Index of /downloads/benefits

[ICO]NameLast modifiedSizeDescription
[DIR]Parent Directory  -  
[ ]11.pdf26-May-2016 10:46 117K 
[ ]247NurseLine.pdf26-May-2016 10:46 1.5M 
[ ]2009MedicareGeneralInfo3.pdf26-May-2016 10:46 206K 
[ ]2009PTFAEPO502.pdf26-May-2016 10:46 46K 
[ ]2009PTFAEPO1003.pdf26-May-2016 10:46 47K 
[ ]2009PTFAKAISER50C2.pdf26-May-2016 10:46 45K 
[ ]2009PTFAKAISER100C2.pdf26-May-2016 10:46 45K 
[ ]2009PTFAPPO502.pdf26-May-2016 10:46 47K 
[ ]2009PTFAPPO1002.pdf26-May-2016 10:46 47K 
[ ]2009RETIREESURVEYFORM1.pdf26-May-2016 10:46 63K 
[ ]2009RetireeSurveyLTR1.pdf26-May-2016 10:46 555K 
[ ]2010GeneralMedicareInfo.pdf26-May-2016 10:46 213K 
[ ]2010GeneralMedicareInfo1.pdf26-May-2016 10:46 230K 
[ ]2010GeneralMedicareInfo2.pdf26-May-2016 10:46 230K 
[ ]2010PTFAKAISER32CF1.pdf26-May-2016 10:46 46K 
[ ]2010PTFAKAISER50CF2.pdf26-May-2016 10:46 44K 
[ ]2011AnnualNotices1.pdf26-May-2016 10:46 173K 
[ ]2011AnnualRetireeSurveyLTR1..pdf26-May-2016 10:46 395K 
[ ]2011GeneralMedicareInformati.pdf26-May-2016 10:46 229K 
[ ]2011PTFAKAISER32CF1.pdf26-May-2016 10:46 16K 
[ ]2011PTFAKAISER50CF2.pdf26-May-2016 10:46 16K 
[ ]2012AnnualRetireeSurveyCover.pdf26-May-2016 10:46 183K 
[ ]2012FHDABenefitsGuidevFinal0.pdf26-May-2016 10:46 2.9M 
[ ]2012GeneralMedicareFactSheet.pdf26-May-2016 10:46 227K 
[ ]2012OEWorkshopFlyerActivesFI.pdf26-May-2016 10:46 124K 
[ ]2012OEWorkshopFlyerRetireesF.pdf26-May-2016 10:46 124K 
[ ]2013BlueShieldSummaryofBenef.pdf26-May-2016 10:46 244K 
[ ]2013CalPERSMedicareEnrollmen.pdf26-May-2016 10:46 278K 
[ ]2013caremedicaredplan.pdf26-May-2016 10:46 1.3M 
[ ]2013choicemedicaredplan.pdf26-May-2016 10:46 1.3M 
[ ]2013COBRASURVIVORSBenefitRat.pdf26-May-2016 10:46 82K 
[ ]2013FHDABenefitsGuide.pdf26-May-2016 10:46 11M 
[ ]2013healthbenefitsummary.pdf26-May-2016 10:46 767K 
[ ]2013KaiserSeniorAdvantageEOC.pdf26-May-2016 10:46 2.0M 
[ ]2013KaiserSummaryofBenefitsC.pdf26-May-2016 10:46 4.3M 
[ ]2013PERSCareSummaryofBenefit.pdf26-May-2016 10:46 174K 
[ ]2013PERSChoiceSummaryofBenef.pdf26-May-2016 10:46 175K 
[ ]2013PERSSelectSummaryofBenef.pdf26-May-2016 10:46 175K 
[ ]2013selectmedicaredplan.pdf26-May-2016 10:46 1.3M 
[ ]2014CalPERSBayAreaRates.pdf26-May-2016 10:46 49K 
[ ]2014CalPERSBenefitRatesLA.pdf26-May-2016 10:46 53K 
[ ]2014CalPERSBenefitRatesOOA.pdf26-May-2016 10:46 44K 
[ ]2014CalPERSBenefitRatesOther.pdf26-May-2016 10:46 54K 
[ ]2014CalPERShealthbenefitsumm.pdf26-May-2016 10:46 440K 
[ ]2014CalPERSHealthPlansRxopti.pdf26-May-2016 10:46 45K 
[ ]2014CalPERShealthprogramguid.pdf26-May-2016 10:46 285K 
[ ]2014CalPERSOtherNorthernCAra.pdf26-May-2016 10:46 49K 
[ ]2014CalPERSRxFinal.pdf26-May-2016 10:46 49K 
[ ]2014CalPERSRxOptionsVfinalxl.pdf26-May-2016 10:46 49K 
[ ]2014CalPERSSacramentoBenefit.pdf26-May-2016 10:46 49K 
[ ]2014imputedincomes.pdf26-May-2016 10:46 174K 
[ ]2014KaiserPermanenteBASICEOC.pdf26-May-2016 10:46 771K 
[ ]2014KaiserSrAdvantageEOC.pdf26-May-2016 10:46 1.6M 
[ ]2014KaiserSrAdvantageMedicar.pdf26-May-2016 10:46 1.6M 
[ ]2014MDVimputedincome.pdf26-May-2016 10:46 93K 
[ ]2014OEVOLUNTARYBENEFITS.pdf26-May-2016 10:46 60K 
[ ]2014PERSCareMedicareDRxEOCpd.pdf26-May-2016 10:46 1.4M 
[ ]2014PERSChoiceMedicarDRxEOC.pdf26-May-2016 10:46 1.5M 
[ ]2014PERSSelectMedicareDRxEOC.pdf26-May-2016 10:46 1.4M 
[ ]2014PTF0.40.49waivedentalvis.pdf26-May-2016 10:46 72K 
[ ]2014PTF0.50.59waivedentalvis.pdf26-May-2016 10:46 73K 
[ ]2014PTF0.60.67waivedentalvis.pdf26-May-2016 10:46 74K 
[ ]2014PTFimputedincome.pdf26-May-2016 10:46 45K 
[ ]2016article22.pdf26-May-2016 10:46 38K 
[ ]2016article22A.pdf26-May-2016 10:46 119K 
[ ]2016article23.pdf26-May-2016 10:46 105K 
[ ]2016article23A.pdf26-May-2016 10:46 17K 
[ ]10000stepsflier2010v5.pdf26-May-2016 10:46 501K 
[ ]10000stepsflierwinter2011v1.pdf26-May-2016 10:46 637K 
[ ]10000stepsreginstructions.pdf26-May-2016 10:46 2.2M 
[ ]10000stepsWalkingTracker.xls26-May-2016 10:46 42K 
[ ]10000stepsWalkingTrackerprin.pdf26-May-2016 10:46 77K 
[ ]12013selectbasicplan.pdf26-May-2016 10:46 688K 
[ ]22013selectmedicareplan.pdf26-May-2016 10:46 438K 
[ ]42013choicebasicplan.pdf26-May-2016 10:46 824K 
[ ]42013choicemedicareplan.pdf26-May-2016 10:46 438K 
[ ]62013caremedicareplan.pdf26-May-2016 10:46 320K 
[ ]72013blueshieldplus.pdf26-May-2016 10:46 505K 
[ ]82013blueshieldmedicare.pdf26-May-2016 10:46 469K 
[ ]92013blueshieldnetvalue.pdf26-May-2016 10:46 519K 
[ ]102013blueshieldnetvaluemedi.pdf26-May-2016 10:46 493K 
[ ]112013blueshiled65plus.pdf26-May-2016 10:46 1.3M 
[ ]122013blueshieldpdpmedicareR.pdf26-May-2016 10:46 852K 
[ ]132013kaiserpermanent.pdf26-May-2016 10:46 851K 
[ ]142013kaiseradvantage.pdf26-May-2016 10:46 2.1M 
[ ]ACEActiveBenefits.pdf26-May-2016 10:46 131K 
[ ]ACERetireesBenefits.pdf26-May-2016 10:46 66K 
[ ]activekaiserform.pdf26-May-2016 10:46 856K 
[ ]ActivesOEPY1011FlyerFINALmod.pdf26-May-2016 10:46 263K 
[ ]ACTREQUESTFORCHANGEPY1112.pdf26-May-2016 10:46 101K 
[ ]AdvantagePDLUpdateJuly2011.pdf26-May-2016 10:46 224K 
[ ]affidavitmarriageform.pdf26-May-2016 10:46 39K 
[ ]AMAActiveBenefits.pdf26-May-2016 10:46 144K 
[ ]AMAPost97revised.pdf26-May-2016 10:46 59K 
[ ]AMApre97.pdf26-May-2016 10:46 128K 
[ ]AMApre97revised.pdf26-May-2016 10:46 38K 
[ ]AmendmentofEmploymentContrac.pdf26-May-2016 10:46 17K 
[ ]AnnualRetireeDataUpdate2011.pdf26-May-2016 10:46 159K 
[ ]AnnualRetireeSurvey2011.pdf26-May-2016 10:46 185K 
[ ]ANNUALRETSURVEY2009ATTACH.pdf26-May-2016 10:46 63K 
[ ]ANNUALRETSURVEY2010ATTACH1.pdf26-May-2016 10:46 60K 
[ ]AnnualRETSurveyCoverLTRvCVFI.pdf26-May-2016 10:46 309K 
[ ]AnthemBCSELECTBASICHMOEOCPY2.pdf26-May-2016 10:46 1.4M 
[ ]AnthemBCSelectHMOSummaryofBe.pdf26-May-2016 10:46 331K 
[ ]AnthemBCTRADITIONALBASICHMOE.pdf26-May-2016 10:46 1.8M 
[ ]AnthemBlueCrossMedicalClaimF.pdf26-May-2016 10:46 64K 
[ ]ARRAApplicationMarch20092.pdf26-May-2016 10:46 82K 
[ ]ARRALetter2.pdf26-May-2016 10:46 261K 
[ ]ARRALetter31.pdf26-May-2016 10:46 273K 
[ ]ARRANoticeApril0120091.pdf26-May-2016 10:46 260K 
[ ]ARRASummaryofCOBRAPremiumRed.pdf26-May-2016 10:46 265K 
[ ]AthemBCTraditionalSummaryofB.pdf26-May-2016 10:46 331K 
[ ]beneficiarydesignationform1C.pdf26-May-2016 10:46 141K 
[ ]BenefitRatesforACTRETJulDec.xlsx26-May-2016 10:46 41K 
[ ]BenefitsFair2013.pdf26-May-2016 10:46 207K 
[ ]benefitsfairflyer0916.pdf26-May-2016 10:46 783K 
[ ]BenefitsSummary0701091.xls.pdf26-May-2016 10:46 58K 
[ ]BenefitsSummaryofPlanOptions.pdf26-May-2016 10:46 64K 
[ ]BlueSheildRetireeForm.pdf26-May-2016 10:46 45K 
[ ]BlueShieldDrugFormulary1Q201.pdf26-May-2016 10:46 1.7M 
[ ]BlueShieldofCAMyPrineMailRxM.pdf26-May-2016 10:46 191K 
[ ]BlueShieldPDLFormularyQ12013.pdf26-May-2016 10:46 1.1M 
[ ]BridgetoMedicare2013SubsidyR.pdf26-May-2016 10:46 54K 
[ ]CalPERS2012AnthemBCChoicevsC.pdf26-May-2016 10:46 536K 
[ ]CalPERS2012AnthemBCPERSCareB.pdf26-May-2016 10:46 855K 
[ ]CalPERS2012AnthemBCPERSCareM.pdf26-May-2016 10:46 388K 
[ ]CalPERS2012AnthemBCPERSCareP.pdf26-May-2016 10:46 621K 
[ ]CalPERS2012AnthemBCPERSChoic.pdf26-May-2016 10:46 848K 
[ ]CalPERS2012AnthemBCPERSSelec.pdf26-May-2016 10:46 843K 
[ ]CalPERS2012BlueShieldAccessH.pdf26-May-2016 10:46 782K 
[ ]CalPERS2012BlueShieldNetValu.pdf26-May-2016 10:46 790K 
[ ]CalPERS2012BShield65HMOSrAdv.pdf26-May-2016 10:46 1.1M 
[ ]CalPERS2012BShield65SrAdvant.pdf26-May-2016 10:46 217K 
[ ]CalPERS2012BShieldAccessHMOE.pdf26-May-2016 10:46 782K 
[ ]CalPERS2012BShieldNetValueHM.pdf26-May-2016 10:46 373K 
[ ]CalPERS2012BShieldRx65PDLPar.pdf26-May-2016 10:46 357K 
[ ]CalPERS2012HealthBenefitRate.pdf26-May-2016 10:46 95K 
[ ]CalPERS2012HealthBenefitsRat.pdf26-May-2016 10:46 49K 
[ ]CalPERS2012HealthBenefitsSum.pdf26-May-2016 10:46 1.3M 
[ ]CalPERS2012HealthProgramGuid.pdf26-May-2016 10:46 285K 
[ ]CalPERS2012HMOsBENEGrid05072.pdf26-May-2016 10:46 86K 
[ ]CalPERS2012KaiserHMOEOC.pdf26-May-2016 10:46 1.6M 
[ ]CalPERS2012PERSChoiceSuppOri.pdf26-May-2016 10:46 379K 
[ ]CalPERS2012PERSSelectSuppOri.pdf26-May-2016 10:46 369K 
[ ]CalPERS2012PPOsACTBENEGrid04.pdf26-May-2016 10:46 112K 
[ ]CalPERS2012PPOsRETBENEGrid04.pdf26-May-2016 10:46 110K 
[ ]CalPERSACTHealthBenefitEnrol.pdf26-May-2016 10:46 83K 
[ ]CalPERSACTIVECOBRAelectionfo.pdf26-May-2016 10:46 64K 
[ ]CalPERSACTIVEhealthbenefiten.pdf26-May-2016 10:46 65K 
[ ]CalPERSACTIVEHealthBenefitsE.pdf26-May-2016 10:46 83K 
[ ]CalPERSaffidavitmarriageform.pdf26-May-2016 10:46 39K 
[ ]CalPERSaffidavitparentchildr.pdf26-May-2016 10:46 57K 
[ ]CalPERSAnthemBCClaimForm.pdf26-May-2016 10:46 68K 
[ ]CalPERSAnthemBCHIPPAAuthoriz.pdf26-May-2016 10:46 101K 
[ ]CalPERSAnthemBCHOSPITALSSele.pdf26-May-2016 10:46 101K 
[ ]CalPERSAnthemBCSkilledNursin.pdf26-May-2016 10:46 119K 
[ ]CalPERSAnthemBCUrgentCareCTR.pdf26-May-2016 10:46 90K 
[ ]CalPERSAnthemBCXrayDiagCente.pdf26-May-2016 10:46 106K 
[ ]CalPERSbayarea.pdf26-May-2016 10:46 49K 
[ ]CalPERSBenefitComparisonGrid.pdf26-May-2016 10:46 267K 
[ ]CalPERSBShieldRxFormulary201.pdf26-May-2016 10:46 1.7M 
[ ]CalPERSCaremarkRxGuideforSel.pdf26-May-2016 10:46 74K 
[ ]CalPERScertificationmedicare.pdf26-May-2016 10:46 33K 
[ ]CalPERSCertificationofMedica.pdf26-May-2016 10:46 58K 
[ ]CalPERSChangeofAddressForm.pdf26-May-2016 10:46 102K 
[ ]CalPERSCOBRAACTIVEElectionFo.pdf26-May-2016 10:46 64K 
[ ]CalPERSCOBRARETIREEElectionF.pdf26-May-2016 10:46 56K 
[ ]CalPERSCVSCaremarkMedicareSu.pdf26-May-2016 10:46 262K 
[ ]CalPERSCVSCaremarkPDL4.12012.pdf26-May-2016 10:46 558K 
[ ]CalPERSDeclarationofHealthCo.pdf26-May-2016 10:46 753K 
[ ]CalPERSDEVProjectrequireddoc.pdf26-May-2016 10:46 46K 
[ ]CalPERSDisabledDEPMedicalCer.pdf26-May-2016 10:46 36K 
[ ]CalPERSDisabledDEPQuestionai.pdf26-May-2016 10:46 23K 
[ ]CalPERSDisabledDEPQuestionna.pdf26-May-2016 10:46 53K 
[ ]CalpersDrugListJuly2013.pdf26-May-2016 10:46 557K 
[ ]CalPERSEFTEnrollmentAuthoriz.pdf26-May-2016 10:46 47K 
[ ]CalPERSFAQsPlanChangesFINAL0.pdf26-May-2016 10:46 200K 
[ ]CalPERSFAQsv2.pdf26-May-2016 10:46 65K 
[ ]CalPERSHBD21FORM.pdf26-May-2016 10:46 30K 
[ ]CalPERSHealthBenefitsRETINIT.pdf26-May-2016 10:46 280K 
[ ]CalPERSHealthBenefitsRetiree.pdf26-May-2016 10:46 52K 
[ ]CalPERSlosangeles.pdf26-May-2016 10:46 49K 
[ ]CalPERSMedicalEnrollmentForm.pdf26-May-2016 10:46 78K 
[ ]CalPERSmedicalreportdisabled.pdf26-May-2016 10:46 64K 
[ ]CalPERSMedicareCertStatusFor.pdf26-May-2016 10:46 33K 
[ ]CalPERSMedicareEnrollment.pdf26-May-2016 10:46 278K 
[ ]CalPERSothernorthern.pdf26-May-2016 10:46 49K 
[ ]CalPERSothersouthern.pdf26-May-2016 10:46 49K 
[ ]CalPERSoutofstate.pdf26-May-2016 10:46 49K 
[ ]CalPERSPOAForm.pdf26-May-2016 10:46 61K 
[ ]CalPERSRETHBD30HealthChangeF.pdf26-May-2016 10:46 22K 
[ ]CalPERSRETHealthBenefitsPlan.pdf26-May-2016 10:46 536K 
[ ]CalPERSRETIREECOBRAElectionF.pdf26-May-2016 10:46 368K 
[ ]CalPERSRetireeEnrollmentCHAN.pdf26-May-2016 10:46 536K 
[ ]CalPERSRETIREEHealthBenefits.pdf26-May-2016 10:46 536K 
[ ]CalPERSRETIREESCOBRAelection.pdf26-May-2016 10:46 56K 
[ ]CalPERSRxHMOBASICPlansEOC201.pdf26-May-2016 10:46 204K 
[ ]CalPERSsacramento.pdf26-May-2016 10:46 49K 
[ ]CalPERSTempID11111.pdf26-May-2016 10:46 34K 
[ ]CALSTRSRetirementSystemElect.pdf26-May-2016 10:46 87K 
[VID]Camtest12345600.mov26-May-2016 10:46 42M 
[ ]Care.pdf26-May-2016 10:46 96K 
[ ]CaremarkCalPERSPPOsPDL.pdf26-May-2016 10:46 310K 
[ ]Choice.pdf26-May-2016 10:46 114K 
[ ]COBRAF1EAPDentalVisionForm20.pdf26-May-2016 10:46 96K 
[ ]COBRAF1EPOForm0910.pdf26-May-2016 10:46 50K 
[ ]COBRAF1EPOForm1011.pdf26-May-2016 10:46 52K 
[ ]COBRAF1EPOForm1112.pdf26-May-2016 10:46 68K 
[ ]COBRAF2PPOForm0910.pdf26-May-2016 10:46 49K 
[ ]COBRAF2PPOForm1011.pdf26-May-2016 10:46 52K 
[ ]COBRAF2PPOForm1112.pdf26-May-2016 10:46 111K 
[ ]COBRAF3KaiserForm0910.pdf26-May-2016 10:46 49K 
[ ]COBRAF3KaiserForm1011.pdf26-May-2016 10:46 52K 
[ ]COBRAF3KaiserForm1112.pdf26-May-2016 10:46 121K 
[ ]COBRAF4PTKaiserForm0910.pdf26-May-2016 10:46 55K 
[ ]COBRAF4PTKaiserForm1011.pdf26-May-2016 10:46 58K 
[ ]COBRAF4PTKaiserForm1112.pdf26-May-2016 10:46 72K 
[ ]COBRAF5PTEPOForm0910.pdf26-May-2016 10:46 55K 
[ ]COBRAF5PTEPOForm1011.pdf26-May-2016 10:46 57K 
[ ]COBRAF5PTEPOForm1112.pdf26-May-2016 10:46 73K 
[ ]COBRAF6PTPPOForm0910.pdf26-May-2016 10:46 55K 
[ ]COBRAF6PTPPOForm1011.pdf26-May-2016 10:46 57K 
[ ]COBRAF6PTPPOForm1112.pdf26-May-2016 10:46 71K 
[ ]COBRAMonthlyContributionRate.pdf26-May-2016 10:46 168K 
[ ]COBRAregREQFORCHANGE2011.pdf26-May-2016 10:46 509K 
[ ]ConfidentialActiveBenefits.pdf26-May-2016 10:46 290K 
[ ]ConfidentialRetireeBenefitsP.pdf26-May-2016 10:46 48K 
[ ]CONFpost97.pdf26-May-2016 10:46 49K 
[ ]CONFpre97.pdf26-May-2016 10:46 39K 
[ ]CSEAActiveBenefits.pdf26-May-2016 10:46 57K 
[ ]CSEARetireeBenefits.pdf26-May-2016 10:46 54K 
[ ]CVSCalPERSDrugsListJuly2013.pdf26-May-2016 10:46 487K 
[ ]CVSCaremarkPDLJuly2012.pdf26-May-2016 10:46 236K 
[ ]CVSCaremarkRxMailOrderForm.pdf26-May-2016 10:46 1.1M 
[ ]CVSCaremarkRxPaperClaimForm.pdf26-May-2016 10:46 167K 
[ ]DEACoverSheetRevFinalv220110.doc26-May-2016 10:46 351K 
[ ]DEADefinitionandRequiredDocu.pdf26-May-2016 10:46 96K 
[ ]DEADefinitionsofEligibilityF.pdf26-May-2016 10:46 224K 
[ ]DEADelayNoticeMay1809.pdf26-May-2016 10:46 272K 
[ ]DEAFAQsRevFinal20110518.pdf26-May-2016 10:46 148K 
[ ]DEAPTFFHDADefinitionsofEligi.pdf26-May-2016 10:46 228K 
[ ]DEAPTFFHDADefReqDocs083110.pdf26-May-2016 10:46 93K 
[ ]DEAPTFFHDAFAQs083110.pdf26-May-2016 10:46 352K 
[ ]DEAPTFFHDAVerificationFormCu.doc26-May-2016 10:47 1.5M 
[ ]DEAPTFFHDAVerificationFormCu.pdf26-May-2016 10:47 222K 
[ ]DEAPTFFHDAVerificationLetter.pdf26-May-2016 10:47 107K 
[ ]DEAVerificationLetterFinal20.pdf26-May-2016 10:47 50K 
[ ]DeltaDental603PPOEOC070110.pdf26-May-2016 10:47 781K 
[ ]DeltaDentalClaimformCA.pdf26-May-2016 10:47 53K 
[ ]DeltaDentalHighlightsPY11122.pdf26-May-2016 10:47 738K 
[ ]DeltaDentalPlanHighlightsJul.pdf26-May-2016 10:47 102K 
[ ]DeltaDentalPPOEOCGroup00603w.pdf26-May-2016 10:47 771K 
[ ]DELTADENTALPPOEOCJuly2010.pdf26-May-2016 10:47 781K 
[ ]DeltaDentalPPOSPDJuly2010.pdf26-May-2016 10:47 678K 
[ ]DentalVSPSubgroupsMarch0309.pdf26-May-2016 10:47 14K 
[ ]DEVCalPERSInitialNotice03281.pdf26-May-2016 10:47 34K 
[ ]DONOTMODIFYACTIVESV2.pdf26-May-2016 10:47 886K 
[ ]DONOTMODIFYRET2011v3.pdf26-May-2016 10:47 902K 
[ ]DPACTIVEImputedIncomeforJulD.pdf26-May-2016 10:47 41K 
[ ]DPCALCULATIONSPY11120328112.pdf26-May-2016 10:47 43K 
[ ]DPFormHBSD1965.pdf26-May-2016 10:47 351K 
[ ]dppolicy3.pdf26-May-2016 10:47 6.3K 
[ ]DPPTFImputedIncomeforJulDec2.pdf26-May-2016 10:47 38K 
[ ]DPRETImputedIncomeforJulDec2.pdf26-May-2016 10:47 38K 
[ ]dptaxIn1.pdf26-May-2016 10:47 3.2K 
[ ]DrugsExclusionListJuly2010v9.pdf26-May-2016 10:47 43K 
[ ]DWC1Formrev2014.pdf26-May-2016 10:47 120K 
[ ]DWCForm1SEDGWICK.pdf26-May-2016 10:47 225K 
[ ]EDDForm.pdf26-May-2016 10:47 723K 
[ ]EEMEDChangeRequestFormPY0910.pdf26-May-2016 10:47 447K 
[ ]EERates2013.pdf26-May-2016 10:47 190K 
[ ]EERatesCOBRA2013.pdf26-May-2016 10:47 206K 
[ ]EERatesPTF2013.pdf26-May-2016 10:47 191K 
[ ]EERatesSS2013.pdf26-May-2016 10:47 207K 
[ ]EFTForms2013VFINAL.pdf26-May-2016 10:47 167K 
[ ]Employeeswithholdingallowanc.pdf26-May-2016 10:47 618K 
[ ]EPOnew.pdf26-May-2016 10:47 741K 
[ ]Excerptfromwellnessarticle.pdf26-May-2016 10:47 154K 
[ ]FACULTYNewHireFORMSONLY04082.pdf26-May-2016 10:47 3.4M 
[ ]FACULTYNewHirePaperwork04052.pdf26-May-2016 10:47 5.3M 
[ ]FARetireeBenefitsPost97Artic.pdf26-May-2016 10:47 27K 
[ ]FARetireeBenefitsPre97Articl.pdf26-May-2016 10:47 23K 
[ ]FDACCDBasicLifeADDCertificat.pdf26-May-2016 10:47 93K 
[ ]FDACCDBasicSuppLifeADD.pdf26-May-2016 10:47 304K 
[ ]FDACCDCALifePHA.pdf26-May-2016 10:47 237K 
[ ]FDACCDSuppLifeADDCertificate.pdf26-May-2016 10:47 104K 
[ ]FHDABP4100.pdf26-May-2016 10:47 70K 
[ ]FHDAChildAbuseReporting.pdf26-May-2016 10:47 26K 
[ ]FHDADEADEPEligiblityFinal051.pdf26-May-2016 10:47 214K 
[ ]FHDADEADocRequirementsFinalC.pdf26-May-2016 10:47 58K 
[ ]FHDADEAVERIFFormFINALCV05120.pdf26-May-2016 10:47 229K 
[ ]FHDADEAVERIFGenericFormv1.doc26-May-2016 10:47 1.5M 
[ ]FHDADEAVerificationFormcusto.doc26-May-2016 10:47 1.5M 
[ ]FHDADefinitionsandRequiredDo.pdf26-May-2016 10:47 46K 
[ ]FHDADefinitionsofEligibility.pdf26-May-2016 10:47 53K 
[ ]FHDADefReqDocsRevFinal201004.pdf26-May-2016 10:47 39K 
[ ]FHDAFAQsDEAFINALCV051209.pdf26-May-2016 10:47 231K 
[ ]FHDAFAQsFinal20100507.pdf26-May-2016 10:47 54K 
[ ]FHDAFebruaryMarchWellnessNew.pdf26-May-2016 10:47 358K 
[ ]FHDAFormSSA1945.pdf26-May-2016 10:47 536K 
[ ]FHDAGeneralSafetyGuideline.pdf26-May-2016 10:47 67K 
[ ]FHDAJanWellnessNewslettrv5b.pdf26-May-2016 10:47 457K 
[ ]FHDAMayJuneWellnessNewslettr.pdf26-May-2016 10:47 358K 
[ ]FHDANovemberDecemberWellness.pdf26-May-2016 10:47 240K 
[ ]FHDAOctNovWellnessNewslettrv.pdf26-May-2016 10:47 338K 
[ ]FHDAOEPINAPPROVED20090305v2.pdf26-May-2016 10:47 92K 
[ ]FHDAVerificationFormFinal201.pdf26-May-2016 10:47 28K 
[ ]FHDAVerificationLetterFinal2.pdf26-May-2016 10:47 43K 
[ ]FHDAVerificationLetterFINALC.pdf26-May-2016 10:47 232K 
[ ]Final001EPO.pdf26-May-2016 10:47 578K 
[ ]Final002PPO.pdf26-May-2016 10:47 532K 
[ ]FLUSHOTS2009Ad.pdf26-May-2016 10:47 603K 
[ ]FLUSHOTS2010Adv2.pdf26-May-2016 10:47 640K 
[ ]FORMSONLYNONFACULTYNewHirePa.pdf26-May-2016 10:47 2.3M 
[ ]FSA0910ENROLLMENTFORM1.pdf26-May-2016 10:47 25K 
[ ]FSA1011ENROLLMENTFORM.pdf26-May-2016 10:47 17K 
[ ]FSA1112ENROLLMENTFORM.pdf26-May-2016 10:47 17K 
[ ]FSAHCAGeneralInfo.pdf26-May-2016 10:47 44K 
[ ]FSAJulyDec2012ENROLLMENTFORM.pdf26-May-2016 10:47 15K 
[ ]FSAOTCLTRofMedicalNecessity.pdf26-May-2016 10:47 29K 
[ ]FSAPayFlexAutoPayRescindNoti.pdf26-May-2016 10:47 172K 
[ ]FSAVOLUNTARYBENEFITSVFinal.pdf26-May-2016 10:47 63K 
[ ]FTActiveBenefitsArticle22.pdf26-May-2016 10:47 26K 
[ ]GeneralEmployeeForm.pdf26-May-2016 10:47 176K 
[ ]HARTFORDBeneficiaryDesignati.pdf26-May-2016 10:47 51K 
[ ]HartfordBasicLifeADDwBDepJul.pdf26-May-2016 10:47 113K 
[ ]HartfordGLDeathClaimApplicat.pdf26-May-2016 10:47 1.4M 
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Apache/2.2.15 (CentOS) Server at fhdafiles.fhda.edu Port 80