Agency Benefits Coordinators
- Training Calendar - Watch for a new calendar in January 2021.
- ABC Guide - State
- ABC Guide - Higher Education
- ABC Guide - Local Education
- ABC Guide - Local Government
- 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
- 2020 ABC Call Schedule
- 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
- All Combined Notes for 2015
- Webinar Login Instructions
- Vendor Contact List
- Vendor ABC Call Presentations
- Short Term and Long Term Disability -- State
- Short Term Disability -- Higher Education
- Health Plan -- BCBST
- Wellness -- Local Education and Local Government
- Wellness -- State and Higher Education
- Group Term Life and AD&D -- State and Higher Education
- Health Plan -- Cigna
- Cigna Dental Care Prepaid Plan
- Davis Vision
- CVS Caremark
- Optum Bank -- State and Higher Education
- Optum Bank -- Local Education and Local Government
- Here4TN
- MetLife DPPO
- 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
- 2015 January – September archive
- 2015 October – December archive
- Edison Login
- External Agency Calendar — November
- Plan Code and Coverage Level Descriptions
- 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
- 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
- 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
- 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) (rev 8/20)
- 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
- PPACA Update — Local Education & Local Government
- Plan Document (2020)
- Plan Document (2021)
- Employee Checklist
- 2021 New Hire PowerPoint Presentation
- 2021 New Hire Presentation with Notes
- Excluding coverage for spouses
Q&A
Declaration Document - Memorandum of Understanding (MOU)
- 25-hour Resolution
Amendment
Resolution Form - Board of Education
Resolution Form - Board of Commissioners - Resolution 31 — Guidelines
- Plan Document (2020)
- Plan Document (2021)
- Employee Checklist
- 2021 New Hire PowerPoint Presentation
- 2021 New Hire Presentation with Notes
- Excluding coverage for spouses
Q&A
Declaration Document - Memorandum of Understanding (MOU)
- 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
- Video Presentations For All 3 Sessions
- Session 1
- State and Higher Education
- Local Education and Local Government
- Session 2
- State, Higher Education, Local Education and Local Government
- Session 3
- State and Higher Education
- Local Education and Local Government