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
- 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
- Age Out Query Process
State/Higher Education
Life Insurance and Death Claims
Local Education/Local Government
All
- 2022 ABC Call Schedule
- Webinar Login Instructions
- Vendor Contact List
- All Combined Notes for 2022
- All Combined Notes for 2021
- All Combined Notes for 2020
- All Combined Notes for 2019
- All Combined Notes for 2018
- Vendor ABC Call Presentations
- 2022 BlueCross BlueShield presentation
- ActiveHealth Management for Local Ed and Local Gov
- ActiveHealth Management for State and Higher Ed
- Cigna DHMO Prepaid Provider (dental)
- Cigna Medical
- CVS Caremark
- Delta Dental DPPO Provider
- EyeMed
- Here4TN EAP and Behavioral Health
- MetLife Disability Higher Ed
- MetLife Disability State
- Optum Financial HSA and FSA for State and Higher Ed
- Optum Financial HSA for Local Ed and Local Gov
- Securian Financial Life Insurance for State and Higher Ed
- 2022 BlueCross BlueShield presentation
- Personalized Exercise Therapy Presentations
- Announcing Edison System Changes & Downtimes
- Edison Login
- External Agency Calendar — October
- 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 -- 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
- Certification of Eligibility for Dependents by Valid Placement Order Form
- Certification of Eligibility for Dependents with Expired Placement Order Form
- Cigna DHMO Onsite Dentistry - Jet Dental
- 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 (2023)
- 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
- Information Sheet (State only)
- Full to Part Time Changes (State only) (rev 9/20)
- PPACA Update — Local Education & Local Government
- 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
- Plan Document (2022)
- Employee Checklist
- Pre-Enrollment Benefits Information
- State Employee Discounts (State Intranet site)
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
New Hire Presentation
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
New Hire Presentation
Excluding coverage for spouses
25-hour Resolution
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
New Hire Presentation
Excluding coverage for spouses
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