2020 OPEN ENROLLMENT – 11/01/2019 to 11/20/2019
All forms require Adobe Acrobat Reader to download and complete unless otherwise noted.
Enrollment Information
Employee Health Plans
Wellmark Blue Cross and Blue Shield: 1-800-774-0384 – www.mywellmark.com
- High Deductible Health Plan Summary of Benefits and Coverage
- Traditional Health Plan Summary of Benefits and Coverage
- Bronze Plan Summary of Benefits and Coverage
- Health Plan Enrollment & Resource Guide
- Benefit Plan Change Form – current employees only
- Benefit Plan Termination Form – current employees only
Health Savings Account
Discovery Benefits: 1-866-451-3399 – www.discoverybenefits.com
Pharmacy Coverage
CVS Caremark: 1-800-565-7091 – www.caremark.com
Vision Coverage
VSP Vision Benefits: 1-800-877-7195 – www.vsp.com
Employee Dental Plan
Delta Dental of South Dakota: 1-877-841-1478 – www.deltadentalsd.com
- Delta Dental Summary of Benefits and Coverage
- Dental Plan Termination of Coverage Form – current employees only
Life Insurance Plan
UNUM: 1-877-225-2712 – www.unum.com
- Life Insurance Summary of Benefits and Coverage
- Life Plan Evidence of Insurability Form – current employees only
Long Term Disability Plan
UNUM: 1-877-225-2712 – www.unum.com
- Long Term Disability Summary of Benefits and Coverage
- LTD Evidence of Insurability Form – current employees only