Employee Benefits 2021

2021 Benefit Rates 
2021 Benefits Guide
2021 Documentation Requirements for adding a spouse or eligible dependent on medical or dental
Qualifying Events Information for family status changes

MEDICAL
Please contact our office for change forms or additional plan information.
HMO Open Access Guest Membership Request
Anthem Live Health App Information
Healthkeepers (HMO) Open Access Summary 2021
HDHP Summary 2021
Keycare Summary 2021
Medical Plan Comparison 2021
Vision Coverage Summary 2021

DENTAL
Please contact our office for change forms or additional plan information.

Dental Summary 2021

PRETAX 
Pretax Change Form (use for changes outside of open enrollment)
Pretax Enrollment Form (for new enrollment or to cancel pretax enrollment)

FLEXIBLE SPENDING ACCOUNTS (FSA)
FSA Benefit Guide Book 2021
FSA Information Sheet 2021
FSA Limited Medical Information Sheet 2021
FSA Mobile App
FSA Online Account Access

LIFE INSURANCE
Anthem Life Resource Advisor Help and Information
Basic 10K Life Insurance Book
Voluntary AD&D Life Insurance Book
Anthem Beneficiary Designation Form
You may change your beneficiary at any time.

VIRGINIA RETIREMENT SYSTEM
For any VRS related questions or to change your beneficiary with the VRS, please contact the VRS at 1-888-827-3847 or www.varetire.org.

LONG TERM CARE
The Virginia Retirement System (VRS) administers the Commonwealth of Virginia (COV) Voluntary Group Long Term Care Insurance Program contracted with Genworth Life Insurance Company.  Obtain a quote online from Genworth Life or call 866-859-6060.