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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

 
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BCBS Health Insurance Change Application.pdf
  
3/9/2011 1:40 PMNo presence informationNichols, Margie
FCSRMC Delta Dental Summary of Benefits.pdf
  
2/8/2013 1:32 PMNo presence informationNichols, Margie
FCSRMC VSP Vision Core.pdf
  
2/8/2013 1:32 PMNo presence informationNichols, Margie
Major Medical Claim Form.pdf
  
3/9/2011 2:11 PMNo presence informationNichols, Margie
Order Tips for Prime Mail.pdf
  
3/9/2011 1:57 PMNo presence informationNichols, Margie
Plan 3359.pdf
  
2/8/2013 1:32 PMNo presence informationNichols, Margie
Plan 3361.pdf
  
2/8/2013 1:32 PMNo presence informationNichols, Margie
Plan 3562.pdf
  
2/8/2013 1:32 PMNo presence informationNichols, Margie
Plan 3565.pdf
  
2/8/2013 1:32 PMNo presence informationNichols, Margie
Prescription Drug Claim Form.pdf
  
3/9/2011 2:12 PMNo presence informationNichols, Margie
PrimeMail Order Form.pdf
  
3/9/2011 1:57 PMNo presence informationNichols, Margie
Urgent Care Centers vs ER.pdf
  
3/9/2011 3:00 PMNo presence informationNichols, Margie