Non-Affiliated Support Staff
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Instructions For New Members
General Benefit Information Sheet
Benefits for Non-Affiliated Support Staff

     Medical Insurance
          Priority Health POS 100% Medical Summary
          Priority Health POS 80% Medical Summary
             Important Priority Health Rx Information
          Priority Health Enrollment Form
          Priority Health Change Form
          Priority Health Member Reimbursement 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