Benefits
Home » Services: Benefits
Insurance Information
Group insurance is open to public
libraries. Library must join group for employees to participate. Insurance
benefits include: major medical, dental, long term disability, short
term disability, and life insurance. Choose from Bronze, Silver, or Gold
plans.
You will need Adobe Reader
to view the PDF files on this page. Download
the latest version of Adobe Reader.
Resource
Allied Benefit Systems, Inc.
Check status of your claims and deductibles or research medical conditions and procedures in the knowledge base.
Plans
Several plans are available.
Choose the one that works best for you.
Gold
Plan: Effective July 1, 2007
Silver
Plan: Effective July 1, 2007
Bronze
Plan: Effective July 1, 2007
Preferred Provider Networks (PPO)
Choose a physician or hospital in the selected network. Benefits are paid at a higher level.
Private Healthcare Systems
Beech Street
Forms
Medical
PHCS
Medical Claim
Beech
Street Medical Claim
Enrollment
Application
Additions
Changes
Termination,
Certification and Cobra Initiation
Authorization
To Release Medical Information
Prescription
Caremark (formerly AdvancePCS)
Refill a prescription online or check out the health resource section for drug interactions
Mail
Order Prescription Form
Mail Form to:
Caremark
P.O. Box 3223
Wilkes-Bare, PA 18773-3223
Prescription
Drug Claim Form
2006
Caremark Performance Drug List (formerly AdvancePCS Performance
Drug List)
Dental
Dental
Care Claim
Enrollment
Application for Only Dental Coverage
Jefferson Pilot Financial
Insurance Co.
New Enrollment Form
Request for
Change Form
