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Benefits Documents and Forms

Health Insurance
2015 Plan Comparison
2015 Unity Basic Health Plan
2015 Unity Enhanced Health Plan
 
Healthy Lifestyle Reimbursement
2014 Healthy Lifestyle Reimbursement Form
2015 Healthy Lifestyle Reimbursement Form 

Find a Rochester Regional Provider
RRHS Domestic Provider List - effective 1/1/15
 
Flexible Spending Accounts (FSA)
Plan Brochure 
Eligible Expense List
Claim Form - Medical
Claim Form - Dependent Care
Order Additional Debit Cards
Direct Deposit Form
Expense Calculator - may not be able to access without most current web browser version

Life Insurance
Beneficiary Designation Form

MetLaw / Hyatt Legal Plan
Legal Services Plan

Open Enrollment Resources 
 What's New in 2015
 2015 Foresight Magazine
 2015 Health Reference Guide
 2015 Maintenance Medications 


Retirement Savings Plans
403(b)
403(b) Enrollment Booklet
Beneficiary Designation Form
Age 50+ Catch-Up Contribution Form

401(k)
401(k) Enrollment Booklet
Beneficiary Designation Form
Age 50+ Catch-Up Contribution Form

Voluntary Benefits - The Farmington Company
Accident, Cancer, Critical Illness, Whole Life Insurance Plans
Voluntary Benefits Summary


 



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