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Customer Service/Call Center
Benistar @ 1-888-588-6682


2020 FORMS & DOCUMENTS

forms
Pre-65 forms
post-65 forms
Hardship fund
Open enrollment form
Copper Plan
IRS 13441A Form
ALL MEMBERS

2020 DOCUMENTS
Pre-65 DOCUMENTS
GENERAL INFORMATION
CARRIER MATERIALS
POST 65 DOCUMENTS
GENERAL INFORMATION
CARRIER MATERIALS
ENROLLMENT FORMS / PRICING
ENROLLMENT FORMS
Two forms are required for enrollment for GRIP and SMIP Plans
DENTAL
MISC DOCUMENTS
MISC DOCUMENTS
HEALTH SAVINGS ACCOUNT
HARDSHIP FUND
LIFE INSURANCE
HELPFUL TOOLS
dsra benefit trust documents
2020 ELECTION INFORMATION
2020 FINANCIALS
Q1 FINANCIALS 2020
Q2 FINANCIALS 2020
Q3 FINANCIALS 2020
SUMMARY PLAN DOCUMENT
TRUST AGREEMENT
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