Open Enrollment 2014-2015

1. Open Enrollment 2014-2015 Click on the title for a presentation regarding that topic. Click on the links below the title for forms relating to that topic. Chard-Snyder Flexible Spending Account Presentation Introduction, Changes, & Premiums Presentation Chard-Snyder Website Open Enrollment Booklet General Purpose Dependent Care Document Dependent Eligibility Certification and Validation Limited Purpose Document Tax Saver Agreement FSA & HSA Enrollment Form Anthem Health Plans Presentation Delta Dental Presentation Anthem Website Delta Dental Website Anthem Benefit Booklet Benefits Booklet Summary of Benefits & Coverage - SBC Enrollment Form -SBC Choice Plan Humana Dental Presentation -SBC Standard Plan -Uniform Glossary Humana (CompBenefits) Website Enrollment / Change Form Enrollment Packet Enrollment Form Express Scripts/Medco Prescription Presentation Vision Service Plan Presentation Express Scripts Website Choice Plan Prescriptions VSP Website Standard Plan Prescriptions VSP Benefits-Eligible Enrollment Package VSP Part Time / Adjunct Enrollment Package Chard-Snyder HSA Presentation VSP Change Form Chard-Snyder Website ID Theft Presentation HSA Information Packet HSA Eligibility Form ID Theft Benefit Information FSA & HSA Enrollment Form ID Theft Enrollment Information HSA Adv. Online App ID Theft Enrollment Form ID Theft Change Form If you have any questions, please contact your Regional Human Resources Department