Benefits Library
Human Resources
benefits Library
High Deductible Health Plans
- $2,800 HDHP: Summary of Benefits & Coverage
- $2,800 HDHP: Plan Document
- $4,000 HDHP: Summary of Benefits & Coverage
- $4,000 HDHP: Plan Document
- Anthem Preventive Care Benefits
- Anthem Find Care (create an account or search as a guest)
- 2022 COBRA Rates
- 2022 Benefits Guide - Early Retiree
- Medicare Guide
- Coordination of Benefits - How primary and secondary health insurance coverages work together
Health Savings Account (HSA)
- Optum Bank via Empower (login required)
- Optum Bank HSA User Guide
- Put your HSA to work! Learn more
Prescription Drug Benefits
Vision
Critical Illness Coverage and Accident Coverage
- $5,000 Employer-Paid Critical Illness Benefit Overview
- $5,000 Employer-Paid Critical Illness Benefit: Unum Plan Document
- Employer-Paid Critical Illness Amendment
- $10,000 Employee-Paid (Voluntary) Critical Illness Benefit Overview
- $10,000 Employee-Paid (Voluntary) Critical Illness Benefit: Unum Plan Document
- Accident Insurance Schedule of Benefits
- Accident Insurance Plan Document
- Accident Insurance Benefit Overview
Limited Flexible Spending Account (FSA) for Dental and Vision Expenses
- FSA Overview
- FSA Eligible Expenses List
- File a Claim (login required)
Domestic Partner Information
- Tax Implications of Domestic Partner (Health, Dental and Vision Plan Coverage)
Employee Counseling and Support
- Your Anthem Nurse - Call 1-844-441-1513
- Perspectives Employee Assistance Program (INDIVIDUAL & FAMILY LOGIN >> Username MON501 >> Password perspectives) or call 1-800-456-6327 if urgent
Wellness
Parental and Family Leave
BENEFITS TO secure your financial well-being
401(k) Retirement Savings
- Empower Retirement (login required)
- 401(k) Summary Plan Description (SPD)
Short- and Long-Term Disability
Life Insurance
Dependent Flexible Spending Account (FSA)
- FSA Overview
- File a Claim (login required)
ONE Heritage Fund
- To apply for a grant: ONE Heritage Fund
- Application FAQs
Educational Assistance
forms
Benefits
- HSA Transfer/Rollover Form
- HSA Payroll Deduction Change Authorization Form
- FSA Payroll Deduction Change Authorization Form
- Termination of Domestic Partnership Form
- Affidavit of Domestic Partner
Payroll
- State of Indiana Form WH-4
- Quick Reference Guide - Updating Your Direct Deposit Instructions
- Update Federal/State Tax Forms via Employee Self-Service
- How to Access Your Electronic Form W-2 at Ceridian
- Form W-2 Frequently Asked Questions (FAQs)
