Premium Cards

Select Benefits

Select Benefits Premium Card 2012-2013 [PDF 101K] (effective July 1, 2012)

Select Benefits Premium Card 2013 [PDF 156K] (effective July 1, 2013)

Premiums for medical, dental, vision, life insurance, accidental death and dismemberment, survivor benefits, short-term disability, long-term disability, Health Flexible Spending Account (HFSA), Dependent Care Assistance Plan (DCAP)

Optional Benefits

Optional Benefits Premium Card 2012-2013 [PDF 94K] (effective July 1, 2012)

Optional Benefits Premium Card 2013 [PDF 138K] (effective July 1, 2013)

Premiums for optional life insurance, accidental death and dismemberment, survivor benefits, short-term disability, long-term disability, Dependent Care Assistance Plan (DCAP)