ICOE Staff Information and Forms

Employee Annual Notifications:

Annual Notifications


Health Plan Information

Summary of Benefits Coverage/Evidence of Coverage

2018 PERS CARE BASIC SBC
2018 PERS CARE BASIC EOC
2018 PERS CHOICE BASIC SBC
2018 PERS CHOICE BASIC EOC
2018 PERS SELECT BASIC SBC
2018 PERS SELECT BASIC EOC

Delta Dental
Pre-treatment Estimate (.pdf file)
Getting the most from your PPO Plan (.pdf file)
Delta Online Services (.pdf file)
ICOE Dental Highlights (.pdf file)

VSP – Vision – Hearing
$20 Extra on Frames (.pdf file)
ICOE Vision Summary (.pdf file)
Tru Hearing Member (.pdf file)

Retirement

403 (b) Plan Notice (.pdf file)
403 (b) Plan Information

Wellness Policy

ICOE Wellness Policy