Connect4Health Wellness Program

• Biometric Screening Form Opens a New Window. 
• Biometric Screening Information Opens a New Window. 
• Connect4Health Premium Incentive RequirementsTOpens a New Window.  Opens a New Window. 
• Tobacco Cessation Information Opens a New Window. 
  Opens a New Window.T
• Weight Watchers at Work

Alight - Healthcare Concierge

• Alight Information Opens a New Window. 

Communitas - Nurse Care Managers

• Communitas Information

Employee Assistance Program

• Employee Assistance Program
• Employee Assistance Program - Virtual Counseling

Flexible Spending Accounts (FSA)

• Health and Dependent Care FSA Information
• Health Care FSA Flier
• Diversified Benefit Services Member Website Opens a New Window. 
• 2020 FSA Claim Form
• 2020 FSA Dependent Care Claim Form

Disability Insurance

• Disability Claim Form - Long Term and Short Term
• Disability Guide to the Claim Process

Long-Term Disability (LTD)

• Standard Plan 40%
• Plan 1 50%
• Plan 2 60%

Short-Term Disability (STD)

• Group Worksite Disability Insurance Certificate
• Group Worksite Disability Insurance Policy Opens a New Window. 

Life Insurance

• Application/Subscription Agreement for Group Life Insurance Opens a New Window. 
• Basic Life and AD&D Policy
• Basic Life and AD&D Certificate
• Beneficiary Resource Guide
• Evidence of Insurability (EOI) - Submitting your Online Application
• Life Insurance Claim Form
• Voluntary Term Life Insurance Certificate

Required Notices