Health First Insurance Information:

• BlueChoice Advantage Plus- Standard Plan Schedule of Benefits 
• BlueChoice Advantage Plus- Standard Plan Summary of Benefits & Coverage {downloadable form}
• BlueChoice Advantage Plus- Enhanced Plan Schedule of Benefits 
• BlueChoice Advantage Plus- Enhanced Plan Summary of Benefits & Coverage {downloadable form}
• BlueChoice Advantage Plus- Tiered Prescription Drug List (PDL) {downloadable form}
• BlueChoice Healthy Rewards Info {downloadable form}
• BlueChoice Application {downloadable form}
• Life Insurance Application {downloadable form}

Life insurance / Dental is only available if you choose to enroll in one of the HealthFirst health insurance options. The HealthFirst Life Insurance policy is for $15,000.00.

• Dental Insurance {link} (See landing page copy. All dental insurance forms below should be on Health Insurance page.)
  • Dental Summary of Benefits {downloadable form}
  • Dental Application {downloadable form}
• Disability Insurance {link} (See landing page copy. All disability insurance forms below should be on Health Insurance page.)
  • Disability Insurance Application {downloadable form}
  • Disability Rates Sheet {downloadable form}
• Election to Decline Insurance {downloadable form}

If you are not enrolling in any or all of the insurance options, please complete this form and bring to orientation.

If you ever have any questions, please feel free to reach out to anyone in Human Resources.