Agency Benefits Coordinators
State ABCs
Higher Education ABCs
- Guide for Higher Education ABCs (PDF version)
- Digital Guide for Higher Education ABCs (interactive version)
Local Education ABCs
- Guide for Local Education ABCs (PDF version)
- Digital Guide for Local Education ABCs (interactive version)
Local Government ABCs
All Sessions
- State, Higher Education, Local Education and Local Government ABCs
Session 1
- State, Higher Education, Local Education and Local Government ABCs
Session 2
- State, Higher Education, Local Education and Local Government ABCs
- State and Higher Education ABCs
- Local Education and Local Government ABCs
Session 3
- State, Higher Education, Local Education and Local Government ABCs
- State and Higher Education ABCs
- Local Education and Local Government ABCs
- How to enroll in ABC training
- eForms
- Benefit eForm Process for Central State ABCs
- Video Guide: How to Enroll Using ESS (state employees)
- Video Guide: How to Enroll Using ESS (higher education, local education, local government employees)
- Video Guide: Edison Password Reset (active employees)
- Video Guide: Retrieving Edison Access ID (active employees)
- Video Guide: Logging in to Edison the First Time (active employees)
- Video Guide: How to Enroll Using ESS (retirees)
- Video Guide: Edison Password Reset (retirees)
- Video Guide: Retrieving Edison Access ID (retirees)
- Video Guide: Logging in to Edison for the First Time (retirees)
- Edison Query List
- Edison Query Manual
- Instructions for Running Past Collection Applied Reports
- Instructions for Running Your PPACA Report
- Uploading Documents through Zendesk
- Step by Step Instructions on Data Entry
- 2022 ABC Call Schedule
- Webinar Login Instructions
- Vendor Contact List
- All Combined Notes for 2021
- All Combined Notes for 2020
- All Combined Notes for 2019
- All Combined Notes for 2018
- All Combined Notes for 2017
- All Combined Notes for 2016
- Vendor ABC Call Presentations
- ActiveHealth for Local Ed and Local Gov
- ActiveHealth for State and Higher Ed
- BlueCross BlueShield of Tennessee
- Cigna (health)
- Optum Financial HSA for Local Ed and Local Gov
- Optum Financial HSA and FSA for State and Higher Ed
- Optum Here4TN EAP/Behavioral Health
- CVS Caremark
- Davis Vision
- Delta Dental
- Cigna DHMO (dental prepaid provider)
- MetLife Disability for State
- MetLife Disability for Higher Ed
- Securian Financial for State and Higher Ed (life insurance)
- 2022 January - June archive
- 2021 July - December archive
- 2021 January - June archive
- 2020 July - December archive
- 2020 January - June archive
- 2019 July - December archive
- 2019 January - June archive
- 2018 July - December archive
- 2018 January – June archive
- 2017 Nov 3 - December archive
- 2017 June 30 – October 27 archive
- 2017 January – June 23 archive
- 2016 January – June archive
- 2016 July – December archive
- Edison Login
- External Agency Calendar — January
- Plan Code and Coverage Level Descriptions -- 2021
- Plan Code and Coverage Level Descriptions -- 2022
- How to Automatically Receive Collections Applied Report by Email
- State Employee Self Service (ESS) Instructions (for enrolling in Edison)
- Higher Ed, Local Ed & Local Gov Employee Self Service (ESS) Instructions (for enrolling in Edison)
- Enrollment Change Application -- 2022
- Edison Benefits User Security Authorization Form - State
- Edison Benefits User Security Authorization Form - Higher Ed, Local Ed & Local Gov
- TennCare Notice
- Corrections and Clarifications Form
- Administrative Error Form - Higher Ed, Local Ed & Local Gov
- Fax Document Separator
- Agency ACH Form
- Certificate of Incapacitation for Dependent Child
- Request for Claims/Enrollment Data
- To request large claims data for premium bids, email benefits.privacy@tn.gov
- Insurance Cancel Request Application
- Dependent Verification Fax Transmittal Sheet
- Securian (Minnesota Life) Order Form
- Securian (Minnesota Life) Dismemberment Form
- Notice of Death Form
- Notice of Claim for Accelerated Benefit Form
- Life Insurance Waiver of Premium Claim Form
- Life Insurance Beneficiary Statement
- Life Insurance Preference Beneficiary Statement
- Process — State
- Process — Higher Education
- Termination due to Death — Local Education and Local Government
- Response to Funeral Home
- Basic Life Beneficiary Designation
- Optum Financial Portal Guide
- Employer Portal Legend
- Payroll Macro Contribution Template
- Employee Payroll Deduction Form (2021)
- Employee Payroll Deduction Form (2022)
- Optum Financial HSA Contribution Funding Information Form
- New Client Checklist Form (Local Education and Local Government)
- Optum Financial HSA Rollover or Transfer Request Form
- Optum Financial HSA Internal Transfer Request Form
- State Required Federal Marketplace Notice
- Higher Education Required Federal Marketplace Notice - MS Word
- Local Education Required Federal Marketplace Notice - MS Word
- Local Government Required Federal Marketplace Notice - MS Word
- Full to Part Time Changes (State only) (rev 9/20)
- Information Sheet (State only)
- Minimum Value Certification 2015
- Minimum Value Certification 2016
- Minimum Value Certification 2017
- Minimum Value Certification 2018
- Minimum Value Certification 2019
- Minimum Value Certification 2020
- Minimum Value Certification 2021
- Minimum Value Certification 2022
- PPACA Update — Local Education & Local Government
Plan Documents
New Employee Orientation Follow-Along Packets
- 2022 New Employee Orientation follow-along packet for State Employees
- 2022 New Employee Orientation follow-along packet for Higher Education Employees
Pre-Enrollment Benefits Information
New Hire Presentation
State Employee Discounts (State Intranet site)
Plan Documents
2022 New Employee Orientation Follow-Along Packets
- for Local Education Agencies offering Health, Dental and Vision Insurance
- for Local Education Agencies offering Health and Dental Insurance
- for Local Education Agencies offering Health and Vision Insurance
- for Local Education Agencies offering Health Insurance Only
Excluding coverage for spouses
Memorandum of Understanding (MOU)
New Hire Presentation
25-hour Resolution
Plan Documents
2022 New Employee Orientation Follow-Along Packets
- for Local Government Agencies offering Health, Dental and Vision Insurance
- for Local Government Agencies offering Health and Dental Insurance
- for Local Government Agencies offering Health and Vision Insurance
- for Local Government Agencies offering Health Insurance Only
Excluding coverage for spouses
Memorandum of Understanding (MOU)
New Hire Presentation
OPEB Liability/Retiree Health Documents
- OPEB Liability and the Local Government Plan Webinar PowerPoint Presentation
- OPEB Webinar Questions
- December 17, 2018 Memo LG Insurance Committee Actions – Retiree Health/OPEB Update
- February 24, 2020 Memo OPEB: Local Government Agency – Retiree Coverage (Option 1)
- February 24, 2020 Memo OPEB: Local Government Agency – Retiree Coverage (Option 3)
- Division of Benefits Administration Local Government Agency – Retiree Coverage Election Form
- Resolution 31 — Guidelines