Welcome all eligible employees to our on-line open enrollment site. We encourage you to utilize the forms and information on this page, to quickly and efficiently sign up for Lancaster County benefits.

For the new County plan year that begins January 1^st 2013 and goes through December 31, 2013 we have on this web page all of the forms and information you will need for this years open enrollment. Also, PLEASE KEEP IN MIND THAT ALL OPEN ENROLLMENT INFORMATION MUST BE RECEIVED IN THE PERSONNEL DEPARTMENT BY NOVEMBER 21, 2012.

This year all coverages will continue as they have except for Payflex. You do not need to complete a Health, Dental or Vision form if you are not making any additions, deletions or other changes to your coverages. If you are making changes to htese coverages you will have to complete a form by printing it, completing it fully and then either mailing, or bring this in to the Benefits area of the Personnel Department, County-City Building at 555 South 10th Street, Room 302, Lincoln, NE 68508. Also we are completing our enrollment for PAY FLEX on-line just as we did last year, yet the total amount you may put aside for unreimbursed medical has been reduced to $2,500.

Finally, should you have any questions for us in the Personnel Department, please don't hesitate to e-mail or call us as listed below. Thanks for your help in utilizing this new on-line service!

Bill Thoreson Phone: 441-7883 Email: wthoreson@lincoln.ne.gov
Paula Lueders Phone: 441-7878 Email: plueders@lincoln.ne.gov
Bill Kostner Phone: 441-7671 Email: bkostner@lincoln.ne.gov

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All links below are in PDF Format

Lancaster County 2013 Open Enrollment Meeting: Schedule

Lancaster County 2013 Health, Dental and Vision Monthly Rates effective January 1, 2013 for:

AFSCME (A CLERICAL)
AFSCME - Certain County Engineer Classes
FOP Lodge 29 - Deputy Sheriff's
FOP Lodge 32 - Corrections Officers
FOP Lodge 77 - Juvenile Detention Officers
Urep/Unclass MSS/C/E/X


Blue Cross / Blue Shield

Athorization for Release of Protected Health Information
Blue365 - Your resource for living healthier
Breastfeeding Support, Supplies and Counseling
Case Management Transition Form
Contraceptive Drugs and Methods Pharmacy List
Contraceptive Methods and Counseling
Deciding Where To Go
Drug Formulary (November 2012)
Enrollment Form
Explanation of Benefits
Extension of Coverage Request for Extended Eligibility to Age 30
Health Care Reform Benefits for Preventive Services
International Claim Form
Nebraska Urgent Care & Retail Health Locations
New Prescription Order Form
Notice of Privacy Practices
Online Member Services
Prescription Drug Claim Form
Preventive Guidelines
Schedule of Benefits Summary
Subscriber's Claim Form - Non-Participating Provider
Subscriber's Claim Form - Used when filing claims to another PCPS plan
Vision Claim Form
Customer Service number: 1-800-642-8980 or www.nebraskablue.com


Ameritas - Dental

Plan Highlights
Group Enrollment/Change or Waiver Form
Summary Plan Description (2013)
Customer Service number: 1-800-487-5553 or www.ameritasgroup.com


Ameritas - EyeMed

Vision Plan
Enrollment/Change or Waiver Form
Summary Plan Description (2013)
Customer Service number: 1-866-289-0614 or www.eyemedvisioncare.com


PayFlex

On-Line Enrollment Form
Claim Form
Enrollment Form
Flexible Spending Account Flyer
Health Care Reform Act
Over the Counter Drugs and Medicines Information
Over the Counter Legislative Update
Payflex Card Flyer (Current Participants)
Payflex Card Flyer (New Participants)
Payflex Mobile Flyer
Pay Them Flyer
Quick Reference Guide
Substantiation
Summary of Plan Description
Summary of Material Modifications
Customer Service number: 1-800-284-4885 or www.mypayflex.com


Hartford Life

Hartford Annual Enrollment Letter
Lancaster County Benefit Plan
Beneficiary Assist Program
Benefits Enrollment Form
Estate Guidance Will Services
Funeral Planning and Concierge Services
Group Life and/or Accidental Death & Dismemberment Claim Forms for Employee or Dependent
Group Life Portability Outline
Life and Accidental Death and Dismemberment Insurance
Personal Health Application
Supplemental Life Brochure
Supplemental Life Insurance and Accidental Death & Dismemberment Benefit Highlight Sheet
Travel Assistance Program


Prudential - Long Term Care

Prudential Enrollment Last Chance
Prudential Letter
Prudential Brochure
Contact number: 402-484-3826 or Email: Vera Schneider

Allstate Voluntary Benefits

Benefit Brochures and Videos
Accident and STD Claim Form
Allstate Corporate Information
Accident Insurance
Critical Illness Claim Form
Critical Illness Insurance
Critical Illness Wellness Claim Form
Enrollment Information
Voluntary Short Term Disability
Call Center: 877-282-0808; M-F; 7:00am - 4:00pm; or Email: Karen Keeler