Internal Healthcare Forms

for employees

HomeFor EmployeesInternal Healthcare Forms

resources for employees

Internal Healthcare Forms

This page is intended for Geauga County employee use only.

Title
File
Date
Year Category
2024 Wellness Program Info and Instruction 2024-Wellness-Program-Info-and-Instruction.pdf Jan 23, 2024 2024-01-23 Internal Healthcare Forms
2024 Anthem 4D Plan Summary 2024-Anthem-4D-Plan-Summary.pdf Nov 22, 2023 2023-11-22 Healthcare Information
2024 Anthem 1C Plan Summary 2024-Anthem-1C-Plan-Summary.pdf Nov 22, 2023 2023-11-22 Healthcare Information
Healthcare Insurance Waiver 2024 Healthcare-Insurance-Waiver-2024.pdf Oct 2, 2023 2023-10-02 Healthcare Forms
Healthcare and Dental Contribution Rates 2024 Healthcare-Dental-Contribution-Rates-2024.pdf Oct 2, 2023 2023-10-02 Healthcare Information
Anthem Healthcare Booklet 2024 Anthem-Healthcare-Booklet-2024.pdf Oct 2, 2023 2023-10-02 Healthcare Information
CEBCO/Anthem Medical Booklet Enhanced 1C Plan 2023 CEBCO-Anthem-Medical-Booklet-Enhanced-1C-Plan-2023.pdf Jul 12, 2023 2023-07-12 Healthcare Information
CEBCO/Anthem Medical Booklet Basic 4D Plan 2023 CEBCO-Anthem-Medical-Booklet-Basic-4D-Plan-2023.pdf Jul 12, 2023 2023-07-12 Healthcare Information
Injury Reporting Packet for Supervisor InjuryReportingPacket-Supervisor.pdf Feb 22, 2023 2023-02-22 Workers' Compensation
Injury Reporting Packet for Employee InjuryReportingPacket-Employee.pdf Feb 22, 2023 2023-02-22 Workers' Compensation
Deferred Compensation Options Deferred-Comp-Options-v2.pdf Nov 22, 2022 2022-11-22 More Benefit Information
Employee Assistance Program:  ComPsych EAP Suite of Services Employee-Assistance-Program-ComPsych-EAP-Suite-of-Services.pdf Oct 18, 2022 2022-10-18 More Benefit Information
Healthcare Enrollment Form HealthcareEnrollmentForm-2023.pdf Oct 6, 2022 2022-10-06 Healthcare Forms
Healthcare Change Request Form HealthcareChangeRequestForm-2023.pdf Oct 6, 2022 2022-10-06 Healthcare Forms
CEBCO Transparency in Coverage Rule CEBCOTransparencyInCoverageRule.pdf Jul 20, 2022 2022-07-20 Healthcare Information
Anthem Life Employee Application Form AnthemLifeInsApp.pdf Jan 10, 2022 2022-01-10 More Benefit Information
Delta Dental Video Presentation Oct 20, 2021 2021-10-20 Healthcare Information
CEBCO Program and Apps 2022 2022-CEBCO-Programs-and-Apps.pdf Oct 20, 2021 2021-10-20 Healthcare Information
CEBCO Healthcare Phone List – 2022 2022-Healthcare-Phone-List.pdf Oct 20, 2021 2021-10-20 Healthcare Information
Delta Dental Summary of Benefits Delta-Dental-Summary-Benefits.pdf Oct 1, 2020 2020-10-01 Healthcare Information
Delta Dental Insurance Card Delta-Dental-Insurance-Card.pdf Oct 1, 2020 2020-10-01 Healthcare Information
Anthem Life Certificate of Coverage AnthemLifeCertificateOfCoverage.pdf Aug 18, 2020 2020-08-18 More Benefit Information
Anthem “Live” Health Online Setup Anthem-Live-Health.pdf Jan 6, 2020 2020-01-06 More Benefit Information
Anthem Annual Routine Preventative Eye Exam 2018-CEBCO-Routine-Eye-Exam.pdf Dec 19, 2018 2018-12-19 Healthcare Information
Section 125 Summary Plan Description Section125SummaryPlanDescription.pdf Oct 16, 2017 2017-10-16 More Benefit Information
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