Employee Benefits

2013 Open Enrollment Material

• Annual Notices - Small Group
• Silver PPO with Rx
Gold PPO with Rx
HMO-15 with Rx
Rates
PPO Transition
PPO UCC Flyer
HMO Tranistion
HMO UCC Flyer
Renewall Cover Letter
Changes to Blue Shield Plans
• Preventive Guidlines
• Medco
• Medco Formularies
• Merger Buck Slip
• Nurse Line Mailing
• Rx Vaccinations Enhancement
• Total Health and Wellness

2012 CSAC-EIA Medical Plan Information

• Annual Notices
• GSRMA Enrollment Form
• Medical Benefit Changes for 2012
• Disabled Dependent Form
• GSRMA - Privacy Practices Notice
• Hospital, Urgent Care, & Ambulatory Surgical Centers
• List of Freestanding Clinic Laboratories
• List of Freestanding Radiology and Imaging Centers
• List of Freestanding Urgent Care Centers
• Notice for Dependents over 23
• Nurse Line
• Shield Your Health
• Standard Pharmacy Store Chain Listing
• Urgent Care Center Flyer

Allstate Major Medical GAP Insurance

Website: www.allstateatwork.com

• Employee Application to Purchase Gap Insurance
• GAP Insurance Claim Filing Procedures
• GAP Insurance Claim Form
• Major Medical – GAP Brochure
• Medical Gap Benefit Summary
• MMC – Outline of Coverage – HC & OP
• Using Your GAP Coverage
• Employee Rates for Allstate Gap Insurance

CSAC-EIA HMO Medical Plan

Website: www.blueshieldca.com/csac

• HMO w Rx
• EIA HMO Coverage Booklet
• EIA HMO Transitioning to Your New Access
• EIA HMO Provider List
• Chiropractic Provider List
• Acupuncture Provider Directory for Butte County

CSAC-EIA Gold PPO Medical Plan

Website: www.blueshieldca.com/csac

• Gold PPO w Rx
• EIA PPO Member Material
• EIA Health Small Group Gold PPO Plan Benefit Changes
• Gold PPO Benefit Book
• Provider List for Butte County

CSAC-EIA Silver PPO Medical Plan

Website: www.blueshieldca.com/csac

• Silver PPO w Rx
• EIA PPO Member Material
• EIA Health Small Group Silver PPO Plan Benefit Changes
• Silver PPO Benefit Book
• Provider List for Butte County

MEDCO Perscription Drug Plan

Website: www.medco.com

• Frequently Asked Questions
• Formulary Guide 11-2010
• Medco Rx Claim Form
• Medco CSAC EIA Specialty List
• Small Group Medco Webinar

CSAC EIA Delta Dental

Website: www.deltadental.com

• Explanation of Coverage Effective 7/1/2011
• Enrollment Form
• How to Print an ID Card
• PPO Provider List 2012

Oroville Vision

• Vision Benefit Coverage 2012