Index of /documents/hr/human_resources/forms/benefits

[ICO]NameLast modifiedSizeDescription
[PARENTDIR]Parent Directory  -  
[ ]2012DCPlanSARprepared10042013.pdf2018-01-26 02:01 58K 
[ ]2012TDAPlanSARprepared 10042013.pdf2018-01-26 02:01 59K 
[ ]2014 CIGNA OAP In-Network Summary of Benefits.pdf2018-01-26 02:01 188K 
[ ]2014 ARAG Enrollment Form.pdf2018-01-26 02:01 450K 
[ ]2014 CIGNA OAP Plus Summary of Benefits.pdf2018-01-26 02:01 197K 
[ ]2014 CIGNA PPO Dental Plan Summary.pdf2018-01-26 02:01 223K 
[ ]2014 Magellan Employee Assistance Program.pdf2018-01-26 02:01 240K 
[ ]2014BenefitsAtAGlanceOverview.docx2018-01-26 02:01 40K 
[ ]2014BenefitsAtAGlanceOverview.pdf2018-01-26 02:01 59K 
[ ]2014Biweekly-SemiMonthlyCalendar.pdf2018-01-26 02:01 151K 
[ ]2014 CIGNA HMO Dental Schedule_K1-08_PCS_R.pdf2018-01-26 02:01 519K 
[ ]2015 Benefits At A Glance.pdf2018-01-26 02:01 59K 
[ ]2015 CIGNA HMO Dental Schedule_K1-08_PCS_R.pdf2018-01-26 02:01 519K 
[ ]2015 CIGNA Vision Summary.pdf2018-01-26 02:01 53K 
[ ]2015 CIGNA Prescription Drug List.pdf2018-01-26 02:01 182K 
[ ]2015 Healthcare Salary Reduction Form.pdf2018-01-26 02:01 95K 
[ ]2015 Incentive Points Program Milestone Guide.pdf2018-01-26 02:01 18K 
[ ]2015 Magellan Employee Assistance Program.pdf2018-01-26 02:01 240K 
[ ]2015 OAP Access Plus In-Network SBC.pdf2018-01-26 02:01 115K 
[ ]2015 Open Access Plus Benefit Summary.pdf2018-01-26 02:01 205K 
[ ]2015 Open Access Plus In-Network Benefit Summary.pdf2018-01-26 02:01 199K 
[ ]2015 PPO Dental Summary.pdf2018-01-26 02:01 71K 
[ ]2015 Open Access Plus SBC.pdf2018-01-26 02:01 116K 
[ ]2015 Public Health Exchange Notice.pdf2018-01-26 02:01 258K 
[ ]2016ARAGEnrollmentForm.pdf2018-01-26 02:01 450K 
[ ]2016BenefitsAtAGlanceOverview.pdf2018-01-26 02:01 239K 
[ ]2016CIGNAPrescriptionDrugList.pdf2018-01-26 02:01 191K 
[ ]2016CIGNAVisionBenefits.pdf2018-01-26 02:01 52K 
[ ]2016DHMODentalSchedulePCSK1-V9.pdf2018-01-26 02:01 496K 
[ ]2016HealthcareSalaryReductionReductionForm.pdf2018-01-26 02:01 204K 
[ ]2016MagellanEmployeeAssistanceProgram.pdf2018-01-26 02:01 409K 
[ ]2016OpenAccessPlusIn-NetworkSBC.pdf2018-01-26 02:01 116K 
[ ]2016OpenAccessPlusIn-NetworkSummayofBenefits.pdf2018-01-26 02:01 200K 
[ ]2016OpenAccessPlusSBC.pdf2018-01-26 02:01 119K 
[ ]2016OpenAccessPlusSummaryofBenefits.pdf2018-01-26 02:01 206K 
[ ]2016PPODentalSummary.pdf2018-01-26 02:01 117K 
[ ]2016PublicHealthExchangeNotice.pdf2018-01-26 02:01 258K 
[ ]2016VisionClaimForm.pdf2018-01-26 02:01 319K 
[ ]2016WorkersCompBillofRights.pdf2018-01-26 02:01 44K 
[ ]2017 Benefits At A Glance Overview.docx2018-01-26 02:01 35K 
[ ]2017 Choice Fund OA SBC.pdf2018-01-26 02:01 116K 
[ ]2017 Choice Fund OA Plan.pdf2018-01-26 02:01 209K 
[ ]2017 CIGNA Prescription Drug List.pdf2018-01-26 02:01 120K 
[ ]2017 Open Access Plus SBC.pdf2018-01-26 02:01 117K 
[ ]2017 Magellan Employee Assistance Program.pdf2018-01-26 02:01 596K 
[ ]2017 Open Access Plus.pdf2018-01-26 02:01 205K 
[ ]2017 PPO Dental Summary.pdf2018-01-26 02:01 308K 
[ ]2017PublicHealthExchangeNotice.pdf2018-01-26 02:01 296K 
[ ]adadentalclaim.pdf2018-01-26 02:01 240K 
[ ]AFLAC Cancer Policy Tax Reduction Form.pdf2018-01-26 02:01 654K 
[ ]Aflac Short Term Disability - Disability Income Protection Advantage.pdf2018-01-26 02:01 1.2M 
[ ]AFLAC Short Term Disability Tax Reduction Form.pdf2018-01-26 02:01 266K 
[ ]AFLAC Cancer Enrollment Kit.pdf2018-01-26 02:02 11M 
[ ]Aflac- Cancer Indemnity SPD.pdf2018-01-26 02:02 2.2M 
[ ]AFLAC STD Enrollment Kit.pdf2018-01-26 02:02 7.8M 
[ ]Aflac- Cancer Initial Diagnosis Rider-SPD.pdf2018-01-26 02:02 1.0M 
[ ]Aflac-Cancer Specified Disease Rider- SPD.pdf2018-01-26 02:02 1.0M 
[ ]Agreement for Salary Reduction Contribution 8-2011.pdf2018-01-26 02:02 108K 
[ ]Aflac-Cancer Screening & Annual Care Rider-SPD.pdf2018-01-26 02:02 1.0M 
[ ]AmwellTelehealth.pdf2018-01-26 02:02 157K 
[ ]ARAG Enrollment Form.pdf2018-01-26 02:02 450K 
[ ]ARAGLegalPlanFlyer.pdf2018-01-26 02:02 449K 
[ ]CIGNAVolLifeChangeForm.pdf2018-01-26 02:02 207K 
[ ]CIGNA Beneficiary Form.pdf2018-01-26 02:02 124K 
[ ]ARAG Legal Plan Flyer.pdf2018-01-26 02:02 449K 
[ ]CIGNA Benefits Enrollment Form.pdf2018-01-26 02:02 571K 
[ ]CIGNA Dental Claim Form.pdf2018-01-26 02:02 206K 
[ ]CIGNA Enrollment Line Flyer.pdf2018-01-26 02:02 129K 
[ ]CIGNA Medical Claim Form.pdf2018-01-26 02:02 126K 
[ ]Cigna Medical- Vision- Open Access Plus IN SPD.pdf2018-01-26 02:02 578K 
[ ]CIGNA DENTAL CARE INSURANCE SPD.pdf2018-01-26 02:02 490K 
[ ]Cigna Medical- Vision- Open Access Plus.pdf2018-01-26 02:02 578K 
[ ]CIGNA Telehealth Connection with Behavioral Health.pdf2018-01-26 02:02 77K 
[ ]Cigna Medical-Vision- Open Access SPD.pdf2018-01-26 02:02 589K 
[ ]CIGNA Vision Claim Form.pdf2018-01-26 02:02 182K 
[ ]CIGNA Vision Plan Summary of Benefits.pdf2018-01-26 02:02 53K 
[ ]CIGNA Voluntary Life Application FLX964994_app.pdf2018-01-26 02:02 109K 
[ ]CIGNA Voluntary Term Life Beneficiary Form.pdf2018-01-26 02:02 98K 
[ ]CIGNA- Basic Life and Beneficiary Form.pdf2018-01-26 02:02 114K 
[ ]CIGNA--LifeCertificate-Class1ActiveEmployees.pdf2018-01-26 02:02 119K 
[ ]CIGNA-AccidentalDeathandDismembermentCertificate.pdf2018-01-26 02:02 151K 
[ ]CIGNA-AccidentalDeathandDismembermentPolicy.pdf2018-01-26 02:02 150K 
[ ]CIGNA-LifePolicy.pdf2018-01-26 02:02 128K 
[ ]CIGNA-LTDCertificate.pdf2018-01-26 02:02 106K 
[ ]CIGNA-LTDPolicy.pdf2018-01-26 02:02 101K 
[ ]CIGNAMotivateMeIncentivePoints Milestones.pdf2018-01-26 02:02 169K 
[ ]CignaTelehealthConnection KnowBeforeYouGoFlyer.pdf2018-01-26 02:02 47K 
[ ]DC-SPD-eff-07-01-2015.pdf2018-01-26 02:02 174K 
[ ]DC-SPD-eff-10-3-2016.pdf2018-01-26 02:02 174K 
[ ]DEL_SpelmanCollegeTIAA-CREF_Defined_Contribution_Plan_SummaryPlanDiscription.pdf2018-01-26 02:02 184K 
[ ]Defined Contribution Plan- Summary Plan Discription.pdf2018-01-26 02:02 801K 
[ ]Domestic Partnership Affidavit.pdf2018-01-26 02:02 46K 
[ ]EEOC - The Law.pdf2018-01-26 02:02 87K 
[ ]Employee Rights and Responsibilities Under the Family and Medical Leave Act (FMLA).pdf2018-01-26 02:02 42K 
[ ]Employee Rights and Responsibilities Under the Family and Medical Leave Act.pdf2018-01-26 02:02 42K 
[ ]Employee Rights Under the Fair Labor Standards Act Federal Minimum Wage - Poster.pdf2018-01-26 02:02 112K 
[ ]FM_Spelman-College.pdf2018-01-26 02:02 571K 
[ ]E-Verify Poster.pdf2018-01-26 02:02 3.3M 
[ ]Georgia State Board of Workers Compensation Bill of Rights for Injured Workers.pdf2018-01-26 02:02 56K 
[ ]FSA Reimbursement Account Claim Form.pdf2018-01-26 02:02 591K 
[ ]groupdentalclaim.pdf2018-01-26 02:02 122K 
[ ]groupvisionclaim.pdf2018-01-26 02:02 45K 
[ ]Healthcare Salary Reduction Form.pdf2018-01-26 02:02 95K 
[ ]healthinsuranceclaim.pdf2018-01-26 02:02 175K 
[ ]HSA Contribution Form.pdf2018-01-26 02:02 352K 
[ ]Lifecycle Fact Sheet.pdf2018-01-26 02:02 172K 
[ ]LifecyleFactSheet2013.pdf2018-01-26 02:02 96K 
[ ]Majellan Summary of Benefits and Coverage- 1-1-2013 to 12-31-13.docx2018-01-26 02:02 66K 
[ ]Majellan Summary of Benefits and Coverage- 1-1-2013 to 12-31-13.pdf2018-01-26 02:02 219K 
[ ]MDLiveTelehealth.pdf2018-01-26 02:02 188K 
[ ]memberclaim.pdf2018-01-26 02:02 64K 
[ ]PayFlexEnrollmentForm.pdf2018-01-26 02:02 81K 
[ ]Pocket_the_savings.pdf2018-01-26 02:02 86K 
[ ]PolicyandInformationLetter.pdf2018-01-26 02:02 68K 
[ ]prescriptionclaim.pdf2018-01-26 02:02 82K 
[ ]Q22017LiveWebinarCalendar.pdf2018-01-26 02:02 481K 
[ ]QDIADCAnnualNotice2013.pdf2018-01-26 02:02 64K 
[ ]QualifiedDefaultInvestmentAlternativeAnnualNotice.pdf2018-01-26 02:02 384K 
[ ]REPORTING A WORK RELATED INJURY-2013.doc2018-01-26 02:02 26K 
[ ]requestleaveabsence.pdf2018-01-26 02:02 311K 
[ ]SBC-Magellan-EAP.docx2018-01-26 02:02 130K 
[ ]HSA Expense Eligibility List.pdf2018-01-26 02:02 6.0M 
[ ]Spelman College AFLAC Critical Illness.pdf2018-01-26 02:02 764K 
[ ]Spelman College AFLAC Accident Plan.pdf2018-01-26 02:02 917K 
[ ]Spelman College Accident.pdf2018-01-26 02:02 764K 
[ ]Spelman College AFLAC Voluntary Benefit Plans Flyer.pdf2018-01-26 02:02 280K 
[ ]Spelman College ARAG Legal Plan Flyer.pdf2018-01-26 02:02 501K 
[ ]Spelman College Critical Illness_brochure.pdf2018-01-26 02:02 764K 
[ ]Spelman College Hospital Indemnity.pdf2018-01-26 02:02 694K 
[ ]Spelman College Hospital Indemnity Plan.pdf2018-01-26 02:02 694K 
[ ]Spelman403bSAR2014.pdf2018-01-26 02:02 14K 
[ ]Spelman403bSAR2015.pdf.pdf2018-01-26 02:02 217K 
[ ]Spelman_SBC_OAP-old.pdf2018-01-26 02:02 126K 
[ ]Spelman_SBC_OAP.pdf2018-01-26 02:02 197K 
[ ]Spelman_SBC_OAPIN-old.pdf2018-01-26 02:02 124K 
[ ]Spelman_SBC_OAPIN.pdf2018-01-26 02:02 188K 
[ ]SpelmanCollegeTIAA-CREF_Defined_Contribution_Plan_SummaryPlanDiscription.pdf2018-01-26 02:02 184K 
[ ]SpelmanDCPlanSAR2014.pdf2018-01-26 02:02 14K 
[ ]Standard-Group Basic Life and Accidental Death and Dismemberment Insurance- Benefits at a Glance.pdf2018-01-26 02:02 24K 
[ ]SpelmanDCPlanSAR2015.pdf.pdf2018-01-26 02:02 218K 
[ ]Summary_of_Benefits_and_Coverage_SPD-Payflex2013.pdf2018-01-26 02:02 42K 
[ ]Standard-Group Life Insurance.pdf2018-01-26 02:02 169K 
[ ]TaxDeferredAnnuityPlan-SummayPlanDescription.pdf2018-01-26 02:03 176K 
[ ]TIAACREF_Beneficiary_Designation.pdf2018-01-26 02:03 618K 
[ ]Tax Deferred Annuity Plan -Summay Plan Description.pdf.bak2018-01-26 02:03 871K 
[ ]tiaacrefsalaryreduction403b.pdf2018-01-26 02:03 35K 
[ ]tiaacrefsalaryreduction403b_old.pdf2018-01-26 02:03 108K 
[ ]TravelInsurance.pdf2018-01-26 02:03 683K 
[ ]Tuition-Waiver-Form.pdf2018-01-26 02:03 206K 
[ ]tuitionassistancerequest.pdf2018-01-26 02:03 86K 
[ ]Tuition-Waiver-Info.pdf2018-01-26 02:03 206K 
[ ]tuitionreimbursementprocess.pdf2018-01-26 02:03 13K 
[ ]Unlawful_Harassment_and_Discrimination.docx2018-01-26 02:03 18K 
[ ]PanelofPhysicians-Spanish.pdf2018-03-05 12:03 219K 
[ ]2019PublicHealthExchangeNotice.pdf2019-03-21 11:11 319K 
[ ]FirstReportofInjuryForm.docx2019-04-30 09:51 50K 
[ ]WorkersCompensationProcessMap.pdf2019-04-30 09:51 34K 
[ ]Flyer-Safety-2.pdf2019-04-30 10:03 297K 
[ ]ARAG2020Flyer.pdf2020-04-07 17:11 709K 
[ ]2020-Benefits-At-A-Glance-Overview.pdf2020-04-07 17:11 192K 
[ ]Cigna-Health-Rewards-Program.pdf2020-04-07 17:11 101K 
[ ]Cigna-Identity-Theft-Program.pdf2020-04-07 17:11 91K 
[ ]Cigna-Life-Assistance-Program.pdf2020-04-07 17:11 92K 
[ ]Cigna-One-Guide-Pre-Enrollment-Customer-Flyer.pdf2020-04-07 17:11 598K 
[ ]Dental-High.pdf2020-04-07 17:11 98K 
[ ]Dental-Low.pdf2020-04-07 17:11 319K 
[ ]EAP-Brochure.pdf2020-04-07 17:11 117K 
[ ]HSA.pdf2020-04-07 17:11 394K 
[ ]i-9.pdf2020-04-07 17:11 247K 
[ ]OAP.pdf2020-04-07 17:11 394K 
[ ]Public-Health-Exchange-Form-2020.pdf2020-04-07 17:11 320K 
[ ]TSD_Employees_Withholding_Allowance_Certificate_G-4.pdf2020-04-07 17:11 196K 
[ ]Vision.pdf2020-04-07 17:11 753K 
[ ]PanelofPhysicians.pdf2020-08-20 13:28 118K 
Apache/2.4.41 (Ubuntu) Server at mit.spelman.edu Port 80