InterLinc Home Page
Lancaster County
Lancaster County
Human Resources Department
Risk Management Division

Lancaster County Benefit Information for plan year 01/01/2017 - 12/31/2017

Welcome all eligible employees to our on-line open enrollment site. We encourage you to utilize the forms and information on this page, to quickly and efficiently sign up for Lancaster County benefits.

For the new County plan year that begins January 1st 2017 and goes through December 31, 2017 we have on this web page all of the forms and information you will need for this years open enrollment. Also, PLEASE KEEP IN MIND THAT ALL OPEN ENROLLMENT INFORMATION MUST BE RECEIVED IN THE HUMAN RESOURCES DEPARTMENT BY NOVEMBER 17, 2016.

This year all coverages will continue as they have except for FlexPlan. You do not need to complete a Health, Dental or Vision form if you are not making any additions, deletions or other changes to your coverages. If you are making changes to these coverages you will have to complete a form by printing it, completing it fully and then either mailing, or bring this in to the Benefits area of the Human Resources Department, County-City Building at 555 South 10th Street, Room 302, Lincoln, NE 68508. Also we are completing our enrollment for FLEXPLAN on-line just as we did last year, yet the total amount you may put aside for unreimbursed medical is $2,550.

Finally, should you have any questions for us in the Human Resources Department, please don't hesitate to e-mail or call us as listed below.

Bill Thoreson Phone: 441-7883 Email:
Paula Lueders Phone: 441-7878 Email:
Bill Kostner Phone: 441-7671 Email:

All links below are in PDF Format

Lancaster County 2017 Open Enrollment Meeting: Schedule , Information and Dependent Eligibility Information

Lancaster County Notice of Privacy Practices Self Insured Plans.

Lancaster County 2017 Health, Dental and Vision Monthly Rates effective January 1, 2017 for:

AFSCME - Certain County Engineer Classes
Deputy Sheriff Captains
FOP Lodge 29 - Deputy Sheriff's
FOP Lodge 32 - Corrections Officers
FOP Lodge 77 - Juvenile Detention Officers
Urep/Unclass MSS/C/E

Blue Cross / Blue Shield

Athorization for Release of Protected Health Information
Blue365 - Your resource for living healthier
Blue Distinction (Center of Excellence)
Breastfeeding Support, Supplies and Counseling
Case Management Transition Form
Contraceptive Drugs and Methods Pharmacy List
Contraceptive Methods and Counseling
Deciding Where To Go
Drug Formulary (January 2016)
Drug Formulary Update (July 2017) New
Enrollment Form
Explanation of Benefits
Extension of Coverage Request for Extended Eligibility to Age 30
Health Care Reform Benefits for Preventive Services
Identity Theft Protection Information
International Claim Form
Nebraska Urgent Care & Retail Health Locations
New Prescription Order Form
Notice of Privacy Practices
Online Member Services
Prescription Drug Claim Form
Prime Therapeutics Specialty Pharmacy
Prime Pharmacy effective April 2017
Preventive Guidelines
Prior Authorization List (Jan 1, 2016)
Summary of Benefits and Coverage and Schedule of Benefits Summary and A Guide to Your Health Benefits for (A-G-C-E-J-Y & M)
Summary of Benefits and Coverage and Schedule of Benefits Summary and A Guide to Your Health Benefits for (D)
Subscriber's Claim Form - Non-Participating Provider
Subscriber's Claim Form - Used when filing claims to another PCPS plan
Vision Claim Form
Women's Health Notice
Customer Service number: 1-800-642-8980 or

Ameritas - Dental

Plan Highlights
Group Enrollment/Change or Waiver Form
Summary Plan Description
Customer Service number: 1-800-487-5553 or

Ameritas - EyeMed

Vision Plan
Enrollment/Change or Waiver Form
Summary Plan Description (2013)
Customer Service number: 1-866-289-0614 or

Navia Benefit Solutions (formerly Flex-Plan)

On-Line Enrollment Form
FSA Enrollment Form
Flexible Benefits Plan Document
Summary Plan Document
FSA Enrollment Guide
FSA Claim Form
Eligible Expenses
Debit Card Request & Direct Deposit Form
Direct Deposit Request Form

Hartford Life

Hartford Annual Enrollment Letter
Lancaster County Benefit Plan
Beneficiary Assist Program
Benefits Enrollment Form
Estate Guidance Will Services
Funeral Planning and Concierge Services
Group Life and/or Accidental Death & Dismemberment Claim Forms for Employee or Dependent
Group Life Portability Outline
Life and Accidental Death and Dismemberment Insurance
Personal Health Application
Supplemental Life Brochure
Supplemental Life Insurance and Accidental Death & Dismemberment Benefit Highlight Sheet
Travel Assistance Program

Allstate Voluntary Benefits

Benefit Brochures and Videos
Accident and STD Claim Form
Allstate Corporate Information
Accident Insurance
Critical Illness Claim Form
Critical Illness Insurance
Critical Illness Wellness Claim Form
Enrollment Information
Voluntary Short Term Disability
Call Center: 877-282-0808; M-F; 7:00am - 4:00pm; or Email: Karen Keeler

Human Resources Homepage Risk Management