Medical

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• Classified Staff Summary of Benefits
  
• Certified Staff Health Insurance Cost Share

• Summary of Health Benefits $1,000 Deductible
  
• Summary of Health Benefits $2,000 Deductible

Sanford Health

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• Enrollment Change Form
• Sanford Health Online Enrollment Link
• Letter of Medical Necessity
• Out of Area Waiver
• Sanford Health Insurance Application
• Transition of Care Request
• Waiver of Health Benefits

VSP Vision

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• Vision New Member Application & Change Form
  
• VSP Website Enrollment Instructions
  
• Summary of Vision Benefits

Delta Dental

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• Dental New Member Application & Change Form
• Dental Benefits/Premium

MetLife Accident Insurance

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• Accident New Member Application & Change Form
• Accident Claim Form

MetLife Voluntary Life Insurance

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• Premium Rate Sheet (Monthly)
• Voluntary Life New Member Application & Change Form
• Statement of Health Form
• Beneficiary Form

Other

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• Creditable Coverage Disclosure (Prescription Drug Coverage & Medicare)
• Federal Notice: CHIP (Children's Health Insurance Program)
• Health Care Reform (Patient Protection and Affordable Care Act)
• Market Exchange

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