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Employee Benefits Page

Welcome to Enloe Medical Center's Employee Benefits Page. Here you will find updates, documents, forms and company information.

Update Effective Feb. 4, 2014:

If you are using the Enloe Pharmacy, all new prescriptions and refill requests may only be filled and picked up at the Enloe Outpatient Center phamacy location on Bruce Road. We are hopeful to find a solution in the future to allow our employees to once again be able to pick up their prescriptions at the Esplanade site and will keep you posted.

Quick Links

Documents, Forms & Company Information

All documents and forms are also available in Human Resources, free of charge. To request a CD or hard copy, please email or call 530.332.7344.

Company

Contact Info

Documents & Forms

 

Keenan HealthCare (Medical)

 

 

Keenan Healthcare - Plan Administrator


To access claim info and EOBs
https://keenan-mesa.javelinaweb.com/

Customer Service & Coverage questions:
877.365.6399

Eligibility & Cobra Question:
310.212.0363 ext 3332

Claims Questions:
310.212.0363 ext 3246

Plan Documents

Employee Medical Benefit Summary Plan Description 2011


Finding a Medical Provider

Anthem Blue Cross PPO Prudent Buyer network

California: www.anthem.com/ca

Outside of California: www.bluecares.com

Company Contact Info Documents and Forms

Express Scripts
( Prescriptions)

888.605.1396

www.express-scripts.com

Formulary

Prescription Coverage Summary

 

Company Contact Info Documents and Forms

Delta Dental

800.765.6003

www.deltadentalins.com

Delta Dental Explanation of Coverage

Dental Benefits Summary

Annual notice Delta Dental of California


Company Contact Info Documents and Forms

VSP
(Vision)

800.877.7195

www.vsp.com

VSP Evidence of Coverage

VSP Summary of Benefits



Company Contact Info Documents and Forms

Anthem

(Life Insurance
and AD&D)


Claims: 800.552.2137

Portability & Conversion Services: 800.801.6142

Life and AD&D Benefit Summary

Cert. Basic Life and AD&D

Company Contact Info Documents and Forms

 

Keenan

Flexible
Spending
Account

Section 125 Plan

FSA Account Questions:
800.653.3626 ext 3614


Check your YTD account activity:
https://keenan-mesa.javelinaweb.com/

 

Look up eligible expenses: www.fsafeds.com

FSA Sec. 125 Plan Doc

FSA Frequently Asked Questions

Health Care Summary

Sample Healthcare Expenses

Company Contact Info Documents and Forms

VALIC
(Retirement)

Instructions for Valic Online Chico office:
530.891.4960

Account Access, Fund Prospectus &
Guided Portfolio Services:
www.valic.com

Fee Disclosure

Annual Participant Fee Disclosure Cover Letter

Investment Alternatives Comparative Chart

Annual Reports

Notice

Summary Plan Description

2012 SPD 401a

2012 SPD 403b

Forms & More

Instructions for Valic Online

VALIC Meeting Schedule

VALIC Beneficiary Designation Form

Company Contact Info Documents and Forms

MHN

(Managed Health Network)

Employee
Assistance Program

For counseling services call 1.800.535.4985 24 hours a day, 7days a week to talk to a professional now or to find a provider.

MHN's online provider search

For additional resources register at:
members.mhn.com

Company Website: www.mhn.com


Summary of Benefits and Coverage: MHN Employee Assistance Program

Company Newsletter

MHN, Member Matters

Company Contact Info Documents and Forms
Work Site Solutions
(Voluntary Benefits)

www.combinedinsurance.com

Enrollment: 800.299.1377
Customer service for current policy owners: 800.544.9382

For More Questions

  • For questions concerning your retirement plan(s), please email or call Enloe's Human Resource Analyst at 530.332.7037.
  • For all other benefits questions, please email or call Enloe's Benefits Specialist at 530.332.7090.

FORMS

 

FSA Reimbursement Forms

Health Care

Depedent Care

 

 

Instructions for Valic Online

Instructions for Valic Online

 

 

Medical,Dental,Vision, Rx Reimbursement forms

Medical Claim/
Reimbursement

Prescription Drug Claim Form

VSP Out-ofDelta Claim Form-Network Reimbursement Form

 

 

Newly Benefit Eligible

Benefits Enrollment

Coordination of Benefits

Medicare Questionnaire

To prove dependent eligibility

 

 

Mid-year Changes Due to a Qualifying Event

The following forms must be delivered to HR within 31 days of the date of the qualifying event.

Benefits Change

Coordination of Benefits

Medicare Questionnaire

To prove dependent eligibility