Publications

• BlueCross BlueShield Network S - 2021
• Cigna LocalPlus Network - 2021
• Cigna Open Access Plus Network - 2021
• NOTE: The information in the PDF directory is only 100% accurate on the day it is printed. It is not uncommon for this information to change as providers and facilities join and leave the carrier's networks. You can find the most up to date information by calling member services or doing an online search.
  

• 2021 Eligibility and Enrollment Guide — State and Higher Education  - REV 1/21
• 2021 Eligibility and Enrollment Guide — Local Education - REV 1/21
• 2021 Eligibility and Enrollment Guide — Local Government REV 1-21

• 2021 Guide to Continuing Insurance at Retirement — State and Higher Education
• 2021 Guide to Continuing Insurance at Retirement — Local Education
• 2021 Guide to Continuing Insurance at Retirement — Local Government

• 2021 BlueCross Member Handbook
• 2021 Cigna Member Handbook

• CVS Caremark Handbook
• Preferred Drug List
• Medications Requiring Prior Authorization
• Maintenance Tier Drug List
• Pull out Guide — Premier PPO
• Pull out Guide — Standard PPO
• Pull out Guide — Limited PPO
• Pull out Guide — CDHP/HSA
• Pull out Guide — Local CDHP/HSA
• Pharmacy Benefits as a Result of Health Reform

• 2022 Delta Dental DPPO Handbook
• 2021 MetLife DPPO Handbook
• 2021 MetLife DPPO Benefit Summary
• MetLife DPPO Dentist Nomination Form
  
• MetLife DPPO Claim Form
• MetLife DPPO Certificate of Coverage
• MetLife DPPO Certificate of Coverage - AK
• MetLife DPPO Certificate of Coverage - LA
• MetLife DPPO Certificate of Coverage - MS
• MetLife DPPO Certificate of Coverage - MT
• MetLife DPPO Certificate of Coverage - TX
• MetLife DPPO Teledentistry Flyer
• MetLife DPPO Mobile App Overview Flyer

• 2021 Cigna DHMO Handbook
• 2022 Cigna DHMO Handbook
• 2021 Cigna DHMO Flyer
• 2022 Cigna DHMO Flyer
• 2021 Cigna DHMO Flyer -- Local Education and Local Government
• 2021 Cigna DHMO Flyer  -- Retirees
• 2021 Cigna DHMO Flyer -- State and Higher Education
• Cigna DHMO Lab Fees Flyer
• Cigna DHMO Dentist Nomination Form
• Cigna DHMO Certificate of Coverage
• 2021 Cigna DHMO Patient Charge Schedule
• 2021 Cigna DHMO Patient Charge Schedule, AZ Members
  
• 2021 Cigna DHMO Patient Charge Schedule, CA Members
• 2021 Cigna DHMO Patient Charge Schedule, IL Members
• 2021 Cigna DHMO Patient Charge Schedule, TX Members
• 2021 Cigna DHMO Patient Charge Schedule, WA Members
• Cigna DHMO Identity Theft Program Flyer
• Cigna DHMO Virtual Care Flyer
• Cigna DHMO Teledentistry Flyer

• Group Basic Term Life/Basic AD&D Certificate (sample)  — effective 4-1-2021
• Group Voluntary Term Life Certificate (sample) — effective 4-1-2021
• Group Voluntary AD&D Certificate (sample) — effective 4-1-2021
• Term Life and AD&D Highlights
• Term Life and AD&D Summary
• 2022 Securian Financial (MN Life) Handbook
• Voluntary Universal Life FAQ
  
• Securian Financial Benefit Scout Flier
• Securian Financial Lifestyle Benefits – Beneficiary Financial Coaching
• Securian Financial Lifestyle Benefits – Legacy Planning Resources
• Securian Financial Lifestyle Benefits – Travel Assistance

• Higher Education Short Term Disability Handbook (2021) - REV 03/01/2021
• Higher Education Short Term Disability Handbook (2022)
• State Short Term Disability and Long Term Disability Handbook (2021) - REV 03/01/2021
• State Short Term Disability and Long Term Disability Handbook (2022)
• STD Disability Insurance FAQ - Pregnancy
  
• State and Higher Education: Short Term Disability Insurance Certificate
• State Only: 2021 Long Term Disability Insurance Certificate
• State Only: 2022 Long Term Disability Insurance Certificate
• State and Higher Education: Short Term Disability Insurance Certificate for Terminated Employees
• Disability Claims Process Overview for State
• Disability Claims Process Overview for Higher Education
• MetLife Mobile App Overview Flyer
• Disability Benefit in Action Flyer
• Long Term Disability Overview Flyer
• Long Term Disability FAQ
• Return to Work Flyer
• Short Term Disability Overview Flyer
• Short Term Disability FAQ

• Brochure - 2021
• Member Handbook - 2021

• Part D Pharmacy Information
• Plan Document (rev 6/2020)

• Davis Vision Handbook -- 2021
• Davis Vision Handbook -- 2022
• E-commerce Flyer and FAQs
• Sample Expanded Vision Certificate of Coverage
• Sample Basic Vision Certificate of Coverage
• Your Hearing Network Flyer
• Expanded Vision Enrollment Flyer (2021)
• Expanded Vision Enrollment Flyer (2022)
• Basic Vision Enrollment Flyer (2021)
• Basic Vision Enrollment Flyer (2022)
• Davis Vision Glossary of Terms

• Overview
• Brochure

For information on copays, coinsurance, deductibles and out-of-pocket maximums, please reference the Insurance Comparison Charts below.

• 2021 Health Options — State and Higher Education
• 2022 Health Options — State and Higher Education
• 2021 Health Options — Local Education and Local Government
• 2022 Health Options — Local Education and Local Government
• 2021 Dental Options — All Members
• 2022 Dental Options — All Members
• 2021 Vision Options — All Members
• 2022 Vision Options — All Members

2022 -- Effective 1/1/22

• State Plan - 2022 
• Local Education - 2022
• Local Government - 2022

2021 -- Current Year

• State Plan - 2021
  
• Local Education - 2021
  
• Local Government - 2021
  

2020 -- Prior Year

• State Plan - 2020
• Local Education - 2020
• Local Government - 2020

• Comparing Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) -- 2021
• Comparing Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) -- 2022

• COBRA Brochure
• HIPAA Privacy Notice
• Telehealth Flier