• Employee Benefit Guide
• My Plan Advisor

Plan Costs

• All Health Plan Costs (pdf)

Comparing the Plans

• Plan Summaries
  • High Deductible Plan with HSA Highlights (pdf)
  • PPO 500 (Premium) Plan Highlights (pdf)
  • CareConnect Plan Highlights (pdf)
  • Vision Plan Highlights (pdf)
  • Vision Buy-up Plan Highlights (pdf)
  • Dental Plan Comparisons (pdf)

 

• Benefits Enrollment System (Streamlink)
  YOUR PASSWORD IS THE LAST FOUR DIGITS OF YOU SSN.
• My Benefit Wallet (to activate your HSA Account)
• 2020 Benefits Enrollment guide (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.
• Dependent Verification (pdf)
  • Complete if adding a new dependent to your coverage.
• 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.