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Employee Resources
Health Insurance Information (2024)
- HOPE 1000 Plan Summary
- HOPE 4000 Plan Summary
- HOPE HRP Plan Summary
- Dental/Vision
- Employee Monthly Premium
- FORM A
- FORM B
- FORM C
- Health Saving Account Form
- Health Saving Account Opening Procedure
- Flexible Spending Account Form
- Current HOPE Trust Directly Contracted Providers List (now includes SIH facilities)
Health Insurance Information (2023)
- HOPE 1000 Plan Summary (PDF)
- HOPE 4000 QHDHP Plan Summary (PDF)
- HOPE HRP Plan Summary (PDF)
- HOPE Open Enrollment Memo (PDF)
- Employee Monthly Premium (PDF)
- Dental/Vision Plan Summary (PDF)
- Dental/Vision Benefit Highlights (PDF)
- Form A (PDF)
- FORM B (PDF)
- Form C (PDF)
- Form A, B, & C step by step instructions (DOCX)
- Health Savings Account Form (PDF)
- HSA Instruction Sheet (DOCX)
- Flexible Spending Account Form (PDF)
- Health Reimbursement Plan (HRP) Update (PDF)
- 2023 HOPE Updates (PDF)
Supplemental Insurance Information
Agents Contact Information
- Horstmann Premier/American Funds/Bright Star:
Email Joe Horstmann or call 618-339-4054 - Liberty National:
Email Amanda Beyersdorff or call 330-705-9368 - Colonial:
Email Sandy Goldberg or call 573-614-8371 - Nationwide:
Email Jeff Waldeck or call 706-296-3328
Additional Health Insurance Information
- CHIPRA Notice - September 2023 (PDF)
- HOPE Trust Universal Part D Insurance Information September 2023 (PDF)
- 2021 Preventative Therapy Drug List (PDF)
- 2023 Direct Contracted Providers and Health Systems (PDF)
- 2023 Prescription Benefit Program (PDF)
- HOPE Behavior Health Services (PDF)
- HOPE Trust Universal Part D Credible Coverage Notice September 2022 (PDF)
- How to Create a Web Account for Allied (PDF)
- HRP Reimbursement Request Form (PDF)
- January 1, 2023 Plan Amendment Notice (PDF)
- Premium Assistance Under Medicaid and the Childrens Health Insurance Program (CHIP) (PDF)
- Setting Up Your Teledoc Account with Allied Benefit Services (DOCX)
- Symetra Group Life Change of Beneficiary Designation Form (PDF)
- Symetra Group Life Enrollment and Beneficiary Designation From (PDF)
- Symetra Group Life Information (PDF)
- Symetra Group Life Policy Certificate (PDF)
- TelaDoc sign up flyer (PDF)