OPEN ENROLLMENT November 1 through December 14 - Effective January 1 2008
NEW AETNA DOMESTIC INSURANCE FORMS
OPEN ENROLLMENT LETTER 2007
Domestic Benefits Enrollment Form
Benefit Summary
Traditional Choice Benefit Summary (Out of Area)
Domestic Letter 2007 Aetna
Medical - Temp ID Card
Rate Sheet 2007
How to Find a Provider in Your Area
Vision One
Dental card
Attending Physician Behavioral Health Statement
Attending Physician Statement
Employee Request for Information - Corporate
Employee Request for Information - Non-Corporate
Medical Claim Form
Dental Claim Form
Rx Claim Form
Integrated Health and Disability Auth
Short Term Disability Claim Filing Instructions
Dental Benefit Summary
NEW AETNA INTERNATIONAL INSURANCE FORMS
OPEN ENROLLMENT LETTER 2007
International Benefits Enrollment Form
International Letter 2007 Aetna
Aetna Global Benefits
Dental Indemnity Plan
International Rates 2007
International Employee Assistance Program (IEAP)
International Temp Card
Pharmacy
PPO Bermuda plan design
Medical, Dental, Vision and Rx Claim Form
LTD Attending Physician Statement
LTD Authorization to Obtain Information
LTD Authorization to Secure Award or Denial Information
LTD Behavioral Health
LTD Capabilities/Limitations Worksheet
LTD Claim Filing Instructions
LTD Employee Request for Information
LTD Other Income Questionnaire
LTD Reimbursement Agreement
LTD Release Protected Health Information
LTD Work History and Education Questionnaire
Proof of Death
How to Submit a Life Claim

*Check "Print as image" in the Print dialogue box before printing.

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
-Name/Address Change
-SCA employees - Memo for New SCA employees
-SCA employees - acknowledgement of waiting period
-SCA employees - acknowledgment of waiting period (PT)

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

IRS
-State Tax Forms
-W4 Form
-IRS Forms
-Taxation of Americans Abroad
-Form 673 - Foreign Earned Income Exemption

EMPLOYEE MANUAL

2008 Federal Holidays

TIMESHEETS
-Timesheet Instructions
-Timesheet
-Time sheet - Dental

Leave Request Form

Employee Action Notice

   

INSURANCE
US Employees

MEDICAL - All
-US Contract Employee Rate Plan
-Hawaii Employee Rate Plan
-Dental Claim Form
-Dental ID Card
-Dental Cleanings FAQ
-Vision Claim Form
-Medical Claim Form
-Pharmacy Claim Form
-Life Insurance Claim Form
-Medicaid Prescription Drug Program

MEDICAL -PPO Plan
-PPO Introduction
-Special Enrollment Requirements
-Summary of Benefits
-Prescription Drug List
-Dental Introduction
-Dental Plan
-Vision Plan
-Vision Plan Preferred Network

MEDICAL -Hawaii Plan
-Introduction
-Special Enrollment Requirements
-Summary of Benefits
-Dental Introduction
-Dental Plan
-Vision Plan
-Vision Plan Preferred Network

MEDICAL -Puerto Rico Plan
-Introduction
-Special Enrollment Requirements
-Summary of Benefits
-Prescription Drug List
-Dental Introduction
-Dental Plan
-Vision Plan
-Vision Plan Preferred Network

SHORT TERM DISABILITY
-Short Term Disability Coverage
-How to File a Claim
-Claim Form
-FMLA Certification of Health Care Provider
-Employee Retirement Income Security Act (ERISA)

LONG TERM DISABILITY
-Long Term Disability Coverage
-Employee Retirement Income Security Act (ERISA)

WORKERS COMPENSATION
-Claim Form

INSURANCE
Overseas Employees

MEDICAL
-Rate Plan

MEDICAL -International Plan
-Member Information Kit
-Schedule of Benefits
-Claim Form
-Pharmacy Management
-Travel Assistance Service
-Temporary ID Card

LONG TERM DISABILITY
-Long Term Disability Coverage
-Long Term Disability Claim Form
-Long Term Disability Supplementary Claim Form

Workers Compensation
-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

 

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

401(K)
-General Information
-Enrollment Form*
-Beneficiary Form*
-Custodian Form*
-Rollover Form
-Catch-Up Contribution Form
-Contribution Change Form
-Hardship Withdrawal Form
-QNEC Form
-Principal Plan Summary
-404(c) Notice
-Investment Option Additions 02/26/2007
-Investment Performance
-Understanding Investing (Investor Profile Quiz Included)
-Russell LifePoints
-Principal Managed Account Program
-PMAP Disclosure Document
-Redemption Fee & Transfer Restriction
-Fund Transfer Restrictions
-Retirement Plan Check-Up
-EGTRRA Tax Credit Info
-2005 Summary Annual Report
-Principal LifeTime Portfolios
-How to Read Your Statement

Takes you to the Principal Financial Group Website

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




NOTE: All 401(k) paperwork must be faxed to:
           Latisha Potter
           (580)924-5764