BENEFITS & RETIREMENT

Connect Benefits

100%  Covered Referral Service – Surgery, Heart Care, Specialty Care, ER, Cancer Care, Maternity and MUCH MORE!

• Connect Benefit 100% OK County Brochure

Counseling, Brain Care, Wellness and Primary Care Clinics

Rivus and AIM Clinics 100% Covered

• Aim Clinic 100% Covered Primary Care and Family Care
• Rivus Information Sheet (PDF)

Colonial Life Forms

• Colonial Term Life Brochure (PDF)
• Colonial Medical Bridge Plan 5 Brochure (PDF)
• Colonial Disability Brochure (PDF)
• Colonial Critical Illness Brochure (PDF)
• Colonial Cancer Brochure (PDF)
• Colonial Accident 1.0 Premier Brochure (PDF)

Dental Insurance

• Delta Dental Benefits (PDF)

Discounted Gym Membership

• Discounted Gym Membership (PDF)
• OK County YMCA Membership
• OK County YMCA Application 

Employee Assistance Program

• Live Well Services (PDF)
• Deer Oaks EAP (PDF)
• Coach Overview (PDF)
• iConnectYou Flyer - Oklahoma County (PDF)

Flexible Spending Plan (FSA)

• OC Flex Document (PDF)
• FSA Amendment (PDF)
• HealthCare Reimbursement Claim Form
• 2022 FSA DCA Open Enrollment Guide - With Debit Card
• Dependent Care Claim Form
• 2022 FSA-DCA-Enrollment Form-Non-Fillable

Health Plan

• 2022 OK County Annual Enrollment Guide
• 2022 Summary of Benefits and Coverages for OK County
• OK County Health Plan (PDF)
• Health Plan Dialysis Amendment
• Health Smart Enrollment (PDF)
• Health Smart Service Request Form (PDF)
• Health Smart Web eXchange Member Center
• MAA Health Benefits Submission Form (PDF)
• MAA Accident Injury Questionnaire Form (PDF)
• MAA Annual Data Form (PDF)
• Uniform Glossary of Health Coverage and Medical Terms (PDF)
• Amendment 4 Effective 3-16-2020
• Amendment 5 Effective 4-2-2020

Hearing Aid Discount Program

• VSP Hearing Aid Discount Program (PDF)

Legal & Credit Shield

• Legal Shield Information (PDF)

Liberty Mutual Auto / Home Insurance

• Auto and Home Insurance Contact Information (PDF)

Long Term Care

• Long Term Care

Mental Health Counseling, Pain Coaching, Medication Tapering & Medication Assistance for Addiction

Lucid Lane 100% Covered

• Lucid Lane OK County Flyer
• Lucid Lane (website link)

MRI, CT, X-RAY, Preventative Body Scan & Virtual Colonoscopy

HealthCheck Radiology 100% Covered

• Virtual Colonoscopy (PDF)
• Health Check Radiology Program (PDF)
• Body Scan Benefit (PDF)

Mutual of Omaha

• Term Life Certificate Summary (PDF)
• Term Life Certificate (PDF)
• STD Claim Form (PDF)
• STD Certificate Summary (PDF)
• Portability Form (PDF)
• LTD Claim Form (PDF)
• LTD Certificate Summary (PDF)
• Life Conversion Form (PDF)

Premise Health Clinic

• My PH Phone Brochure
• Premise Health Locations and Information

Quest Select

100% Covered Lab and Pathology Benefit

• Quest Select

Retirement

• Title 19.25 956.2 Statute Change Vesting (PDF)
• OK County Life and AD&D Policy (PDF)
• OK County Defined Contribution Plan (PDF)
• OK County DC Plan Amendment June 2012 (PDF)
• OK County DC Plan Amendment (PDF) 
• InvesTrust Defined Contribution Enrollment Form (PDF)
• InvesTrust 457 Plan Distribution Form (PDF)
• InvesTrust 457 Enrollment Plan (PDF)
• Distribution Request Form (PDF)
• DC Loan Form (PDF)
• DC Plan Amendment (PDF)
• Self-Directed Brokerage Account Notice (PDF)
• Self-Directed TD Ameritrade Account Notice - September 2018
• Coronavirus Loan Deferment Request and Self-Certification Form
• Coronavirus-related Self-Certification (Amended)
• Coronavirus-related Distribution Form

RX Plan

• Performance Drug List (PDF)
• County Pharmacy (PDF)
• Know Your Plan
• Get Ready At Mail
• Fast Start Mail Order Form

Vision Benefits

• Vision Benefits Summary (PDF)
• Out Of Network Reimbursement Form (PDF)