Teacher and Staff Resources

 

Insurance Links

  
CT Partnership Health Plan
  Benefit Summary Flyer

Benefit Details     Benefit Summary

Enrollment Form:
Excel Spreadsheet  or PDF File
  
  

Oxford - Medical
Customer Care: 1.800.385.9055

Vision Care Reimbursement Form (not hardware)

Medical Claim Form (out of network providers)

Websites:
https://www.oxhp.com/Member/MemberPortal/ * 

* Note:  Create your own account online and view your benefits, claims, etc. at any time!

http://www.osc.ct.gov

State of CT Health Enhancement Program

Health Enhancement Program Summary
 
Preventative Maintenance Requirements

Physician Notification Form

Tools and Resources

   

CIGNA - Dental
Customer Care: 1.800.244.6224

Benefit Summary Flyer

Out of Network Dental Claim Form

Website:
http://www.cigna.com/sites/stateofct-partnership/

CVS Caremark Prescription
Benefit Program
Customer Care: 1.800.318.2572

Benefit Summary Flyer

Medication Coverage
Exception Request Form

Mail Order Form

Website:
http://www2.caremark.com/ctpartnership/

  

Anthem Life Insurance

Life Insurance Enrollment and Change Form
   

Links

Forms / Templates  *

Various school forms / templates have been made available for your use out of the building.

* If there is another form you would like to see made available on this page, please let me know so I can get it posted for you.

Diane