Benefits Enrollment Forms & Resources
General Forms and Resources
- 2022-2023 Benefits Guide
- 2022-2023 Benefits Guide (PDF Version)
- Affordable Care Act – Health Care FAQ
- Uniform Glossary for Summary of Benefits and Coverage (© 2013 DOL.gov)
If you're having trouble accessing any of the above please please contact us for accommodations.
Benefits - Standard Plans
- For Benefit Summaries please visit Benxcel
- MidAmerica Beneficiary Designation Form (© 2009 MidAmerica)
- MidAmerica Disbursement Request Form (© 2009 MidAmerica)
Benefits - Voluntary Plans
- AFLAC Product Overview & Contact
- WEX Benefits Open Enrollment Toolkit
- WEX Benefits List of Eligible Expenses
Note: If you are unable to access these documents and require additional accommodations, please contact firstname.lastname@example.org.