Plan Information

• 2018 Benefit Sessions & Workshops (pdf) - Email Cody Burt to register today!
• Basic Description of HACC Benefits (pdf)
• My Plan Advisor
• 2018 Open Enrollment FAQs (pdf)
• Health Savings Account (HSAs)
  • Turning 65 and Having an HSA (pdf)
  • 5 Reason to Open an HSA (pdf)
  • Health Savings Account FAQs (pdf)
  • HSA Store: Health Savings Account Site
  • Advantage Direct (pdf)
     

Plan Costs

• All Health Plan Costs (pdf)
• Domestic Partner Medical Costs (pdf)

Comparing the Plans

• How The Plans Work (pdf)
• HACC Insurance Basics (pdf)
• Plan Summaries
  • PPO 500 (Premium) Plan Highlights (pdf)
  • PPO 500 Summary of Benefits and Coverage (pdf)
  • CareConnect Plan Highlights (pdf)
  • CareConnect PPO Summary of Benefits and Coverage (pdf)
  • High Deductible Health Plan (HDHP) Plan Hightlights (pdf)
  • High Deductible Summary of Benefits and Coverage (pdf)
  • Vision Plan Highlights (pdf)
  • Dental Plan Highlights (pdf)
     

Plan Contact Information

• Carrier and Third-Party Administrator Contact Information (pdf)
• Capital Blue Member Resources

 

• Benefits Enrollment System (Streamlink)
  YOUR PASSWORD IS THE LAST FOUR DIGITS OF YOU SSN.
• My Benefit Wallet (to activate your HSA Account)
• 2018 Benefits Enrollment Instructions (pdf)

After you complete your enrollment, be sure to complete and submit all required forms to:
Office of Human Resources
TL205

• Spousal Surcharge Form (pdf)
  • Complete this form every year if you are covering your spouse on your medical plan.
• Medical Cash Opt-Out Form (pdf)
  • Complete this form every year and submit proof of other coverage if you are waiving HACC's medical coverage. You will not receive the $1,500 waiver until both the form and proof of other coverage are received.
• Evidence of Insurability Form (pdf)
  • Complete this form only if you are increasing your coverage or enrolling in Voluntary Life or AD&D for the first time.
• Dependent Verification (pdf)
  • Submit this information only if you are enrolling a dependent for the first time.
• Domestic Partner Affidavit (pdf)
  • Complete this form only if you are adding a domestic partner for the first time.