Benefits Office
WELFARE (ACTIVE PARTICIPANTS)
Welfare - Summary Plan Description
Forms
Asbestos Screening Form
Authorization for Release of Health Information
CDPHP Enrollment Form
Claim Reimbursement Form
Dental Out-of-Network Member Claim Form
Letter of Medical Necessity Template
Medical Out-of-network Member Claim Form
Notice of Privacy Practices Form
OptumRX Claim Form
Waiver of Coverage Form
Benefits
COBRA Coverage (See Section E-F - "COBRA CONTINUATION COVERAGE")
Death
Dental
Disability - Loss of Time Benefit for Active Participants
Resources
Asbestos Screening
Doctor on Demand
Doctor on Demand for Mental Health
Health Reimbursement Account
How to Find CDPHP Explanation of Benefits
How to Find Delta Dental Explanation of Benefits
HRA Description