General Forms and Resources

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• 2022-2023 Benefits Guide
• 2022-2023 Benefits Guide (PDF Version)
• 2023-2024 Benefits Guide
• 2023-2024 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. 

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Benefits - Standard Plans

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• For Benefit Summaries please visit Benxcel
• MidAmerica Beneficiary Designation Form (© 2009 MidAmerica)
• MidAmerica Disbursement Request Form (© 2009 MidAmerica)

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Benefits - Voluntary Plans

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• AFLAC Product Overview & Contact
• WEX Benefits Open Enrollment Toolkit 
• WEX Benefits List of Eligible Expenses

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Note: If you are unable to access these documents and require additional accommodations, please contact czamora5@pasadena.edu.