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2010 Domestic Benefits enrollment Form 2010 Domestic Open Enrollment Letter 2010 Domestic Rate Sheet 2010 Contract Open Access Managed Choice

2010 International Enrollment Form 2010 International Employee Rate Sheet 2010 International Open Enrollment Letter

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NEW EMPLOYEE FORMS Job Application Confidentiality Agreement Employee Direct Deposit Form Emergency Information Form VET-100 Survey Form Employment Eligibility Verification (I-9) Legal Domicile International Employees only Name/Address Change SCA employees - Memorandum For QNEC Acknowledgement of PTE Health Welfare Paid into QNEC- Part-Time Acknowledgement of PTE Health Welfare Paid into QNEC-HR Acknowledgement of Notice of Waiting Period for SCA - HR Acknowledgement of Notice of Waiting Period for SCA- Full-Time	LABOR LAWS EEOC Americans with Disabilities Act (ADA) ADA Public Law 101-336 Family & Medical Act (FMLA)-Domestic Employees only FMLA Public Law 103-3-Domestic Employees only FMLA Employee Form - Certification of Health Care Provider-Domestic Employees only
TAX FORMS State Tax Forms W4 Form IRS Forms Taxation of Americans Abroad Form 673 - Foreign Earned Income Exemption	EMPLOYEE MANUAL 2010 Federal Holidays
TIMESHEETS Timesheet Instructions Timesheet Time sheet - Dental	Leave Request Form Employee Action Notice

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AETNA DOMESTIC INSURANCE FORMS 2010 Domestic Benefits enrollment Form 2010 Domestic Open Enrollment Letter 2010 Domestic Rate Sheet 2010 Contract Open Access Managed Choice How to Find a Provider in Your Area Vision One Integrated Health and Disability Auth Dental Benefit Summary Employee Retirement Income Security Act (ERISA) Using Your Aetna Vision Benefits Children’s Health Insurance Program (CHIP) CLAIM FORMS Medical Claim Form Dental Claim Form Rx Claim Form Vision Claim Form SHORT TERM DISABILITY (STD) Short-Term Disability Forms Choctaw Behavioral Health Clinician Statement Choctaw Attending Physician Statement Choctaw Disability Employee Request for Information Choctaw HIPAA Auth Form INSURANCE BOOKLETS Open Choice Medical - Booklet Open Access Managed Choice - Booklet Open Access Managed Choice - Summary of Coverage Traditional Choice - Booklet Traditional Choice - Summary of Coverage PPO Dental (Passive) Expense Coverage - Booklet PPO Dental (Passive) Expense Coverage - Summary of Coverage Life Insurance - Booklet Life Insurance - Summary of Coverage (Non-Corporate) Life Insurance - Proof of Death Long Term Disability - Summary of Coverage (Non-Corporate) Temporary Disability Income - Summary of Coverage Temporary Disability Income - Booklet All You Need to Know about H1N1 Flu

AETNA INTERNATIONAL INSURANCE FORMS 2010 International Enrollment Form 2010 International Employee Rate Sheet 2010 International Open Enrollment Letter Aetna Global Benefits Dental Indemnity Plan How Aetna Pays OON Claims *Simplified* International Employee Assistance Program (IEAP) International Temp Card Pharmacy PPO Bermuda plan design Medical, Dental, Vision and Rx Claim Form Proof of Death How to Submit a Life Claim PPO & Prescription Drug Forms Life and Accidental Death Forms Comprehensive Dental Forms Long-Term Disability Forms Vision Forms Make strides toward a healthier lifestyle Fast Facts - Pre-trip Planning Resources Take a virtual tour of your AGB Benefits! AGB Fast Facts - Aetna Navigator LONG TERM DISABILITY (LTD) Long-Term Disability Forms NEW CLAIM ADDRESS FOR AGB: Aetna Global Benefits/Aetna P.O. Box 981543 El Paso, TX 79998-1543 USA

NOTE: All original enrollment paperwork must be mailed to: Robin French CMSE Insurance Manager 2101 W. Arkansas Durant, OK 74701

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401(K) General Information Enrollment Form* Beneficiary Form* Custodian Form* Investment Performance Review Rollover Form Catch-Up Contribution Form Contribution Change Form Early Withdrawal of Benefits Form QNEC Form Principal Plan Summary 404(c) Notice Understanding Investing (Investor Profile Quiz Included) Russell LifePoints Principal LifeTime Portfolios Principal Managed Account Program PMAP Disclosure Document Redemption Fee & Transfer Restriction Fund Transfer Restrictions Principal Blackout Notice 2005 Summary Annual Report Retirement Plan Check-Up EGTRRA Tax Credit Info How to Read Your Statement Educational Materials Investment Performance History Termination Memo* Principal Termination Contact* Provider Link

NOTE: Fax all 401(k) paperwork to:            Latisha Potter            (580)924-5764            or email to: lpotter@cmse.net            Original paperwork must be mailed to:            CMSE-CAE-CPRE-CCS 401K Plan            Attn: Latisha Potter            2101 W. Arkansas            Durant, OK 74701

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WORKERS COMPENSATION Domestic Claim Form International Claim Form FMLA Employee Form - Certification of Health Care Provider-Domestic Employees only

NOTE: All Workers Comp paperwork must be faxed to:            (580) 924-5764            Attn: Trina Dunegan            Workers Comp Manager            2101 W. Arkansas St.            Durant, OK 74701

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EXPENSE REPORTS Travel Request Local Travel TDY Travel PCS Travel Miscellaneous CME/CEU Expense Report

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INSURANCE PREVIOUS TO AETNA
CIGNA INSURANCE US Employees MEDICAL - All Dental Claim Form Vision Claim Form Medical Claim Form Pharmacy Claim Form	CIGNA INSURANCE Overseas Employees MEDICAL -International Plan Claim Form
DOMESTIC INSURANCE BOOKLETS Preferred Provider Medical Benefits Comprehensive Medical Benefits Texas Dental Choice Dental Preferred Provider Insurance Puerto Rico Preferred Provider Medical Benefits Puerto Rico Dental Plan Vision Care Insurance