Saturday, July 4, 2020

Active Employee Documents

Employee Recent Mailings
Employee Recent Mailings
Health Reserve Account Sharing Policy Update: Effective June 1, 2020 - December 31, 2020
Telemedicine Benefit Update 3.23.2020
Harrison Health COVID-19 News Release 3.19.2020
Harrison Health COVID-19 News Release 3.12.2020
Kaiser COVID-19 News Release
Employee Forms
Employee Forms
Harrison Enrollment Form
Harrison Life Insurance Beneficiary Form
Authorization for Release of Protected Health Information
Domestic Partner Benefit Introduction & Premium Determination
Domestic Partner Affidavit - Employee
Domestic Partner Affidavit - Domestic Partner
Domestic Partner Autopay Form
Certificate of Dependent Status
Timeloss - FMLA - Disability Overview
FMLA Application
Disability Waiver Application
Trust Medical Plan Claim From (Timeloss)
Reserve Account Sharing Donor Application - June 1, 2020 - December 31, 2020
Reserve Account Sharing Recipient Application - June 1, 2020 - December 31, 2020
Employee Amendments and Changes
Employee Amendments and Changes
No Documents available
Employee Documents / Summary Plan Description
Employee Documents / Summary Plan Description
Harrison Trust Active Plan Booklet
Kaiser Summary of Benefits
Providence Summary of Benefits
Kaiser Dental Summary of Benefits
Willamette Dental Summary of Benefits
VSP Summary of Benefits-Active
Form 5500
Employee Newsletters
Employee Newsletters
Harrison COVID-19
Kaiser COVID-19
Teladoc Flyer
Summary of Benefits and Coverages
Summary of Benefits and Coverages
2020 Medical/Rx Comparison
2020 Dental Comparison
2020 Harrison SBC
2020 Kaiser SBC
2020 Providence SBC