Benefits Documentation

File nameDescriptionSizeRev.TimeUser
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
To find a participating provider, visit www.ameritasgroup.com and select FIND A PROVIDER, then DENTAL. Enter your criteria to search by location or for a specific dentist or practice. Or call Ameritas’ customer service at 800-487-5553 and press 0 to speak with a customer service representative.  197k v. 2 Apr 13, 2017, 6:26 AM Karen Porter
Ċ
View Download
  67k v. 2 Apr 19, 2017, 1:18 PM Karen Porter
Ċ
View Download
How will changing plans impact dental treatment in progress? For dental services, the date the treatment begins is usually the only date of service. For example, the day they start a root canal, or prepare a crown or denture. There are services that go hand in hand, such as an extraction of a tooth and a placement of a bridge.  93k v. 2 Apr 13, 2017, 6:19 AM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
Discovery Benefits: 1-866- 451-3399    315k v. 2 Feb 6, 2017, 11:36 AM Karen Porter
Ċ
View Download
  360k v. 2 Karen Porter
Ċ
View Download
The annual maximum amount for dependent care is $5,000 (or $2,500 if married and filing separately) per calendar year.   152k v. 2 Feb 6, 2017, 11:40 AM Karen Porter
Ċ
View Download
  204k v. 2 Karen Porter
Ċ
View Download
  322k v. 2 Feb 6, 2017, 11:39 AM Karen Porter
Ċ
View Download
UPDATE: The ACA limits employees’ pre-tax health FSA (Health Flexible Spending tax deferred account) contributions to $2,600 per year for 2017.    370k v. 2 Feb 6, 2017, 11:40 AM Karen Porter
Ċ
View Download
  264k v. 2 Feb 6, 2017, 11:39 AM Karen Porter
Ċ
View Download
  497k v. 2 Feb 6, 2017, 11:39 AM Karen Porter
Ċ
View Download
  245k v. 2 Feb 6, 2017, 11:39 AM Karen Porter
Ċ
View Download
  654k v. 3 Feb 6, 2017, 11:38 AM Karen Porter
Ċ
View Download
  1365k v. 2 Feb 6, 2017, 11:39 AM Karen Porter
Ċ
View Download
  457k v. 2 Feb 6, 2017, 11:39 AM Karen Porter
Ċ
View Download
  58k v. 2 Feb 6, 2017, 11:39 AM Karen Porter
Ċ
View Download
  66k v. 2 Feb 6, 2017, 11:39 AM Karen Porter
Ċ
View Download
  275k v. 2 Feb 6, 2017, 11:39 AM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
  95k v. 2 Apr 28, 2016, 12:28 PM Chad Lawton
Ċ
View Download
Omni 1-877-544-6664  530k v. 2 Jul 8, 2016, 11:42 AM Karen Porter
Ċ
View Download
Services Providers are subject to change. www.omni403b.com  606k v. 2 Oct 13, 2016, 12:54 PM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
  12k v. 2 Jun 17, 2016, 9:51 AM Shelly Mann
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
Aetna Navigator: Print ID cards• Find A Provider • Manage Claims • See Coverage & Costs & Manage Prescriptions. Customer Service 1-888-751-4027 and choose the concierge option.     761k v. 2 Jun 16, 2017, 7:59 AM Karen Porter
Ċ
View Download
(CHI Health Plan is in the CHI folder)  831k v. 2 Jun 2, 2017, 8:25 AM Karen Porter
Ċ
View Download
Prescription Formulary Changes for 2017  217k v. 2 Jan 19, 2017, 7:16 AM Karen Porter
Ċ
View Download
(CHI Summary is in the CHI folder)  350k v. 2 Jun 2, 2017, 8:26 AM Karen Porter
Ċ
View Download
  358k v. 2 Jun 2, 2017, 8:21 AM Karen Porter
Ċ
View Download
  1008k v. 2 Oct 12, 2016, 2:10 PM Karen Porter
Ċ
View Download
  1149k v. 2 Apr 28, 2016, 9:53 AM Chad Lawton
Ċ
View Download
  671k v. 2 Oct 12, 2016, 2:10 PM Karen Porter
Ċ
View Download
This form is meant to accompany the complaint or appeal request. Please remember to include a letter with full details of the complaint or appeal.  176k v. 2 Oct 28, 2016, 6:45 AM Karen Porter
Ċ
View Download
  961k v. 2 Apr 28, 2016, 9:53 AM Chad Lawton
Ċ
View Download
Private counseling sessions may be scheduled to discuss Medicare benefits, Medicare Advantage products, Medicare Supplement policies, Medicare Part D, or healthcare fraud. All SHIIP presentations and counseling sessions are free. Nebraska SHIIP at 1-800-234-7119  152k v. 2 May 10, 2017, 6:55 AM Karen Porter
Ċ
View Download
Find a provider in the Aetna network without logging into Aetna Navigator  992k v. 2 Jun 14, 2017, 9:59 AM Karen Porter
Ċ
View Download
Instructions to located medication  271k v. 2 Mar 2, 2017, 1:51 PM Karen Porter
Ċ
View Download
  520k v. 2 Mar 2, 2017, 1:49 PM Karen Porter
Ċ
View Download
  207k v. 2 Apr 28, 2016, 9:53 AM Chad Lawton
Ċ
View Download
Ways to find the best value, top-notch care  423k v. 2 Mar 6, 2017, 11:19 AM Karen Porter
Ċ
View Download
  265k v. 2 Apr 28, 2016, 9:53 AM Chad Lawton
Ċ
View Download
  65k v. 2 Dec 13, 2016, 12:28 PM Karen Porter
Ċ
View Download
  65k v. 2 Dec 13, 2016, 12:28 PM Karen Porter
Ċ
View Download
  942k v. 2 Apr 28, 2016, 9:53 AM Chad Lawton
Ċ
View Download
  634k v. 2 Apr 28, 2016, 9:53 AM Chad Lawton
Ċ
View Download
  787k v. 2 Apr 28, 2016, 9:53 AM Chad Lawton
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
  831k v. 2 Jun 2, 2017, 8:25 AM Karen Porter
Ċ
View Download
  350k v. 2 Jun 2, 2017, 8:25 AM Karen Porter
Ċ
View Download
Also visit the Aetna Benefit Information folder for more Aetna benefit details  1973k v. 4 Jan 19, 2017, 7:15 AM Karen Porter
Ċ
View Download
CHI Network PowerPoint Presentation  1316k v. 4 Dec 13, 2016, 12:29 PM Karen Porter
Ċ
View Download
What are the options if your dependent lives out of state?  749k v. 4 Dec 13, 2016, 12:29 PM Karen Porter
Ċ
View Download
Find providers and facilities in the CHI Network  392k v. 4 Jun 14, 2017, 9:58 AM Karen Porter
Ċ
View Download
See the Health Benefit Information folder for the full Summary Plan Description  65k v. 3 Dec 13, 2016, 12:34 PM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
  655k v. 2 Oct 25, 2016, 11:28 AM Karen Porter
Ċ
View Download
  655k v. 2 Oct 25, 2016, 11:28 AM Karen Porter
Ċ
View Download
  656k v. 2 Oct 25, 2016, 11:28 AM Karen Porter
Ċ
View Download
  214k v. 3 Nov 1, 2016, 9:16 AM Karen Porter
Ċ
View Download
  125k v. 3 Nov 1, 2016, 9:16 AM Karen Porter
Ċ
View Download
  120k v. 3 Nov 1, 2016, 9:16 AM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
  443k v. 2 Feb 3, 2017, 6:24 AM Karen Porter
Ċ
View Download
  502k v. 2 Feb 3, 2017, 6:28 AM Karen Porter
Ċ
View Download
  470k v. 2 Feb 3, 2017, 6:24 AM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
  282k v. 3 Dec 13, 2016, 12:27 PM Karen Porter
Ċ
View Download
  284k v. 3 Dec 13, 2016, 12:27 PM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
How to check current benefits/dependents & add/update beneficiaries on the employee access center.   183k v. 2 Dec 13, 2016, 12:21 PM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
Customer Service: 1-800- 357-6246. Mon. -Fri. 7:00 a.m. - 9:00 p.m. & Sat 9:00 a.m. - 1:00 p.m.   1823k v. 2 Jul 8, 2016, 11:51 AM Karen Porter
Ċ
View Download
2017 IRS Maximum Allowable Contribution Limits • Individual: $3,400• Family: $6,750    179k v. 2 May 8, 2017, 1:00 PM Karen Porter
Ċ
View Download
  137k v. 3 Dec 13, 2016, 12:12 PM Karen Porter
Ċ
View Download
What are HSAs? Why Have an HSA? HSA Advantages. How Does an HSA Work?  1951k v. 2 Mar 17, 2017, 12:16 PM Karen Porter
Ċ
View Download
  77k v. 4 May 16, 2016, 7:40 AM Chad Lawton
Ċ
View Download
HSA Eligibility Rules  423k v. 2 Oct 25, 2016, 7:45 AM Karen Porter
Ċ
View Download
  175k v. 4 May 16, 2016, 7:40 AM Chad Lawton
Ċ
View Download
  348k v. 2 Jun 14, 2017, 10:06 AM Karen Porter
Ċ
View Download
  3980k v. 4 May 16, 2016, 7:40 AM Chad Lawton
Ċ
View Download
  2311k v. 2 Apr 28, 2016, 12:04 PM Chad Lawton
Ċ
View Download
  67k v. 5 May 16, 2016, 7:40 AM Chad Lawton
Ċ
View Download
  178k v. 2 Apr 28, 2016, 12:04 PM Chad Lawton
Ċ
View Download
  62k v. 2 Apr 28, 2016, 12:04 PM Chad Lawton
Ċ
View Download
IRS Publication for Medical & Dental Eligible Expenses  166k v. 4 Dec 15, 2016, 12:13 PM Karen Porter
Ċ
View Download
IRS Publication on Health Savings Accounts   164k v. 4 Dec 15, 2016, 12:14 PM Karen Porter
Ċ
View Download
  304k v. 2 Jul 8, 2016, 11:48 AM Karen Porter
Ċ
View Download
  702k v. 2 Sep 22, 2016, 8:29 AM Karen Porter
Ċ
View Download
  124k v. 2 Sep 23, 2016, 10:17 AM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
  146k v. 2 Jan 30, 2017, 7:33 AM Karen Porter
Ċ
View Download
  146k v. 2 Jan 30, 2017, 7:33 AM Karen Porter
Ċ
View Download
To apply for additional life insurance, complete this form and return it to HR/Benefits. Email mpsbenefitsq@mpsomaha.org with questions.  34k v. 2 Mar 6, 2017, 11:26 AM Karen Porter
Ċ
View Download
  24k v. 3 Jan 19, 2017, 7:27 AM Karen Porter
Ċ
View Download
To update/change your life insurance beneficiary: Complete the beneficiary change form and submit the completed form to HR. See "Update Your Life Insurance Beneficiary" pdf for important tips.  196k v. 2 Feb 23, 2017, 7:04 AM Karen Porter
Ċ
View Download
  56k v. 2 Oct 7, 2016, 12:09 PM Karen Porter
Ċ
View Download
  31k v. 2 Oct 25, 2016, 7:21 AM Karen Porter
Ċ
View Download
  25k v. 2 Oct 25, 2016, 7:19 AM Karen Porter
Ċ
View Download
Please note that your Life Insurance plan has a conversion option. If you wish to take advantage of this option, you must make a written application for this provision within 31 days of your last date of eligibility. If you fail to elect this provision within the given 31 day time period, you will not be able to take advantage of this provision at a later date. If you have any questions or need further information, please contact National Insurance Services at 800-627-3660  560k v. 2 Feb 23, 2017, 7:00 AM Karen Porter
Ċ
View Download
FAQ on updating your beneficiaries  1962k v. 2 Feb 23, 2017, 7:01 AM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
  140k v. 2 Nov 14, 2016, 10:58 AM Karen Porter
Ċ
View Download
  140k v. 2 Nov 14, 2016, 10:58 AM Karen Porter
Ċ
View Download
See also Board Policy on LTD: 4510.2 Human Resources Rule: Long Term Disability - Group Income Protection Plan. https://goo.gl/gS0Vtm  56k v. 2 Oct 27, 2016, 11:36 AM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
All 2017 Rates are PER pay check. Effective 1/1/2017.   23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  23k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
Ċ
View Download
  17k v. 3 Dec 13, 2016, 12:39 PM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
Ċ
View Download
2017 Classified Staff Retirement Presentation  870k v. 2 Feb 20, 2017, 11:57 AM Karen Porter
Ċ
View Download
  114k v. 2 Apr 28, 2016, 12:30 PM Chad Lawton
Ċ
View Download
  341k v. 2 Jul 13, 2017, 6:39 AM Karen Porter
Ċ
View Download
Need more information or have questions, call 1-800-245-5712.    1322k v. 2 Jul 13, 2017, 6:40 AM Karen Porter
SelectionFile type iconFile nameDescriptionSizeRevisionTimeUser
ć
View Download
Aetna Vision customer service Mon-Sun @  1-877- 973-3238.   5533k v. 2 Jul 8, 2016, 11:43 AM Karen Porter
Ċ
View Download
  92k v. 2 Nov 9, 2016, 9:13 AM Karen Porter
Ċ
View Download
  263k v. 2 Apr 28, 2016, 12:27 PM Chad Lawton
Ċ
View Download
  262k v. 2 Nov 9, 2016, 9:04 AM Karen Porter
Ċ
View Download
  470k v. 2 Apr 28, 2016, 12:27 PM Chad Lawton
Ċ
View Download
  3750k v. 2 Apr 28, 2016, 12:27 PM Chad Lawton