OBERLIN Online
Title: Health Care Benifits
Health Care Home  Contact Us  Directories  OBERLIN Online
Dental Plan
Downloadable Documents
Employee Assistance Program (EAP) - Mental Health/Substance Abuse
Flexible Spending Account (FSA)
Group Term Life and AD&D Summary
Health Benefits
HIPAA - Privacy & Confidentiality
Long Term Care
Prescription Drugs
Retirement
Short and Long Term Disability
Tuition Remission
Vision Plan
Wellness
Contact Us
HR Home Page
 Downloadable Documents
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AD&D
AD&D Information
Life & AD&D Summary Sheet

ADA
Americans With Disabilities Act

BENEFITS SUMMARIES
Administrative Assistants
Administrative & Professional Staff

Confidential Employees
Faculty
Non-Continuing Faculty
Safety & Security Employees
Service Employees

DENTAL
Cigna Dental Summary
Dental Claim Form
Met Life Summary
Patient Charge Schedule

FLEX SPENDING
Cigna Medical Reimbursement
Cigna Child Care Reimbursement
Flex Spending Summary

FMLA
FMLA Information Sheet
FMLA Provider Certification

HEALTH INSURANCE
Cigna
Cigna Phone Tree
COBRA Continuation
Dependent Coverage

Finding a Doctor by Specialty
Full-time Student Status Form

Generic Additions Update
Global Emergency Medical Service
Global Assistance Wallet Card
How to Find a Doctor by Name
Lab Facilities
Medical Claim Form

OCOPE Three-Tier Drug Reimbursement Form
Prescription Drug Three-Tier Program
Safety & Security Reimbursement Form
Tel-Drug Order Form

HIPAA
2006 Notice of Privacy Practices
HIPAA-ERISA Appeal Language
HIPAA Authorization

LIFE
Beneficiary Designation Card
Life Information
Proof of Insurability
Summary Sheet

LONG TERM CARE
Long Term Care Information

MISCELLANEOUS
A&PS Performance Appraisal
Business Conduct Policy Manual
Employee Change Form
I-9 Acceptable Documents List
Reclass Form for Administrative Assts
Physicians Statement (Required for Medical Leaves)
Summary Annual Reports
Spousal Coordination of Benefits

PAYROLL
Direct Deposit Form
State Form
State Reciprocity
W-4

PREFERRED HEALTH B-PLAN
Physical Reimbursement Request
Eye Reimbursement Request

SUMMARY PLAN DOCUMENTS
Preferred A Plan
Preferred B Plan (Service & Security)
Preferred B Plan (AA's Standard)
Preferred B Plan (AA's Incentive)

Retirees
Quick Reference Chart, Plan A
Quick Reference Chart (Service & Security)
Quick Reference Chart (AA's Standard)
Quick Reference Chart (AA's Incentive)
Quick Reference Chart, Retirees

TIAA CREF
TIAA CREF Enrollment Form
TIAA Salary Reduction Form
TIAA Salary Reduction - OCOPE
TIAA CREF When Leaving the College

TUITION REMISSION
AA Staff Children Scholarship Form
Staff Children Scholarship Form

VISION
Coverage Information
Vision Claim Form



 

 

    
    
   
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