Enrollment and Enrollment Changes

Medical Claim Forms

 Dental Claim Forms

Mail-in Order Form for Prescriptions

Dependent Eligibility for Mercer-Auglaize Plans

Medical Benefits for Work-Related Illness or Injury

Employee Assistance Program

Hepatitis B Immunizations

MRSA Frequently Asked Questions

Spousal Eligibility

Your employer is required by law to provide the following notices a least once each year.

COBRA

Family and Medical Leave Act (FMLA)

Gramm-Leach Privacy Notice

Medicare Part D

Janet's Law (Women's Health & Cancer Rights