2012 Open Enrollment Information
Resources
2012 Open Enrollment Brochure
2012 On-line Open Enrollment Directions
Dependent Eligibility
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Certifications & Forms
Life Insurance Evidence of Insurability Form
Long Term Disability Evidence of Insurability
Older Adult Certification (26-28 years of age)
Other Insurance Information Certification
Primary Coverage Spouse or Same-Sex Domestic Partner Certification
Same-Sex Domestic Partner Affidavit
Young Adult Certification (19-26 years of age)
Contribution & Rates
Medical
Dental
Life Insurance Choice A (Administrative & Faculty Only)
Optional & Dependent Life Insurance Rates
Summaries
Medical Plan A
Medical Plan B
Dental
Prescription Drug Plan
Temporary Prescription Drug ID Card
Vision - VSP Brochure
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| (419) 372-8421 | Fax: (419) 372-2920 |
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