- Health Benefits
- Health Benefits Local Church Health Care Tax Credit
- Questions and Answers Regarding your Healthcare Coverage
- Health Benefits Insurance Forms
- Health Insurance Premiums (Rates)
- Health Benefits Retiree Benefits
- Health Benefits Flexible Spending Account Plan
- Health Benefits Reimbursement Arrangement
- Health Benefits Privacy Information
- Helpful Health Benefits Links
- OK to Wellness Newsletter
- Pension Benefits
Health Benefits
| Director Janet A. Tofani Phone: 530.2069; FAX: 530.2097 jtofani@okumc.org |
|||
| Local Church Health Care Tax Credit | |||
| YOU WILL FIND THE FOLLOWING FORMS ON THIS PAGE --Click HERE | |||
| * | Frequently Asked Questions | ||
| * | The Small Business Health Care Tax Credit and United Methodist Churches | ||
| * | 2010 Instructions for Form 8941 & 2011 Clergy Tax Information | ||
| Insurance Forms | |||
| YOU WILL FIND THE FOLLOWING FORMS ON THIS PAGE --Click HERE | |||
| * | Group Health Plan Document | ||
| * | Health Benefit Plan Report 2 (Oklahoma Conference) | ||
| * | Health Insurance Preminums | ||
| * | Benefits Schedule Self-Funded Medical Plan | ||
| * | Health Insurance Enrollment Form | ||
| * | Prescription Drug Plan Covered | ||
| * | Prescription Drug Plan | ||
| * | Creditable Coverage Letter | ||
| * | Employee Assistance Program | ||
| * | Summary Plan Description --Delta Dental | ||
| * | Dental Vision Flyer & Delta Dental Program Highlights | ||
| * | Employee Enrollment Form --Delta Dental | ||
| * | VSP Enrollment Form-Vision | ||
| * | Clergy Life Enrollment form --Aetna | ||
| * | Designation of Beneficiary form --Aetna Life Insurance | ||
| Retirees Benefits | |||
| YOU WILL FIND THE FOLLOWING FORMS ON THIS PAGE --Click HERE | |||
| * | Retirees Benefit Information | ||
| * | Letter of Creditable Coverage for Medicare D | ||
| Flexible Spending Account Plan (125 Cafeteria Plan) | |||
| YOU WILL FIND THE FOLLOWING FORMS ON THIS PAGE -- Click HERE | |||
| * | Flexible Benefit Plan Report 3 (Oklahoma Conference) | ||
| * | Flexible Spending Account Summary | ||
| * | 2011 Flexible Spending Account Section Enrollment Form | ||
| * | |||
| * | Employees Flexible 125 Benefit Plan Summary Plan | ||
| * | Medical Expense Example | ||
| * | Flexible 125 Claim Form: | ||
| * | Flexible 125 Rollover Statement: | ||
| * | Flexible 125 Direct Deposit Authorization: | ||
| * | Flexible 125 Change of Status Form | ||
| * | Flexible 125 Revoke Status Form | ||
| Health Reimbursement Arrangement | |||
| YOU WILL FIND THE FOLLOWING FORMS ON THIS PAGE --Click HERE | |||
| * | HRA Reimbursement Form | ||
| * | HRA Plan Document | ||
| * | Health Reimbursement Agreement Report 4 | ||
| Privacy Information | |||
| YOU WILL FIND THE FOLLOWING FORMS ON THIS PAGE --Click HERE | |||
| * | HIPAA Notice of Privacy Practices | ||
| * | Health Plan Privacy Policy | ||
| * | Flexible Benefit/Cafeteria Plan Privacy Notice | ||
| * | Delta Dental HIPAA Notice of Privacy Practices | ||
| * | VSP HIPAA Notice of Privacy Practices | ||
| * | DHS Instructions for Delivering Required Form Notice to Plan Participants | ||
