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Medical Insurance

Blue Cross Blue Shield Michigan (BCBSM)

BCBSM PPO1 Enollment Change Form.pdftrue1401472492605whitenjgPPO1 Enrollment/Change FormPPO1 Enrollment/Change Form/www.udmercy.edu/hr/benefits/medical/bcbs_pdf/BCBSM PPO1 Enollment Change Form.pdfpalmersc1258479573265palmersc13800318091610BCBSM_PPO_1_OVERVIEW_2011.pdftrue1401472492605whitenjgPPO1 Benefits Overview PPO1 Benefits Overview /www.udmercy.edu/hr/benefits/medical/bcbs_pdf/BCBSM_PPO_1_OVERVIEW_2011.pdfpalmersc1308235916245palmersc1380031847440336721BCBSM_PPO1_Summary_of_Benefits_and_Coverage.pdftrue1401472492605whitenjgPPO1 Summary of Benefit CoveragePPO1 Summary of Benefit Coverage/www.udmercy.edu/hr/benefits/medical/bcbs_pdf/BCBSM_PPO1_Summary_of_Benefits_and_Coverage.pdfpalmersc1380031898919palmersc1380031898919371530/www.udmercy.edu/hr/benefits/medical/bcbs_pdf/formsforms

BCBSM PPO3 Enrollment Change Form.pdftrue1401472492605whitenjgPPO3 Enrollment/Change FormPPO3 Enrollment/Change Form/www.udmercy.edu/hr/benefits/medical/bcbs_pdf_2/BCBSM PPO3 Enrollment Change Form.pdfpalmersc1380031258665palmersc1380031952062183878BCBSM_PPO_3_OVERVIEW_2011.pdftrue1401472492605whitenjgPPO3 Benefits Overview PPO3 Benefits Overview /www.udmercy.edu/hr/benefits/medical/bcbs_pdf_2/BCBSM_PPO_3_OVERVIEW_2011.pdfpalmersc1380031258536palmersc1380031976521277210BCBSM_PPO3_Summary_of_Benefits_and_Coverage.pdftrue1401472492605whitenjgPPO3 Summary of Benefit CoveragePPO3 Summary of Benefit Coverage/www.udmercy.edu/hr/benefits/medical/bcbs_pdf_2/BCBSM_PPO3_Summary_of_Benefits_and_Coverage.pdfpalmersc1380032011866palmersc1380032011866372013/www.udmercy.edu/hr/benefits/medical/bcbs_pdf_2/formsforms

BCBSM__RX_Plan_2009-10.pdftrue1401472492605whitenjgBlue Preferred Rx Prescription Drug CoverageBlue Preferred Rx Prescription Drug Coverage/www.udmercy.edu/hr/benefits/medical/bcbs_pdf_3/BCBSM__RX_Plan_2009-10.pdfpalmersc1380031266716palmersc1380031266716434207bcbsm_mail_orderMail Order Prescription Drug Plan (link)Mail Order Prescription Drug Plan (link)/www.udmercy.edu/hr/benefits/medical/bcbs_pdf_3/bcbsm_mail_orderpalmersc1380031266684palmersc1380031545436http://www.bcbsm.com/member/prescription_drugs/mail_order.shtml/www.udmercy.edu/hr/benefits/medical/bcbs_pdf_3/formsforms

Health Alliance Plan of Michigan - HMO

HAP ENROLLMENT FORM.pdfEnrollment FormEnrollment Form/www.udmercy.edu/hr/benefits/medical/hap_pdf/HAP ENROLLMENT FORM.pdf228324HAP Membership and Record Change Form.pdfMembership and Record Change FormMembership and Record Change Form/www.udmercy.edu/hr/benefits/medical/hap_pdf/HAP Membership and Record Change Form.pdf0Hap Sumamry Description.pdfBenefit OverviewBenefit Overview/www.udmercy.edu/hr/benefits/medical/hap_pdf/Hap Sumamry Description.pdf304596HAP_Summary_of_Benefits_and_Coverage.pdfSummary of Benefit CoverageSummary of Benefit Coverage/www.udmercy.edu/hr/benefits/medical/hap_pdf/HAP_Summary_of_Benefits_and_Coverage.pdf381822/www.udmercy.edu/hr/benefits/medical/hap_pdf/formsforms
hap_mail_orderMail Order Prescription Drug Plan (link)Mail Order Prescription Drug Plan (link)/www.udmercy.edu/hr/benefits/medical/hap_link/hap_mail_orderhttp://www.hap.org/formulary/mo_prescriptions.php/www.udmercy.edu/hr/benefits/medical/hap_link/formsforms

Spousal Coordination

Spousal_Coordination_Form_2010_Revised.doctrue1401472492605whitenjgSpousal Coordination FormSpousal Coordination Form/www.udmercy.edu/hr/benefits/medical/spouse_pdf/Spousal_Coordination_Form_2010_Revised.docpalmersc1259001699317palmersc1259001726834796672UDM_Spousal_Coordination_FAQ.doctrue1401472492605whitenjgUDM Spousal Coordination FAQUDM Spousal Coordination FAQ/www.udmercy.edu/hr/benefits/medical/spouse_pdf/UDM_Spousal_Coordination_FAQ.docpalmersc1259001700540palmersc125900175727332256/www.udmercy.edu/hr/benefits/medical/spouse_pdf/formsforms

Health Care Credit

Health_Care_Credit_2014-15_memo.pdfHealth Care Credit Memo: 2014-15Health Care Credit Memo: 2014-15Health Care Credit Memo: 2014-15/www.udmercy.edu/hr/benefits/medical/credit_pdf/Health_Care_Credit_2014-15_memo.pdf0HCC_Waiver_Form.pdfHealth Care Credit Waiver FormHealth Care Credit Waiver Form/www.udmercy.edu/hr/benefits/medical/credit_pdf/HCC_Waiver_Form.pdf104096/www.udmercy.edu/hr/benefits/medical/credit_pdf/formsforms