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New for 2012 - VACE Insurance and Blue Cross Blue Shield of Vermont

2012 Plan Benefit Summaries

• 1500 Plan
• 2500 Plan
• 3000 Plan
• 4000 Plan
• 2000 HSA Plan
• 2450 HSA Plan
• 5950 HSA Plan
• 2012 Health Rates for All Plans
• 2012 Preventive Drug List

• VACE / BCBSVT Group Administration
• 2012 VACE / BCBSVT Employer Enrollment Agreement
• Group Census Form
• 2012 VACE / BCBSVT Employee Enrollment and Change Form
• Enrollment Guidelines

• VACE / Magellan Employee Assistance Program
• 2012 Monthly Targeted Campaigns Employer
• VACE / Magellan Employee Assistance Program Benefit Details

Express Scripts

• Prescription Drug Information Tool
• Wellness Medication List

Claims Forms

• BCBSVT Subscriber Medical Claim Form

Blue Cross Blue Shield Subscriber Contract Documents

• Certificate of Coverage
• Prescription Drug Rider
• Mental Health Rider
• Vision Exam Rider

Comprehensive Consumer Directed Health Plans (H.S.A. - $2000, $2450, $5950)

• Certificate of Coverage
• Prescription Drug Rider
• Mental Health Rider
• Vision Exam Rider

Other Information/Forms

• Domestic Partnership Form

DIGITAL FRONTIER