Health Benefits
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Dental Benefits -  United Concordia ................................. 866-851-7568 |
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United Concordia Enrollment Form |
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Certification of Child Status (for EACH eligible child age 19-26)
NOTE: One form may be used for enrollment in Medical and Dental plans. |
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- Dental vs. Dental Plus Comparison |
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- Dental Plan Grid / Summary |
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- Dental Plus Co-Pay Schedule |
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- Dental - Police Only |
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| Medical Benefits - Highmark - BC/BS ............................ 877-258-3123 |
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Highmark PPO Enrollment Form (Medical) |
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Certification of Child Status (for EACH eligible child age 19-26)
NOTE: One form may be used for enrollment in Medical and Dental plans. |
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Plans (Highmark PPO Blue)
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Programs |
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| Vision Benefits - Davis Vision ............................................ 800-999-5431 |
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(For more info, call or register on their website.)
Hybrid Affinity Gold Program
Visionworks Store Locations |
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| Domestic Partners (Same-Sex) |
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Policy and Forms |
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| Life Insurance - Prudential |
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Life Insurance Enrollment/Change Form
Beneficiary Change:
- Beneficiary change online
- Beneficiary designation/change form
Group Term Life Insurance Certificate
Policy questions ...................... 800-778-3827
Claims questions ................... 800-524-0542
To increase/decrease your optional life insurance amount, contact HR at 412-350-6830
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| Related Benefits Forms |
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County Health Benefit Cancellation Form |
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County Health Care Bonus Waiver Form |
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Optional Benefits
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| 457(b) Deferred Compensation Plan |
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VALIC Retirement Services ............................................. 800-448-2542
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| AFLAC ................................................................................... 412-323-8855 ext. 304 |
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Fax: 412-323-8555 |
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Flexible Spending Account (FSA) Information |
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- Request for FSA Reimbursement (M-0272) |
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Instructions for Filing Claims (S-3087) |
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- Accidental Injury Claim Form (S-00198) |
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- Sickness Claim Form (S-2029) |
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- Continuing Disability Form (S-13270) |
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| CityCO Federal Credit Union ............................................. 412-350-5957 |
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(home mortgages, loans, checking & savings accts)
Fax: 412-281-9158
Hours: Mon. - Fri., 8:30 am to 4:00 pm
Location:
220 Grant Street
Pittsburgh, PA 15219
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EZ Gold Bus Pass Forms
(Program information can be found on the County Intranet) |
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More Information
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Medicare |
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Medicare Part D – Annual Notice |
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Social Security |
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Women's Health and Cancer Rights Act of 1998 |