Benefit Plan Information

Benefits Enrollment Information 2016-2017
Open Enrollment Bulletin - Issued 10/14/2016
Health Insurance Benefit Deduction Calendar - 1/1/2017-12/31/2017
Rate Charts
Benefits Enrollment Guide - Effective 1/1/2017 - 12/31/2017
Health Insurance Benefit Deduction Calendar - 1/1/2016-12/31/2016
Benefits Enrollment Guide - Effective 1/1/2016 - 12/31/2016

Health Care Reform - Affordable Care Act (ACA)
Health Care Reform Notice
New Health Insurance Marketplace Coverage Options and Your Health Coverage / Spanish Version 
HIPPA Notice Special Enrollment Rights
Privacy Notice 2016 
Uniform In Area Benefits Summary    Spanish Version 
Uniform Out of Area Benefits Summary   Spanish Version

AETNA Dental Summary - Spanish Version 
AETNA Dental Card Information - Spanish Version
AETNA Dental Information 

In Area Benefits-At-A Glance- Effective January 1, 2016
Out of Area Benefits-At-A-Glance 
Uniform In Area Benefits Summary - Effective January 1, 2016  Spanish Version
Uniform Out of Area Benefits Summary - Effective January 1, 2016   Spanish Version
Summary of Preventative Services  
Uniform In Area Benefits Summary    Spanish Version
Uniform Out of Area Benefits Summary   Spanish Version
CareFirst Medical Plan Information 
CareFirst App

CVS/Caremark Benefits at a Glance - Effective 1/1/2016
Dispense As Written Example                                                                                                                                       
CVS/Caremark Maintenance Choice Summary 
CVS/Caremark Benefits at a Glance   
CVS/Caremark Overview Brochure  
CVS/Caremark Prescription Information 
CVS/Caremark App

CareFirst BlueVision Plus  
CareFirst BlueVision Plus Information

Basic and Supplemental Life/Long Term Disability Insurance:                                                               
The Hartford Life and Long Term Disability Rate Chart and Calculation Sheet 
The Hartford Basic Life and Supplemental Insurance Booklet 
The Hartford Long Term Disability (LTD) Insurance Booklet 
The Hartford Information 
Employee Annual Legislative Notice

Flexible Spending Accounts (FSA's):                                                                                                           
FSA Information

CONEXIS (Health & Dependent Care FSA Summary Plan Document) 
CONEXIS Elite Benefit Card User GuidelinesCONEXIS Elite Benefit Card FAQ 

Tax Shelter Annuities (TSA's):                                                                                                                  
Tax Shelter Annuity Educational Video 
Tax Sheltered Annuity 403(b) Salary Reduction Agreement Form / 457(b) Deferred Compensation Enrollment Form
Tax Sheltered Annuity Information 
Final Pay Plan 

Adult Dependent Child(ren) FAQ  
Dependent Verification  





Benefits Services:
Hours of Operation
8:00a.m. - 5:00p.m.
Monday through Friday

Sasscer Administration Building
Room 132

Benefits Services - 301-952-6600
Fax :

Last modified: 10/31/2016 2:50:13 PM