Health Insurance / Benefits

Health Care Reform Act (Obamacare)

• General Questions & Answers (PDF) 

Health Insurance

• 2022 Schedules and Summaries of Benefits and Coverage
• 2021 Schedules and Summaries of Benefits and Coverage
• 2021 Annual Health Law Notice Disclosures (PDF)
• 2020 Prescription Drug Coverage and Medicare Notice (PDF)
• Deductible Illustration (PDF)
• Employee Welfare Benefit Plan (PDF)
• National Access Program Card
• Preventative Medication List for HDHP (PDF) 

Dental & Vision Insurance (Voluntary)

• Summary: Dental & Vision Insurance (PDF) 
• Website: Delta Dental of Wisconsin
• COVID-19 & Dental Office Visits (PDF)

Accident, Critical Illness, Hospitalization Insurance

• Accident Insurance Summary (PDF) 
• Accident Insurance Policy (PDF) 
• Critical Illness Insurance Summary (PDF) 
• Critical Illness Insurance Policy (PDF)
• Hospitalization Insurance Summary (PDF)
• Hospitalization Insurance Policy (PDF)

Health Savings Accounts

• HSA Info on the Investors Community Bank Website
• Information about Investors Community Bank’s New Website (PDF) 
• Investors Community Bank Online Banking Website
• Pre-Tax HSA Deposits Memo
• HSA Enrollment-Change Form (PDF)
• Examples of HSA Eligible Expenses (PDF)

Section 125 / Flex / Benefit Advantage

• FSA Claims Filing Options Brochure (PDF)
• Flexible Spending Account (FSA) Claim Form (PDF)
• Section 125 Flexible Benefit Plan Notice of Privacy Practices (PDF) 

Other Resources

• 24 Hour Nurse Line (PDF)
• Care My Way from Marshfield Clinic (PDF)
• Contact Information (HSA, CVMIC, Insurance Claims, etc.)
• Deferred Compensation Programs (PDF)
• Group Life Insurance Booklet (PDF)
• MedImpact Tool to Look Up Prescription Drug Prices

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Paper copies of many of the documents listed here are available from the Human Resources Department.