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2012 Lancaster County Benefit Information



Welcome all eligible employees to our Lancaster County 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 1st 2012 and goes through December 31, 2012 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 17, 2011.

This year, we have Blue Cross and Blue Shield of Nebraska again for health insurance. You will not have to complete a form unless you are changing this coverage. Please review the "Benefits Overview of your Health Care Benefits" summary for the details of this plan. If you are not making any additions, deletions or other changes to your DENTAL or VISION coverages, you DO NOT NEED TO COMPLETE ANY FORMS. If you ARE making changes to these coverages you WILL HAVE TO COMPLETE A FORM BY printing it, completing it fully and then either mailing, faxing to 402-441-8748 or bringing this in to the Benefits area of the Personnel Department on the 3rd floor of the County City Building at 555 S. 10th Street, Lincoln, NE 68508.

For PayFlex flexible benefits coverages, PLEASE BE AWARE THAT YOU MUST COMPLETE A FORM EVERY PLAN YEAR. This year enrollment will be only accepted via on-line.

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


All links below are in PDF Format

Lancaster County 2012 Open Enrollment Meeting: Schedule

Lancaster County 2012 Health, Dental and Vision Monthly Rates effective January 1, 2012 for:

AFSCME & Non-represented
FOP Lodge 29 & Deputy Sheriff's
FOP Lodge 32 & Corrections Officers


Blue Cross/Blue Shield

Coordination of Benefits
Schedule of Benefits Summary
Enrollment/Change form
Summary Plan Description
Benefits Overview
Authorization For Release of Protected Health Information form
Drug Formulary (April 2012)
Stay In-Network Brochure
Stay In-Network Poster
Member Presentation Powerpoint
H1N1 Vaccine
LB551 Extension of coverage form
Extension of coverage for dependents to age 26 New
Childrens Health Insurance Program New
Notice of Privacy Practices
Customer Service number: 1-800-642-8980 orwww.bcbsne.com


Ameritas - Dental

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


Ameritas - EyeMed

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


PayFlex

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


Hartford Life

Hartford Annual Enrollment Letter
Lancaster County Benefit Plan
Supplemental Life Brochure
Hartford Personal Health Application
Supplemental Life Financial Protection
Supplemental Life Needs
Supplemental Life Simplified Medical Underwriting Application
Supplemental Life Insurance and Accidental Death & Dismemberment Enrollment Form
Group Life and/or Accidental Death & Dismemberment Claim Forms for Employee or Dependent
Group Life Portability Outline
Supplemental Life Insurance and Accidental Death & Dismemberment Enrollment Form for New Hires
Employee Travel Assistance Program
Beneficiary Assist Program
Estate Guidance Will Services
Funeral Planning and Concierge Services
Life and Accidental Death and Dismemberment Insurance

Prudential - Long Term Care

Prudential Brochure
Contact number: 402-484-3826 or Email: Vera Schneider


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