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Instructions For New Members
General Benefit Information Sheet

     Medical Insurance

• Priority Health Medical Summary
• Important Priority Health Rx Information
• Priority Health Enrollment Form.
• Priority Health Change Form

     Mail Order Rx Form
               -Contact Fringe Benefits at 933-1720

     Cash in Lieu of Medical Insurance
          Enrollment Form

     Dental Insurance
          SET/SEG Dental Insurance Summary
          SET/SEG Dental Enrollment Form
          SET/SEG Dental Claim Form 

     Optional Vision Insurance
          SET SEG Vision Summary
          SET SEG Vision Enrollment
          SET SEG Vision Claim Form

     Life Insurance
          SET/SEG Life Insurance Enrollment Form

     Reimbursement Accounts
          BASIC Reimbursement Claim Form