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2005 Health Insurance Information

2005 Health Insurance Information

Clergy

• Enrollment/Waiver Form

• Add dependant click here for form

• Drop dependant click here for form

• Enrollment/Waiver Form instructions

Lay

• Enrollment/Waiver Form

• Add dependant click here for form

• Drop dependant click here for form

• Lay Employee Termination Form

• Enrollment/Waiver Form instructions

Rates

• 2005 Monthly Rates

• 2005 Annual Rates

Other Forms

• HealthFlex CONTINUATION Form

• Salary Paying Unit Sub Adoption Agreement (for Lay/Deacons)

For Insurance assistance you may call the HealthFlex Team at the General Board of Pensions and Health Benefits 1.800.851.2201 prompt 3

To look up participating Blue Cross Blue Shield of Illinois Providers go to www.bcbsil.com and click on Provider Finder and PPO