Flexible Benefit Plan
2010 Flexible Benefit Plan Open Enrollment Memo
Health FSA-Guidelines for Qualifying Expenses
Health FSA-Guidelines for Qualifying Over-the-Counter Expenses
Health FSA-Enrollment Worksheet
Dependent Care FSA-Enrollment Worksheet
Flexible Benefits Plan - Summary Plan Description (SPD)
Health / Medical Reimbursement Form
Dependent Care Reimbursement Form

Health Insurance 2010 - This enrollment/change form is also used to certify continued eligibility of a spouse/partner.
BCBSM 2010 Enrollment / Change Form

Health Insurance 2010 - BCBSM
Premium Cost Share Calculator 2010
2010 Health Plan Open Enrollment Memo
2010 Comparison 90% & 100% Plans - Premium Savings vs Potential Costs
2010 Mental Health Benefits
2010 BCBSM Prescription Drug Coverage
Using Your Prescription Drug Benefits
2010 BCBSM Benefits-at-a-Glance 90% Plan (46063-002)
2010 BCBSM benefits-at-a-Glance 100% Plan (46063-001)
New adult immunization benefit
Eligibility for dependent children

BCBSM 90% Plan - Reimbursement of In-network Deductible
Information
Reimbursement Claim Form

BCBSM PPO Network Providers
Finding Network Providers
Urgent Care Providers
BCBSM Community Blue PPO Provider Network

BCBSM Coverage Outside of Michigan and Outside of the U.S.
Read here

BCBSM Diabetes Coverage
Equipment and supplies

BCBSM Prescription Benefits (Custom Formulary)
Link here to BCBSM prescription benefit web pages
Speciality drugs available through Option Care

Prescriptions by Mail - MedCo
A Health Questionnaire must be submitted before your first order will be filled. Regardless of where you live, the order form and questionnaire should be sent to MEDCO, PO Box 182050, Columbus OH 43272.
Health, Allergy & Medication Questionnaire (HMQ)
MedCo Order Form on BCBSM website
You can also register as a member at MedCo's website  When entering the contract number from your ID card, do not include any letters that may precede the number.  You might need to add a zero at the beginning. You must register before accessing forms or other information. Paper forms are also available in the Human Resources Office.

Health Insurance 2009 - BCBSM
BCBSM 2009 Enrollment / Change Form
Premium Cost Share Calculator 2009
Health Plan Summary BCBSM 90% and 100% Plans
2009 Comparison 90% & 100% Plans - Premium Savings vs Potential Costs
2008 & 2009 Summary of Rx Benefits 90% Plan
2008 & 2009 Summary of Rx Benefits 100% Plan

Emeriti Retirement Health Plan
www.emeritihealth.org
Annual Emeriti Retirement Health Workshop Presentation - Fall 2009
Summary Annual Report 2008
Summary Annual Report 2007