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2010 Open Enrollment
Benefits Summary
Employee Benefits Handbook
Benefits Update
Health Plan Comparison Guide
COBRA FAQ
Group Insurance Programs:
Health and Prescription Drug Insurance
Dental Insurance
Life Insurance
Long Term Disability Insurance
Flexible Spending Accounts
Group Vision Plan
Group Legal Benefit Plan
Domestic Partner Coverage
Faculty Staff Assistance Program (FSAP)
Leave Policies
Retirement Programs
Tuition Waiver & Educational
Assistance Program (TW/EAP)
e
TW
EAP
- Tuition Waiver/EAP
Online Application
Health and Prescription Drug Insurance
CIGNA PPO (Preferred Provider Organization) Plan
PPO Medical Benefits Summary
Medical Claim Form
Full-time Employees - Per Pay Period Rates
12 Month Employees
10 Month Employees
Individual
$52.63
$68.42
Family
$142.12
$184.76
Part-time Employees - 2010 Rates (for employees hired before 1/1/93)
Part-time Employees - 2010 Rates (for employees hired after 1/1/93)
CIGNA Website
To enroll, you
must
submit the following:
Montgomery College Group Insurance Enrollment Form
Copies of Marriage and/or Birth Certificates if adding dependents new to MC benefits
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CIGNA POS (Point of Service) Plan
POS Medical Benefits Summary
Out-of-Network Medical Claim Form
Full-time Employees - Per Pay Period Rates
12 Month Employees
10 Month Employees
Individual
$55.21
$71.86
Family
$148.75
$193.37
Part-time Employees - 2010 Rates (for employees hired before 1/1/93)
Part-time Employees - 2010 Rates (for employees hired after 1/1/93)
CIGNA Website
To enroll, you
must
submit the following:
CIGNA POS Enrollment Form
Montgomery College Group Insurance Enrollment Form
Copies of Marriage and/or Birth Certificates if adding dependents new to MC benefits
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Caremark Prescription Drug Plan (applies only to Cigna Plans)
PPO Prescription Benefits At-a-Glance
POS Prescription Benefits At-a-Glance
Mail Service Order Form
Prescription Drug Claim Form
Caremark Formulary List-January 2010
Caremark Website
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Kaiser Permanente HMO Plan
Kaiser Permanente HMO Medical Benefits Summary
Full-time Employees - Per Pay Period Rates
12 Month Employees
10 Month Employees
Individual
$41.99
$54.59
Family
$113.37
$147.38
Part-time Employees - 2010 Rates (for employees hired before 1/1/93)
Part-time Employees - 2010 Rates (for employees hired after 1/1/93)
Kaiser Permanente Website
To enroll, you
must
submit the following:
Kaiser Enrollment Application Form
Montgomery College Group Insurance Enrollment Form
Copies of Marriage and/or Birth Certificates if adding dependents new to MC benefits
2010
Open Enrollment 
Dental
Insurance
