Insurance

Instructions for the Medical Health Plan Changes:

ABA Online Benefit Elections Changes

ABA All Medical and FSA Information Portal
ABA Medical Member Portal Instructions

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Health Plan Rates Schedule:

Benefit Schedule Rates

Alternate Plan Schedule

Temporary Health ID Card
ABA Temporary ID Card

Fast Track Medical Services - $10 CoPay
Mission Health Clinic Dr Kaur
PCI Clinic
Primary Care and Wellness Dr. Stinson

Urgent Care/Night Clinic
Urgent Care and Night Clinic Brochure

Health Plan Provider and Facility Lookup:
Independent Medical Systems (IMS)
Call 1-800-853-7003 or go online at http://www.imsppo.com

90 Day Retail Pharmacy Network:
SISD Retail 90 Day Pharmacy Network List

RX Mail Order Form:
Prescription Mail Order Form

Imaging Centers:

Optimum Imaging:
Optimum Imaging

Mission Regional Medical Hospital Imaging:

Mission Regional Medical Hospital

Medical Plan Claim Forms:

Medical Claim Form

Alternate Plan Claim Form.

Preferred Lab Facility Information: LabCorp

LabCorp Information

Flexible Spending Account Information & Claim Forms:

FSA Brochure What is FSA
FSA Medical Claim Form
FSA Dependent Care Claim Form

Ambulance Services:
MASA Ambulance Services
Ambulance Claim and Transport Instructions

Dental Plan:
Ameritas Dental ID Card Access
Ameritas Dental Brochure Premiums
Ameritas Dental Claim Form
Ameritas Dental InNetwork Providers List

Vision Plan:
Ameritas Vision ID Card Access
Ameritas Vision Brochure

Ameritas Vision Provider List
Ameritas Vision Claim Form

Disability:

Disability Claim Forms

EAP -Employee Assistance Program & Other Services:
Lincoln Disability EAP Brochure
EAP Employee Assistance Information

Life Insurance LifeKeys Brochure.
LifeKeys Services Brochure
Will Preparation Plus Brochure

Voluntary Life Insurance:
Term Life and AD and D Brochure.

MetLife:

Wellness Health Benefit
Health Screening Claim MyBenefits Instructions
Health Screening Claim Form

Cancer
Cancer Plan Brochure
Cancer Plan Claim Form

Hospital Indemnity
Hospital Indemnity Insurance Plan
Hospital Indemnity Claim Form

Critic al Illness
Critical Illness Plan Brochure

Critical Illness Claim Form

Accident
Accident Brochure

Accident Plan Claim Form

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COBRA Premium Rate Schedule - Need to contact the TPA ABA at 1-800-850-7166 for Rates.

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Worker's Compensation Insurance:
Workers Compensation Packet

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Student Accident Insurance:

Student Voluntary Accident Enrollment Form

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Alternate to Social Security Information:

457b FICA Alternative Plan

Annuity TPA (Third Party Administrator) Website:
www.tcgservices.com
403b Savings Plan
457b Savings Plan

SHARYLAND

Insurance

Sharyland ISD