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City of Lincoln
City of Lincoln
Human Resources Department
Risk Management Division

City Benefit Information for plan year 11/01/2017 - 10/31/2018



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 sign up for City of Lincoln benefits.

For the new City plan year that begins November 1st 2017 and goes through October 31st 2018 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 September 22, 2017.

This year: All coverages will continue as they have except for Navia Benefit Solutions. 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 bringing this in to the Benefits area of the Human Resources Department, County City Building at 555 S. 10th Street, Room 302 Lincoln, NE 68508. Also we are completing our enrollment for Navia Benefit Solutions on-line just as we did last year.

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 are in PDF Format

City of Lincoln 2017 Open Enrollment Meeting Schedule, Information and Dependent Eligibility Information

City of Lincoln November 1, 2017 - October 31, 2018 Benefit Rates:

ATU DSS & M Fire LCEA & E PAGE Police X


Aetna

Aetna Enrollment/Change Request Form
Authorization for Release of Protected Health Information
Choice POS II Plan
Doctor Find Instructions
Enrollment/Change Request Form
How to get started with Teladoc
How to use Teladoc Services
Institutes of Quality
In Touch Care Flyer
Mail Order RX
MedQuery
Medical Benefits Claim Form
Member Payment Esitmator
Mobile Flyer
Navigator Member Website
Open Access Generic Disclosure
Personal Health Record
Pharmacy Management Flyer
Premier Plus Four Tier Pharmacy Drug Guide
Plan Design & Benefits for ATU, E, DSS, X, and LCEA
Plan Design & Benefits for IAFF
Plan Design & Benefits for LPU
Plan Design & Benefits for M & W
Plan Design & Benefits for PAGE
Preventive Care Flyer
Specialty RX Flyer
Transition of Care Request Form
Urgent Care Flyer
Walk-in Clinic Flyer
In Touch Care Flyer


Ameritas - Dental

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


Ameritas - EyeMed

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


Navia Benefit Solutions (formerly Flex-Plan)

On-Line Enrollment Form
FSA Enrollment Form - Paper
Flexible Benefits Plan Document
Summary Plan Description
FSA Enrollment Guide
FSA Claim Form
Eligible Expenses
Debit Card Request & Direct Deposit Form
Parking Enrollment Form - Paper
Parking Claim Form
Direct Deposit Request Form
Website: www.Naviabenefits.com


Hartford Life

2017 Annual Enrollment Letter
Basic Life Coverage Booklet
Beneficiary Assist Program
City of Lincoln 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