Forms / Information

1. General Information

2. Group Health Insurance   Required

3. Group Term Life/Accidental Death and Dismemberment Insurance  Required

4. Sick Leave Bank/Extended Local Leave  Required

5. Section 125 Flexible Benefit Plan (Cafeteria Plan)  Required
   and MUST re-enroll yearly

6. Voluntary Insurance Programs

7. Disability (Income Protection) Insurance

8. Cancer/Specified Disease Insurance

9. Dental Insurance

10. VisionCare Insurance

11. AETNA Long Term Care Insurance (TRS)

12. Tax-Sheltered Annuity Program

13. Series EE U.S. Savings Bonds

• (Printable) CIGNA Resolution of Unpaid Claims Form

• (Printable) CIGNA Authorization for Use and Disclosure of Private Health Information

These two forms must be submitted together before Benefits Office personnel may intervene to resolve a claim with CIGNA.