Lake-Sumter Community College

Lake Sumter Community College
Lake Sumter Community College

​2013 Open Enrollment

 
Open enrollment 2013 forms and information are now available for health, dental and vision coverage effective Jan. 1, 2013. Reminder if you are not making any health coverage changes, please complete the Continuation of Coverage form and return to the Benefits Office. New Dental and Vision forms must be submitted if you are enrolling or declining coverage for 2013 plans. All forms must be submitted no later than November 2, 2012.

 

BCBS Plan Online Presentations:

Presentation on Plan 3359

Presentation on Plan 3361

Presentation on Plan 3562

Presentation on Plan 3565 

For more information and forms click below on "Benefits" then "2013 Open Enrollment"

 

 HR-Payroll-Benefits

 
  
  
  
  
2013 BCBSFL Open Enroll Form.pdf
  
10/2/2012 9:34 AMNo presence informationNichols, Margie
2013 Ben Allow Worksheet.xlsx
  
10/2/2012 1:04 PMSp_Install
2013 Continuation of Coverage form.pdf
  
10/2/2012 2:14 PMNo presence informationNichols, Margie
2013 Delta Dental Enrollment Form.pdf
  
10/2/2012 2:14 PMNo presence informationNichols, Margie
2013 Delta Dental Plan.pdf
  
10/2/2012 9:34 AMNo presence informationNichols, Margie
2013 DV Plan Summary.pdf
  
10/2/2012 9:50 AMNo presence informationNichols, Margie
2013 Employee Premium Rates.pdf
  
10/2/2012 9:50 AMNo presence informationNichols, Margie
2013 FCSRMC Schedule of Benefits Dep Only Plan 3361.pdf
  
10/3/2012 9:31 AMNo presence informationNichols, Margie
2013 FCSRMC Schedule of Benefits for Plan 3359.pdf
  
10/3/2012 9:31 AMNo presence informationNichols, Margie
2013 FCSRMC Schedule of Benefits for Plan 3562.pdf
  
10/3/2012 9:31 AMNo presence informationNichols, Margie
2013 FCSRMC Schedule of Benefits for Plan 3565.pdf
  
10/3/2012 9:31 AMNo presence informationNichols, Margie
2013 Health Care Reform Notice.pdf
  
10/2/2012 9:50 AMNo presence informationNichols, Margie
2013 Important Open Enrollment Dates.pdf
  
10/2/2012 9:50 AMNo presence informationNichols, Margie
2013 VSP Vision Plan Enrollment Form.pdf
  
10/2/2012 9:47 AMNo presence informationNichols, Margie
2013 VSP Vision Plan.pdf
  
10/2/2012 9:34 AMNo presence informationNichols, Margie