| Title |
Links
|
|
|
| New! 2010 Annual Benefits Guide for Active Employees |
|
| New! 2010 Annual Benefits Guide for Retirees |
|
| 2009 Annual Benefits Guide for Active Employees |
|
| 2009 Annual Benefits Guide for Retirees |
|
| 2008
Annual Benefits Guide for Active Employees |
|
| 2008 Enrollment Guide
for Retirees |
|
|
|
| New! Rates for 2010 Plan Year | Active |
|
| New! Rates for 2010 Plan Year | Leave Without Pay (LWOP) |
|
| New! Rates for 2010 Plan Year | COBRA |
|
| New! Rates for 2010 Plan Year | Retiree |
|
| Rates for 2009 Plan Year | Active |
|
| Rates for 2009 Plan Year | Leave Without Pay (LWOP) |
|
| Rates for 2009 Plan Year | COBRA |
|
| Rates for 2009 Plan Year | Retirees |
|
| Rates for 2009 Plan Year | Life Insurance |
|
| Rates for 2008 Plan Year | Life Insurance |
|
| Rates for 2009 Plan Year | Life Insurance - Retirees |
|
| Rates
for 2008 Plan Year | Life Insurance - Retirees |
|
|
|
| Health
& Life Insurance 2010 | Bi-Weekly |
|
| Health
& Life Insurance 2010 | LWOP Bi-Weekly
|
|
| Health
& Life Insurance 2009 | Bi-Weekly |
|
| Health
& Life Insurance 2009 | LWOP Bi-Weekly
|
|
| Health
& Life Insurance 2008 | Bi-Weekly |
|
| Health
& Life Insurance 2008 | LWOP Bi-Weekly |
|
|
|
| IRS/SSA/CMS
Data Match Book |
|
| Minnesota
Life FAQs |
|
| 2010
FBMC Flexible Benefit Plan Guidebook| effective 01/01/10 |
|
| 2009
FBMC Flexible Benefit Plan Guidebook|
effective 01/01/09 |
|
| 2008
FBMC Flexible Benefit Plan Guidebook |
|
| Minnesota
Life Administration Manual |
|
| Benefits
Administration Manual |
opens in new window |
|
| Change
Form Manual |
|
| Declination
Form Manual |
|
| Enrollment
Form Manual |
|
| Sending
a Secure Message | updated
01/05/07 |
|
|
|
| EBD
Buzz, Vol. 6, Issue 2, 2nd Qtr. 2010 |
|
| EBD
Buzz, Vol. 6, Issue 1, 1st Qtr. 2010 |
|
| EBD
Buzz, Vol. 5, Issue 4, 4th Qtr. 2009 |
|
| EBD
Buzz, Vol. 5, Issue 3, 3rd Qtr. 2009 - Special State Edition |
|
| EBD
Buzz, Vol. 5, Issue 2, 2nd Qtr. 2009 |
|
| EBD
Buzz, Vol. 5, Issue 1, 1st Qtr. 2009 |
|
| EBD
Buzz, Vol. 4, Issue 4, 4th Qtr. 2008 |
|
| EBD
Buzz, Vol. 4, Issue 3, 3rd Qtr. 2008 - Special State Edition |
|
| EBD
Buzz, Vol. 4, Issue 2, 2nd Qtr. 2008 |
|
| EBD
Buzz, Vol. 4, Issue 1, 1st Qtr. 2008 |
|
| EBD
Buzz - Vol. 3, Issue 2, 2nd/3rd Qtr. 2007 - Special State Edition |
|
| EBD
Buzz - Vol. 3, Issue 1, 1st Qtr. 2007 |
|
| EBD
Buzz - Vol. 2, Issue 2, 4th Qtr. 2006 |
|
| EBD
Buzz - Vol. 2, Issue 1, 2nd Qtr. 2006 |
|
|
|
| 2010
Open Enrollment Preview
|
|
| 2009
Open Enrollment Preview
|
|
| 2008
Open Enrollment Preview
|
|
| 2008
ASE Insurance Report |
|
| 2008
Health Risk Assessment Presentation
|
|
|
Minnesota Life Insurance Employee Presentation |
|
|
|
| Summary Plan
Description
|
|
| Preferred
Drug List | Updated 07/01/10
|
|
|
|
New! AR
Cafeteria Plan (ARCAP) Enrollment Form |
January 1, 2010 - December 31, 2010 |
|
AR
Cafeteria Plan (ARCAP) Enrollment Form |
January 1, 2009 - December 31, 2009 |
|
AR
Cafeteria Plan (ARCAP) Enrollment Form |
January 1, 2008 - December 31, 2008 |
|
| AR Cafeteria
Plan (ARCAP) Change in Status Form |
|
|
AR Cafeteria Plan (ARCAP) Flexible Spending Account | Reimbursement Request
Form |
|
| Bank
Draft Authorization | Updated 05/04/2007 |
|
| Billing
Recap |
|
| Billing
Recap (Retirees) |
|
| Billing
Worksheet |
|
| Change
Form | Updated 01/14/2009
|
|
| Continuation of Coverage Form |
|
| LifeSynch
Request for Authorization and Release |
|
| Enrollment
Form | Effective 1/1/2009
|
|
| FBMC
Direct Deposit Form |
|
| FBMC EZ
Reimburse Form |
|
| HSA
Application & Salary Reduction Agreement |
|
| LWOP Payment
Schedule | Updated 12/03/2009 |
|
| Minnesota
Life Beneficiary Designation Form | PDF form
only |
|
| Minnesota
Life Change Request Form | PDF form only |
|
| Minnesota
Life Enrollment Form | PDF form only |
|
| Minnesota
Life Evidence of Insurability Form | PDF form
only |
|
| Minnesota
Life LWOP, FMLA, & Worker's Comp Form | PDF
form only |
|
| Minnesota
Life LWOP, FMLA, & Worker's Comp Process |
|
| Minnesota
Life Retirement Deduction Authorization Form |
|
| Non
AASIS Matching Form |
|
| Notice
of Transfer, Termination or Retirement | updated
01/04/08 |
|
|
Refund Request - State | Updated 08/31/2007 |
|
| Request to Remove IT167-Health, IT168-Life,
and IT377-Catch Up |
|
| Retirement
Deduction Authorization | Updated 05/06/2009 |
|
| State
Retirement Packet |
|
| USAble
Life Application | Updated 09/23/2005 |
|
| USAble
Proof of Death |
|
| VisionCare
Change Form |
|
| Waiver
of Enrollment | Retirees |
|
