Please consult the benefits summary you received from human resources for plan costs and deductible amounts.
When electing medical coverage, you MUST also complete an Affidavit for the Tobacco-Free Incentive Plan, in order to qualify for the reduced premiums. If this form is not returned, you will be enrolled at the base plan premium with Loss of Tobacco-Free Incentive.
When enrolling in our PPO Medical plan, you have the option to elect a Flexible Spending Account, for pre-tax deductions to cover out of pocket expenses. (FOR PPO PLAN ONLY)