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dol.gov or call 1.866.444.EBSA (3272). Or, go to the nearest In-Network urgent care center. The Benefits Office will then process the completed letter for determination of surcharge waiver. Human Resources: Benefits Be sure to keep your receipts. Depending on your location, you may have the option to elect additional voluntary benefits. SHRM-SCP, TALENT ACQUISITION SPECIALIST:Soryfel Cruz, HUMAN RESOURCES MANAGERS:James Goldstein, SHRM-SCPJessa Lodovici, SHRM-CP, Phone: 215-587-0570Fax: 215-587-3572Email: [emailprotected], RETIREMENT PLAN ASSISTANTS:Theresa CampbellJoann Martino, Open Enrollment is May 1st 31st Presentations May 1, 2 & 3, https://www.dhs.pa.gov/Services/Assistance/Pages/HIPPProgram.aspx, http://www.state.nj.us/humanservices/dmahs/clients/medicaid/, https://www.dhs.pa.gov/CHIP/Pages/CHIP.aspx, http://www.nyhealth.gov/health_care/medicaid/. Contact your State for more information on eligibility. Your cost is based on a fixed rate for each $10,000 of coverage. Scan in necessary proof documents and save the documents to your desktop as one PDF per dependent, You will need to submit these during the online enrollment process by attaching the scanned documents to your MyEnroll file when prompted, You can also fax your proof documents to 1.887.265.2144, Click "Go" located within the pink boxat the top of your MyEnroll page. These exclusive discounts from leading, national brands are included at no cost to you. CONCORDIA PLUS DHMO OR CONCORDIA FLEX PPO, Support and resources for you and your family at LiveAndWorkWell, Watch the overview of EAP and WorkLife services to see whats included, Widener University Collegiate Partnership program, University of Delaware Collegiate Partnership, Voluntary Term Life/AD&D Insurance Rate Sheet, Villanova University Collegiate Partnership, Learn about free analysis of your student loan, plus other personalized student loan resources, Book workout classes with the HUSK Movement app, Vanguard website and mobile app information, Personal Choice HDHP Summary of Benefits Coverage, Personal Choice PPO Summary of Benefits Coverage, Keystone HMO Summary of Benefits Coverage, Keystone POS Summary of Benefits Coverage, Amerihealth HMO Summary of Benefits Coverage, Amerihealth POS Summary of Benefits Coverage, AHPA Transparency in Coverage (TCR) machine-readable files for Arch/Parishes & Agencies SF, QCC Transparency in Coverage (TCR) machine-readable files for Arch/Parishes & Agencies SF, KHPE Transparency in Coverage (TCR) machine-readable files for Arch/Parishes & Agencies SF, KHPE Transparency in Coverage (TCR) machine-readable files for Archdiocese of Philadelphia, QCC Transparency in Coverage (TCR) machine-readable files for Archdiocese of Philadelphia, KHPE Transparency in Coverage (TCR) machine-readable files for Trustees Priests, QCC Transparency in Coverage (TCR) machine-readable files for Trustees Priests.