Benefits Forms Manager
Newly Married Employees
Please fill out, print and send the attached forms along with a copy of
your marriage license to the Benefits Department within 30 days of marriage.
Adding Benefit Coverage
Employees wanting to add benefit coverage due to qualifying events such as spouse's retirement, spouse's loss of coverage, divorce, death, etc.,
must complete the attached forms and return them to the benefits office.
Basic Flexible Information
The BASIC Flex Plan is available here and the reimbursement form.
Basic/Cafeteria Summary Plan Description
Cafeteria Plan Document
Cafeteria Plan Specifications
Cafeteria Plan Amendment
ACA Summary Benefits of Coverage
RX Saver Flyer
MESSA ABC 3 Plan
MESSA Choices ($10/$20 Drug Plan)
MESSA Choices (Saver RX)
Dental Benefits at a Glance
Vision Claim Form
Adding/Deleting A Dependent to your Insurance
Please fill out, print and send the attached forms along with the date of birth for your child within 30 days of birth.
90 Day Prescription Links with Blue Cross