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BCBS Amwell 24/7 On-line Health Care (605kB)

BCBS BlueHEALTHConnection Member Overview (495kB)

BCBS Medical PPO 1 - Plan 1 (256kB)

BCBS Medical PPO 1 - Plan 2 (258kB)

BCBS Medical PPO3 Plan (257kB)

HealthPlus HMO POS Plan (89kB)

HealthPlus PPO Plan (58kB)

MESSA SuperCare I Plan (90kB)

MESSA Choices II Plan (232kB)

BCBS Vision Plan Summary (772kB)

BCBS Dental Plan Summary (884kB)

UNUM Group Life and Supplemental Life Insurance Overview and Rates (115kB)

UNUM Group Long-Term Disability Insurance Highlights (31kB)

UNUM Travel Assistance (370kB)

SVSU Retirement Plan (278kB)

Post 65 BCBS Medicare Advantage Plan (1,131kB)

Pre 65 BCBS PPO3 Plan 15-50-50 RX (291kB)

I-9 Form (477kB)

Pre 65 BCBS Simply Blue 1000 (445kB)

Support Staff Contract 2015-2018 (3,118kB)

 ‌‌‌‌‌AP and Support Staff Medical Plan Comparison (143kB)

 BCBS PPO1 Plan-1 Summary of Benefits and Coverage (434kB)

BCBS PPO1 Plan-2 Summary of Benefits and Coverage (434kB)

BCBS PPO3 Summary of Benefits and Coverage (435kB)

 

Employee Assistance Program (919kB)

Faculty Contract 2014-2017 (8,073kB)

Faculty Medical Plan Comparison (49kB)

Flexible Spending Account Overview (41kB)

Glossary of Health Coverage and Medical Terms (89kB)

HealthPlus Additional Women’s Preventative Services (137kB)

HealthPlus HMO POS Summary of Benefits and Coverage (265kB)

HealthPlus Perks (778kB)

HealthPlus PPO Summary of Benefits and Coverage (266kB)

HealthPlus State Mandated Autism Coverage (99kB)

 

MESSA Choices II Summary of Benefits and Coverage (354kB)

MESSA SuperCare I Summary of Benefits and Coverage (322kB)

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W-4 Federal Tax Form (116kB)

W-4 Michigan State Tax Form (37kB)

SW-4 Saginaw City Tax Form (35kB)

Employee Data Form (56kB)

Direct Deposit Form (47kB)

UNUM Group Life and Supplemental Life Enrollment/Change Form (49kB)

UNUM Evidence of Insurability (213kB)

403(b) Compensation Plan Agreement Form (205kB)

457(b) Deferred Compensation Plan Agreement Form (171kB)

Tuition Waiver Request Form (208kB)

Adjunct Faculty Tuition Waiver Form (163kB)

Safety Orientation Checklist (98kB)

FERPA Faculty Form (58kB)

FERPA Staff Form (56kB)

Faculty Association Dues (17kB)

Release of Official Transcripts (96kB)

BCBS HIPPA Statement (39kB)

HIPPA Compliance Program - Notice of Privacy Practices (82kB)

Medical Loss Ratio Information (28kB)

Medicare Creditable Notice (160kB)

 

 

 

 

 

 

AP Attendance Record (382kB)

Change of Address/Name/Username Form (58kB)

BCBS Enrollment and Change Form (215kB)

Online Check Requisition Instructions (208kB)