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Categories always sorted by seq (sub-categories sorted within each category)
Documents sorted by SEQ in Ascending Order within category

Medical, Dental, & Vision14 documents

  • Community Blue (CB3) Plan Summary.PDF
    document seq 0.00
  • Coordination of Benefits Form.pdf
    document seq 0.00
  • Dental Buy-up Plan Summary.PDF
    document seq 0.00
  • Dental Core Plan Summary.PDF
    document seq 0.00
  • Dependent Child Affidavit.pdf
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  • Dependent Spouse Affidavit.pdf
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  • Flexible Blue (FB3) Plan Summary.pdf
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  • Simply Blue (SB3) Plan Summary.pdf
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  • VSP Vision Plan Summary.PDF
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  • Calhoun County 2024 Benefit Guide.pdf
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  • Community Blue (CB3) BAAG
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  • Flexible Blue (FB3) BAAG
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  • Simply Blue (SB3) BAAG
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  • 2024 Open Enrollment Presentation
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Ancillary Benefits10 documents

  • Life - AD&D Enrollment Form.pdf
    document seq 1.00
  • Evidence of Insurability.pdf
    document seq 1.50
  • Life Rate Sheet.pdf
    document seq 2.00
  • Voluntary AD&D Rate Sheet.pdf
    document seq 3.00
  • Critical & Accident Enrollment Form.pdf
    document seq 4.00
  • Critical Illness Benefit Summary & Rate.pdf
    document seq 5.00
  • Accidental Injury Benefit Summary & Rate.pdf
    document seq 6.00
  • LTD Courts
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  • LTD Non Courts
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  • Dependent Child Affidavit.pdf
    document seq 9.00

Retirement Plans12 documents

  • 401(k) CC Retirement Savings Plan Document.pdf
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  • 457 CC Deferred Comp Plan Document.pdf
    document seq 0.00
  • 401(k) Summary Plan Description
    document seq 1.00
  • 401k Rollover Contribution Form.pdf
    document seq 2.00
  • 457 Summary Plan Description
    document seq 4.00
  • 457 Rollover Contribution Form.pdf
    document seq 5.00
  • MERS Defined Benefit Pension - Actuarial Valuation
    document seq 6.00

401(k) and 457 On-Line Instructions/Documents5 documents

  • Online Enrollment Instructions
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  • 24-7 Account Access
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  • Online Deferral Changes
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  • Online Beneficiary Changes
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  • Online Distributions
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Retiree Benefits7 documents

  • CB3 BAAG.pdf
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  • Flexible Blue 3 BAAG.pdf
    document seq 0.00
  • Delta Dental Standard Plan.pdf
    document seq 0.00
  • Vision BAAG.pdf
    document seq 0.00
  • CC Retiree Election Form 2024.pdf
    document seq 0.00
  • CB3 Plan Summary.pdf
    document seq 0.00
  • Flexible Blue 3 Plan Summary
    document seq 0.00