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Sarpy County Nebraska

Insurance Documents
(Insurance benefits available to employees classified as working 30+ hours per week or deemed eligible persuant to the Affordable Care Act)
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            Group Health Insurance Meeting: 10/25/2016  ~ Audio File ~
 
GROUP HEALTH INSURANCE: Blue Cross/Blue Shield (1/1/17-12/31/17)
  Overview
  Monthly Premium Costs
  Schedule of Benefits
  Summary of Benefits and Coverage (SBC)
  Preventative Services
  Retirement Health Insurance Benefits
  Certificate of Coverage
  Master Group Contract
   GROUP HEALTH INSURANCE: General Information and Documents Below
   Telehealth
   Tutorial: How to find an In-Network Provider
   MY BLUE: Website for creating a subscriber account
   Pre-Authorization List (link to website)
   ~NACO BENEFIT~ Term Life Insurance
    Certificate of Coverage (must be enrolled in SARPY County BCBS Health Insurance)
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IN-NETWORK PARTIAL-SELF FUNDING: Employee Benefits Systems (EBS)    (1/1/17-12/31/17)

    Claims Processing Illustration
    Summary of Benefits and Coverage
    Summary Plan Document
 
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Flexible Spending Accounts:  General Information and Documents Below
   ASIFlex (link to website)
   Mobile Access
   Claim Form
   Carry-Over
   Over-The-Counter (OTC) Overview
   Explanation Presentation
   Plan Document / Summary Plan Description
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Group Dental Insurance: Reliance Standard (using Ameritas Network)
    Overview
    Highlights of Coverage
    Certificate of Coverage
    Provider Lookup Link (Plan Type: Classic PPO)
    Vision Discount Program- available if enrolled in Dental Insurance
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Group Term Life Insurance/Voluntary Supplemental Life Insurance: Reliance Standard
    Overview
    Certificate of Coverage: $30,000
    Certificate of Coverage: $45,000
    Cost sheet for Voluntary Supplemental Life Insurance
    Certificate of Coverage: Voluntary Supplemental
    Beneficiary Form
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Group Long-Term Disability Insurance: Reliance Standard
    Certificate of Coverage: Less than $30,000 annual pay
    Certificate of Coverage: $30,000 or more annual pay
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CHI Health Employee Assistance Program (EAP):    402-398-5566

    Website
    Summary of Benefits and Coverage
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Nebraska Public Employees Retirement System (NPERS)
    Overview
    Access to Full Website
    Forms Link
    County Handbook Link
    Publications / Newsletter Link
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Supplemental/Volunteer Benefit Providers
   Link to contact list
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Legal Documents/Notices
    Notice of HIPAA Privacy Practices
    Glossary of Health Coverage and Medical Terms
    CHIP (Children's Health Insurance Program) Notice
    Reliance Standard: Privacy Statement
    COBRA
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Mileage Rates
    ~2016~
    ~2017~
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Chief Deputy Benefits (excludes Chief Deputy Sheriff)
    Chief Deputy Benefits