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2021-2022 Open Enrollment Presentation

Please click here for the 2021/2022 health benefits presentation.

Below are electronic versions of the enrollment forms found in your UHC packets

Benefit summary PPO

MO Choice Plus BU8FPPO Mod2 with RX C26 Mod7.pdf 828.68 KB (Last Modified on April 16, 2021)

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Benefit summary Flexpoint

MO Choice Plus BU8Kflexpoint Mod2 with RX C26 Mod7.pdf 828.27 KB (Last Modified on April 16, 2021)

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Benefit summary HSA 4000

MO Choice Plus HSA4000 BC2B Mod2 with RX C26-HSA Mod2.pdf 827.61 KB (Last Modified on April 16, 2021)

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Benefit summary HSA 5000

MO Choice Plus HSA5000 BC2C MOD3 with RX C26 HSA Mod2.pdf 827.61 KB (Last Modified on April 16, 2021)

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UHC Dental high plan

dentalhighoption.pdf 137.46 KB (Last Modified on July 30, 2020)

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UHC Dental low plan

dentallowoption.pdf 129.42 KB (Last Modified on July 30, 2020)

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Flex Spending Account Enrollment Form

FSA Highlights 2020-2021.pdf 192.78 KB (Last Modified on July 30, 2020)

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HSA Contribution Form

HSAContributionFORM.pdf 205.21 KB (Last Modified on April 16, 2021)

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UHC Enrollment Form

workingLCR3 enrollment form21.22.pdf 35.85 KB (Last Modified on April 16, 2021)

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2021-22 Rate Sheet

final RATES.BENEFITS.option 4 - 2021-22.pdf 297.07 KB (Last Modified on April 16, 2021)

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