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Insurance

**SECTION 125 FLEXIBLE SPENDING**
Current Plan Document as of 03/03/2020
Anthem Act Wise Enrollment Form
How Flexible Spending Accounts Work

Amendments


**MEDICAL, DENTAL & PRESCRIPTION DRUG**
Marinette County's Medical, Dental and Prescription Drug are through UMR/Group Health Trust (GHT) .  Network links are below.  Please be cautious of medical procedures performed by a Dentist, this will be Out-Of-Network.

**2019 ANTHEM NETWORKS**

Plan Information Sheet - 2020
Plan Information Sheet - 2021

Plan Documents - Active Employees
2020 Access Network Plan Document (when utilizing insurance outside of WI)
2020 Priority Network Plan Document
2020 Preferred Network Plan Document
         *Please refer to your insurance card to see your network/plan selection
2020 Dental Plan Document
2021 Dental Plan Document

Plan Documents - Retirees Retiring 01/01/2017 & AFTER
*See your monthly invoice for Priority or Preferred Network
Priority Plan (those living in WI in the Priority Network)
Preferred Plan (those living in WI in the Preferred Network)
Access Plan (those living outside of WI in the Preferred Network)
*NOTE:  Those in WI utilizing providers outside of WI will be placed in the Access Plan/Network for that date of service

Plan Documents - Retirees Retiring 12/31/2016 & EARLIER
*See your monthly invoice for Priority or Preferred Network
Priority Plan (those living in WI in the Priority Network)
Preferred Plan (those living in WI in the Preferred Network)
Access Plan (those living outside of WI in the Preferred Network)
*NOTE:  Those in WI utilizing providers outside of WI will be placed in the Access Plan/Network for that date of service

Summaries of Benefits & Coverage - Active Employees
**Please see your Insurance Card for Network Identification
Blue Priority - Active
Blue Preferred - Active
Blue Access - Active

Summaries of Benefits & Coverage - Retirees (those retiring 01/01/2017 and after)
**Please see your Insurance Card for Network Identification
Blue Priority - Retiree
Blue Preferred - Retiree
Blue Access - Retiree

2019 Bellin E-Visits
2019 Bellin FastCare
2019 Aurora E-Visits
How to Find a Blue View Vision Provider

Vision Benefit Booklet
Blue View Vision Providers within 50-Mile Radius of 54143 as of 02/03/2021

Traveling Outside of WI or the Country??
International Claim Form
Global Core Program

2019 Medicare Part D Creditable Coverage

Employer Clinic
Available to all health insurance participating employees/retirees and their covered dependents.

Bellin Employer Clinic, Marinette - Available 03/01/2021
Bellin Near Site Clinics - Available 03/01/2021
Bellin Employer Clinic - Physical Therapy Services

Marinette Aurora Employer Clinic - Available to 03/15/2021
Crivitz Aurora Employer Clinic - Available to 03/15/2021

Chiropractor Employer Clinics


Amendments

**HEALTH REIMBURSEMENT ARRANGEMENT ACCOUNTS:  MIDAMERICA JOURNEY**
MidAmerica Welcome Kit
MidAmerica Journey Claim Submission Guide
MidAmerica Journey - Highlights
MidAmerica Journey Participant Overview Guide

Claim Form

**HEALTH REIMBURSEMENT ARRANGEMENT (HRA) ACCOUNTS for RETIREES**
Retiring employees should see Policies & Procedures Manual for eligibility.
Please contact Finance/Payroll for final sick time payout/HRA amounts, if eligible.

HRA Plan Highlights & Summary
HRA Set Up
HRA Eligible Expenses
HRA Reimbursements
HRA Recurring Claim Reimbursements

2020 HRA Summary of Benefits & Coverage
2021 HRA Summary of Benefits & Coverage

A Guide to the New HRA Online Claims Submission Site.

**HEALTH REIMBURSEMENT ARRANGEMENT (HRA) ACCOUNTS for ACTIVE EMPLOYEES**
Summary of Benefits & Coverage - 2018
Summary of Benefits & Coverage - 2019
Summary of Benefits & Coverage - 2020
Summary of Benefits & Coverage - 2021

**LIFE INSURANCE**
Life Insurance is available to all full time, permanent employees.
2018 Management Employee Certificate
2018 Non-Exempt Employee Certificate
2018 WPPA Employee Certificate
2018 Professional and Computer Employee Certificate

**EMPLOYEE ASSISTANCE PROGRAM (EAP)**
Aurora EAP Info