Medical Insurance

Enrollment 2014 Universal Enrollment Form
Diocese of Stockton Summary of Benefits SOB 2016

Diocese of Stockton SPD Final 2014

 

Diocese of Stockton Summary of Benefits SOB 2017 -2018
Diocese of Stockton Summary of Benefits-Coverage SBC 2017
PlushCare Overview Brochure 0316 A
PlushCare Overview Brochure 0316 B
 

Dental Insurance

PREMIER Enrollment Form
PREMIER ACCESS SCHEDULE OF BENEFITS 2016
PREMIER DENTAL SPD 2016-2017
A Student Certification Form
PREMIER ACCESS PPO Certificate of Insurance 2013
 

Vision Insurance

Enrollment: 2014 Universal Enrollment Form
Superior Vision Northern CA Providers
A Student Certification Form
 

Wellness Information

DOS 2017 Delta TeamCare Introduction Letter
DOS 2017-18 Wellness Flyer
DOS Physician Screening Form
DOS Wellness Portal Instructions 2017-18
 

Flexible Spending Accounts

2 – Flex Spending Form
RCB – Flex – Complete Employee Packet- Jul 2017
RCB – Flex – SPD – Jul 2016
Flexible Spending Claim Form 2017
 

Symetra

CoreLife/LTD Policies/Coverage

POLICY Life E-Cert Class 1 NB 0714
POLICY LTD E-Cert Class 1 NB CLERGY 0714
POLICY LTD E-Cert Class 2 NB LAY 0714
EMP CORE LIFE Benefit Summary 2015
EMP CORE LTD Benefit Summary Lay EE's 2015
EMP CORE LTD Benefit Summary Priests 2015
 

Voluntary Life

6 VOL LIFE Customized Enrollment Form
6B Voluntary Life Rates Accept/Decline Enroll Form
EMP VOL LIFE Benefit Summary 2015
Symetra Beneficiary Form
Evidence of Insurability Symetra
 

Pension Plan

Lay Pension Beneficiary Designation Form

 

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