Benefit Enrollment/ Change Forms
| Enrollment Guide |
| USR Benefits Booklet 2019- Final |
| employee_benefits_advocate_info__1_.pdf |
| ER or Urgent Care??? |
| 2019 Benefit Carrier Website Info |
| Difference Card Enrollment Form |
| Difference Card Easy Enrollment Flyer |
| Difference Card - Spamish |
| Difference Card Reimbursement Form |
| IBC-PPO PlusPlan-Summary of Benefits |
| Market Place Notice 2019 |
| Basic MVP Summary of Benefits 2019 |
| Mec Plan Summary of Benefits 2019 |
| MEC Enhanced Summary of Benefits 2019 |
| Non Creditable Coverage Notice- MEC Plan 2018 |
| Creditable IBC Notice |
| US Restaurants- PTO policy for Restaurant and Maintenance Employees |
| 2019 Retirement Plan Benefits |
| Dental United Concordia Summary of Benefits 2019 |
| United Concordian Dental Claim Form |
| United Concordia Instructions for Completing Claim Form |
| UCCI Dental-.About Digital Dental Cards |
| UCCI Dental-How to access Digital Dental Card |
| Medical, Dental and Voluntary Cancellation Form |
| Short Term Disability Flyer |
| Cobra General Notice |
| The Hartford Life Insurance Port and Coversion Comparison Guide |
| The Hartford Life Insurance Notice of Conversion Guide |
| Compliance=Women's Health & Cancer Rights Act Notice (WHCRA) |
| Compliance- Michelle's Law Notice |
| Compliance-Children's Health Insurance Notice (CHIP) |
| New Jersey Paid sick leave notification |
| Philadelphia Paid Sick leave Notification |