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Insurance and Benefits
- MEDICAL - Three Rivers Preferred Plus
Plan Documents
Click Traditonal Plan A Benefits full plan document effecitve 1/1/2025
- 2025 Traditional Plan A Summary – Schedule of Benefits
Click Traditional Plan B Benefits effective 1/1/2025
- 2025 Traditional Plan B Summary – Schedule of Benefits
Click High Deductible Plan A Benefits effective 1/1/2025
- 2025 High Deductible Plan A Summary – Schedule of Benefits
Click High Deductible Plan B Benefits effective 1/1/2025
- 2025 High Deductible Plan B Summary – Schedule of Benefits
2025 Deductibles
-MEDICAL PROVIDERS-
Three Rivers Preferred Plus
**FindCare link on AlliedBenefit site is incorrect; Parkview Providers are not In-Network
- IU Health Doctors are In-Network but will not show on the medpartnersonline website
- IU Health Doctors have privileges at Lutheran Main, Lutheran Downtown and Dupont Hospital
- IU Surgery Center on Aboite Center Road is not In-Network
-URGENT CARE PROVIDERS-
- RediMed
- IU Urgent Care
Health Savings Account
Flexible Spending Account
Pharmacy / Caremark
- Caremark
- Member 877-860-6415
-VISION -
- DENTAL -
- CLAIM FORMS -
- Allied Benefit CLAIM FORMS – Effective 1/1/25
- Allied Medical Claim Form
- Allied Dental Claim Form
- Allied Vision Claim Form
- Allied/Caremark Prescription Claim Form
- Allied Portal -
Instructions for Allied Portal Access
RETIREMENT
- INPRS (IN Public Retirement System)
- TRF Information (Teachers Retirement Fund)
- PERF Information (Public Employees Retirement Fund)
- 403-B
- 403-B Salary Reduction form (Please return this form to Diane Wilson in the Business Office)
- EMPLOYEE PLANS
- EMPLOYEE ASSISTANCE PROGRAM
- SACS ONSITE CLINIC
- TICKETS AT WORK
PREVIOUS HEALTH PLAN INFORMATION
Old Plan Documents
- Click Plan Document Summary for the Plan Document and Summary Plan for SACS prior to 2025.
- Click Plan Amendment for Plan Document Schedule of Benefits Amendment Effective 1/1/22-12/31/2024.
- Employee Plans CLAIM FORMS – Claims Through 12/31/24