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Employee Benefits Employee Benefits

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Eligibility/Open Enrollment Eligibility / Open Enrollment

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Claim Resolution Claim Resolution

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Important Notices Important Notices

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Self-Pay Retirees/Medicare Self-Pay Retirees / Medicare

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Coverage Continuation Coverage Continuation

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Quote Forms

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Medical, Prescription and Dental

* 2019 MEA Enrollment/Change Form

* 2019 NA Enrollment/Change Form

* 2019 MAA Enrollment/Change Form

* 2019 Bus Enrollment/Change Form


Aetna Medical Claim Form

Aetna Coverage for Handicapped Dependents

Express Scripts Rx Mail Order

Express Scripts handles millions of prescriptions each year through home delivery from the Express Scripts Pharmacy.  The Express Scripts Home Delivery allows you to receive up to a 90 day supply of your long term medications, delivered to your home, for one copayment.  To get started, sign in at or call the toll-free number on your ID card.

Dental Claim Form:

How do I file a claim for dental charges and when must I file the claim? There are several easy ways to submit a claim. Click here for details.

Vision Coverage:

VSP Enrollment Form


Flexible Spending Account (FSA):

Flex Facts is the FSA Administrator

Flex Facts FSA 2017 Enrollment Form

Flex Facts FSA Claim Form

Flex Facts Claims Department, 7 Grant Avenue, Lakewood, NJ 08701, Fax 877-747-8564

Health Reimbursement Account (HRA):

Flex Facts is HRA Administrator

Flex Facts HRA Enrollment Form

Flex Facts HRA Claim Form

Click Here for a copy of the HRA 2017-2018 Employee Guide.

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