Internal Healthcare Forms

for employees

resources for employees

Internal Healthcare Forms

This page is intended for Geauga County employee use only.

Title
File
Date
Year Category
Deferred Compensation Options Deferred-Comp-Options-v2.pdf Nov 22, 2022 2022-11-22 More Benefit Information
Healthcare Open Enrollment Presentation 2023 Oct 18, 2022 2022-10-18 2023 Open Enrollment
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 and Dental Contribution Rates 2023 Healthcare-Dental-Contribution-Rates-2023.pdf Oct 18, 2022 2022-10-18 Healthcare Information
Anthem Healthcare Booklet 2023 Anthem-Healthcare-Booklet-2023.pdf Oct 18, 2022 2022-10-18 Healthcare Information
Healthcare Insurance Waiver 2023 HealthcareWaiverForm-2023.pdf Oct 6, 2022 2022-10-06 Healthcare Forms
Healthcare Open Enrollment 2023 HealthcareOpenEnrollment-2023.pdf Oct 6, 2022 2022-10-06 2023 Open Enrollment
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
Wellness Program Guide 2022-2023 WellnessProgramGuide-2022-2023.pdf Oct 4, 2022 2022-10-04 Employee Wellness Program
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
Anthem Medical Basic 4D Plan – 2022 Anthem-Medical-Basic-4D-Plan-2022.pdf Nov 9, 2021 2021-11-09 Healthcare Information
Anthem Medical Enhanced 1C Plan – 2022 Anthem-Medical-Enhanced-1C-Plan-2022.pdf Nov 9, 2021 2021-11-09 Healthcare 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 Healthcare Prescription Booklet – 2022 2022-Anthem-Healthcare-Prescription-Booklet.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
Employee Assistance Program: Lifestyle EAP Suite of Services Lifestyle-EAP-Suite-of-Services.pdf Oct 21, 2019 2019-10-21 More Benefit Information
Anthem Annual Routine Preventative Eye Exam 2018-CEBCO-Routine-Eye-Exam.pdf Dec 19, 2018 2018-12-19 Healthcare Information
Employee Assistance Program: Lifestyle EAP LS-EAP.pdf Oct 10, 2018 2018-10-10 More Benefit Information
Section 125 Summary Plan Description Section125SummaryPlanDescription.pdf Oct 16, 2017 2017-10-16 More Benefit Information
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