Benefit Forms and Documents

Forms:

• Dental Election Form (.pdf)
  
  
• Benefits Election Form (.pdf)
  
  
• Flexible Spending Account Enrollment Form (.pdf)
  
  
• Flexible Spending Claims Form (.pdf)
  
  
• CIGNA enrollment/change form (.pdf)
  
  
• VSP Vision Plan Change Form (.pdf)
  
  
• Online Health Screening Form
  
  

Plan Documents:

• CIGNA 2008 Prescription Drug List (.pdf)
  
  
• CIGNA 2008 Preventive Health Benefits Quick Reference Guide (.pdf)
  
  
• CIGNA Choice Fund HRA and Open Access Plus Summary Plan Descriptions - January 1, 2008 (.pdf)
  
  
• Dental Care Plan for the Employees of Wake County Government (.pdf)
  
  
• Employee Assistance Program: Well Being - Cigna Behavioral Health  (.pdf)
  
  
• Lifestyle Management Programs: Weight Management, Tobacco Cessation, Stress Management  (.pdf)
  
  
• List of eligible expenses for Flexible Spending Account (FSA) (.pdf)
  
  
• Eye Care Center discount program brochure (.pdf)
  
  
• Frequently Asked Questions (.pdf)
  
  
• Rate Sheet (.pdf)
  
  
• Part-time Benefits Rate Sheet (.pdf)
  
  
• 2008 Benefits Enrollment Guide (.pdf)
  
  
• Decision Guide (.pdf)
  

Forms require the free Acrobat Reader.