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Health Benefit Plan Information

  • 2019 Health Benefit Plan Summary (PDF)
  • 2019 Health & Dental Premiums (PDF)
  • Frequently Asked Questions (FAQ)
  • 2019 Summary of Benefits and Coverage (SBC) (PDF)
  • Summary Plan Description (SPD) - 2019 (PDF)
  • GHT Benefit Contact List (PDF)
  • GHT 2018 Preventative Exam Reimbursement Form (PDF) - Spouse Only
  • Smart Choice MRI Flyer (PDF)
  • UMR Health Plan Enrollment Form (PDF)
  • UMR Claim Form - (PDF)
  • UMR Smoking Cessation Referral Form (PDF)
  • UMR HIPAA Authorization Form (PDF)
  • UMR Member Web Portal Tour (PDF)
  • Health Plan Cancellation Form (PDF)
  • OPTUMRx Claim Form (PDF)
  • OPTUMRx Mail Order Form (PDF)
  • OPTUMRx Mail Order Physicain Fax Form (PDF)