InterLinc Home Page
lincoln.ne.gov
Lancaster County
Lancaster County
Human Resources Department
Risk Management Division

Lancaster County Benefit Information for plan year 01/01/2015 - 12/31/2015



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 2015 and goes through December 31, 2015 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 19, 2014.

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 has been reduced to $2,500.

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: wthoreson@lincoln.ne.gov
Paula Lueders Phone: 441-7878 Email: plueders@lincoln.ne.gov
Bill Kostner Phone: 441-7671 Email: bkostner@lincoln.ne.gov


All links below are in PDF Format

Lancaster County 2015 Open Enrollment Meeting: Schedule and Information

Lancaster County 2015 Health, Dental and Vision Monthly Rates effective January 1, 2015 for:

AFSCME (A CLERICAL)
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
Breastfeeding Support, Supplies and Counseling
Case Management Transition Form
Contraceptive Drugs and Methods Pharmacy List
Contraceptive Methods and Counseling
Deciding Where To GoNew
Drug Formulary (July 2014)
Enrollment Form New
Explanation of Benefits
Extension of Coverage Request for Extended Eligibility to Age 30
Health Care Reform Benefits for Preventive Services
International Claim Form
Nebraska Urgent Care & Retail Health Locations New
New Prescription Order Form
Notice of Privacy Practices
Online Member Services
Prescription Drug Claim Form
Prime Therapeutics Specialty Pharmacy
Preventive Guidelines
Schedule of Benefits Summary (D & Y)
Schedule of Benefits Summary (A-G-C-E-J & M)
Subscriber's Claim Form - Non-Participating Provider
Subscriber's Claim Form - Used when filing claims to another PCPS plan
Vision Claim Form
Customer Service number: 1-800-642-8980 or www.nebraskablue.com


Ameritas - Dental

Plan Highlights
Group Enrollment/Change or Waiver Form
Summary Plan Description (2013)
Customer Service number: 1-800-487-5553 or www.ameritasgroup.com


Ameritas - EyeMed

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


Flex-Plan

On-Line Enrollment Form
FSA Open Enrollment Instructions
FSA Welcome Letter
Flexi-Card Employer Overview
Flexi-Card / Direct Deposit Authorization Form
Employer Handbook
Flexible Spending Arrangement Claim Form
Flexible Spending Arrangement Enrollment Form
Flexi-Card Employee Overview
Flexible Spending Arrangement Enrollment Guide


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