Human Resources - Retiree Benefits

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2008 Publications

2008 Benefits & Enrollment Guide for Retirees
2008 AARP Guidebook (not yet available)
Medicare Part D Drug Formulary List

2008 Forms

Medical

Domestic Partnership Affidavit
Termination of Domestic Partnership
UnitedHealthcare Drug Mail Order Form

Life Insurance

UnitedHealthcare Specialty Benefits Conversion Request Form
UnitedHealthcare Specialty Benefits Beneficiary Designation/Change Form (En español)

Deferred Compensation

401(k) Retirement Savings Plan Beneficiary Designation Form 
457 Deferred Compensation Plan Beneficiary Designation Form
457 PST Plan Beneficiary Designation Form

Beneficiary Designation

Employees' Retirement Fund (ERF) Designee Form 

2008 PPO Plans - United Healthcare

80-20 PPO Plan - $300/$1000/$3000 Deductible
70-30 PPO Plan - $300/$1000/$3000 Deductible

2008 EPO Plan

EPO Summary Plan Description
2008 Medicare Part D Plan
       -Summary of Prescription Drug Benefits
       -What’s New with Medicare Part D

2008 Voluntary Benefits -Marsh @ Work Solutions (see the Voluntary Benefits Program section of the 2008 Benefits & Enrollment Guide for a description of each of these voluntary benefits)

Dental Plans - Safeguard
Vision Plan - Spectera

2008 Legislative Notices

HIPAA Privacy Notice
HIPAA Plan Amendment

2008 Vendor Web Sites and Customer Service Numbers

Archives

2007
2006
2005
2004