Health & Insurance Information
HIPPA Privacy Notice (PDF -135 KB)
HIPPA Policy - Fully Insured Program (PDF -61 KB)
HIPPA Policy - Self Insured Program (PDF -58 KB)
Medicare Notice (PDF -144 KB)
SET-SEG Change Form (PDF -26 KB)
EBC Medical Reimbursement Form (PDF -101 KB)
EBC Dependent Care Reimbursement Form (PDF -72 KB)
Pacific Life Change Form (PDF -99 KB)
Summary of Benefits and Coverage (SBC) - MESSA ABC HSA - All Groups (PDF -355 KB)
Summary of Benefits and Coverage (SBC) - Choices Teachers (PDF -355 KB)
Summary of Benefits and Coverage (SBC) - Choices Administrators (PDF -355 KB)
Summary of Benefits and Coverage (SBC) - Choices Custodial/Maintenance (PDF -355 KB)
Summary of Benefits and Coverage (SBC) - Choices Non-Affiliated Staff (PDF -355 KB)
Summary of Benefits and Coverage (SBC) - Flexible Spending Account (PDF -90 KB)
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Includes Plan Description Summary of Benefits for Dental, Vision, Life, and Long Term Disability by group.