Cafeteria Plan

 

Shawn-Marie Riley, Conference Benefits Administrator                     

Phone:  (817)877-5222 or (800)460-8622

Fax:  (817)338-4541 (Please call to verify receipt of time sensitive materials.)

Click here to email.

 

2013 Information

Cafeteria Plan 2013 Overview (Contact Shawn-Marie)

2013 Cafe Plan Annual Enrollment Instructions  (Contact Shawn-Marie)

2013 Cafeteria Plan Enrollment Form (Contact Shawn-Marie)

2013 Dental Plan Enrollment Form (Contact Shawn-Marie)

2013 Aflac Voluntary Benefit Rates (Contact Shawn-Marie)

2013 Short Term Disability Rates-Clerical Lay (Contact Shawn-Marie)

2013 Short Term Disability Rates-Clergy/ Non-Clerical Lay ((Contact Shawn-Marie)

 

Aflac Voluntary Benefits (Policies)

New plan changes for 2013 indicated with an asterisk (*). Policy(ies) you currently have will not change, nor will the monthly rate change.

If you would like to see the following brochures, contact Shawn-Marie.

Hospital Protection   

Specified Health Event Protection   

Dental Overview  

Dental Essentials Brochure 

Dental Essentials Schedule of Benefits

Dental Plan 1 Brochure  

Dental Plan 1 Schedule of Benefits  

Dental Orthodontic Rider        The rider adds extra to your dental premium.

* Cancer Premier Classic       

Short Term Disability   

Accident Indemnity Advantage   

 

Policy Forms

Cancellation Aflac Policy Form  - (Contact Shawn-Marie) Fax to Shawn-Marie Riley at Conference Office.  Fax No. 817-338-4541

 

Aflac Wage Works Un-reimbursed Medical (URM) & Dependent Daycare (DDC) Flexible Spending Accounts   

Website:  www.myflexonline.com

Aflac Wage Works Intro Letter Oct 2012 (pdf format)

AFLAC/WAGE WORKS Flexible Spending Account Reimbursement Form - Unreimbursed Medical (pdf format) 

AFLAC/WAGE WORKS Flexible Spending Account Reimbursement Form  - Dependent Daycare (pdf format)

Wage Works Direct Deposit Enrollment Form (pdf format)

Take Care Card by Wage Works (pdf format)