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Dental:

 

 

Prescription

 

 

Optical:

SCMEBF Claim Form

2014 Claim Form for 2013 Expense

Participating Provider List
(2 pages) (2 pages) (2 pages)

Participating Provider List

2015 Claim Form for 2014 Expense

 
(6 pages) (2 pages)  

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Tax:

Bereavement Benefit:

Survivors Benefit:

Participating CPA's

Designation of Beneficiary Form

Designation of Beneficiary Form 

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Eligibility:

COBRA:

Authorization Release: 

Student Verification

Enrollment Form

Authorization for Release of Information

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Retiree Self-Pay Enrollment:

Statement of Dependence

Age Extension for a

Disabled Dependent

Self-Pay Enrollment Letter & Form

Enrollment Form

Enrollment Form

(4 pages)

(2 pages)

(3 pages)

(Please be advised that these forms will automatically be sent to you upon your retirement)

   

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Benefit Reference Guide

Legal Reference Guide

Dental Fee Schedule

(Jan 2008)

(Jan 2008)  

(Jun 2009)

 

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Benefit Reference Guide Update

2014 Newsletter

2014 Newsletter

(Jan 2013)

(Issue 2)

(Issue 1)

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2013 Newsletter

2013 Newsletter

2012 Newsletter

(Issue 2)

(Issue 1)

(Issue 2)

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2012 Newsletter

2011 Newsletter

Voice Article

(legal paper)

(legal paper)

(2012)

Print double-sided & fold

Print double-sided & fold

 

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2010 Newsletter 2009 Newsletter 2008 Newsletter
(legal paper) (legal paper) (legal paper)
Print double-sided & fold Print double-sided & fold Print double-sided & fold
     

               

Updated 10/30/2014

 

 

 

 

 

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