payded11.12.pdf
2011-12 Payroll Deduction Form
This form enables you to pay for your family dental plan via University payroll deduction and cannot be used after October 5, 2011.
HIPAA Policy
Information about HIPAA, the law which protects your health information.
Paypal Tutorial
Instructions on how to set up a free account for paying your family plan fee or receiving your wellness reimbursement.
E-check Paypal Tutorial
Follow these instructions to pay using an e-check via PayPal.
Trust Financial Report, 2011-12
A summary of the Trust's finances.
Summary of Material Modifications
A list of changes to our benefits & administrative policies, effective 11/1/11.
rollovermax
Delta Roll-over Max Explanation
Information on Delta's Roll-over Max Benefit, which which has accessible to GEO members since11/1/09.
Delta Dental Claim Form
Use this form to submit a claim for insurance coverage.
Delta Disclosure Form
This form authorized trust fund staff to communicate with Delta on your behalf about your protected health information.
Delta Dental Subscriber Certificate
Delta Dental certifies that you have the right to benefits for services according to the terms of your contract.
Coordination of Benefits Policy
Delta's policy regarding primary and secondary insurance coverage.
EyeMed Claim Form
deltaclaimform
hipaa
Auth.Delta.pdf
paypal tutorial.pdf
e-check.pdf
cob policy
eyeclaimform
