're looking for a CHANGE form, go to Forms / Reference.

2010-11 Reader-Friendly Benefits Booklet

èNote:  The "Standard PPO" medical plan option no longer exists as of January 1, 2010.

• Medical Related (UMR handles our medical claims; our Network is "Texas True Choice)

Find a Network Provider

GO TO Fiserv/UMR Website (medical claims administration)

VIEW POLICY DETAILS/Plan Documents:  MEDICAL PLANS   

VIEW POLICY DETAILS/Plan Document:  ENTRY PLAN

VIEW SUMMARY PLAN WRAP DOCUMENT   <Explain what this is

• Pharmacy Related (Maxor handles our pharmacy claims)

• Dental Related (UMR handles our dental claims; your Network is "Guardian")    

                  Find a Network DENTAL Provider 

               VIEW POLICY DETAILS/Plan Document:  Dental Plan

• Group Life Insurance Related (through ING - Reliastar)

                    The ING Group Policy (only applies if you are enrolled in LIFE INS)

                    Evidence of Insurability - STATEMENT OF HEALTH FORM

Life Insurance "NEW Beneficiary" Form           ADD or INCREASE Life Ins. Form

• Employee Counseling, Legal, and Financial Services (through Interface EAP)

                   Go to Employee Assistance WEBSITE    Note:  U/N is Ancira; PW is 710

                   Learn what SERVICES are available      

• 401(k) Related  (managed by Wells Fargo Retirement & Financial Services)