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Printable Benefits Phone List


Special note for our laid off members: When you apply for an unemployment extension, you'll want to follow these instructions to get your SUB restarted. For problems with SUB, call 1-800-489-4646.


Posted below are some frequently used documents:

Blue Cross Blue Shield Active Plan Description

Blue Cross Blue Shield Retiree Changes

Blue Cross Blue Shield Retiree Plan Description 

Davis Vision Claim Form

Davis Vision Plan Description

Davis Vision Provider List

Delta Dental Claim Form

Delta Dental HIPPA Form

Flu Shots

Hearing Aids

L34 Letter (This is regarding turning down an involuntary transfer offer. You'll want to contact Chairman Marty Green immediately upon receiving such an offer.)

Medco Mail Order Form

Medco Reimbursement Form

Northwood Diabetic and Durable Medical Equipment Plan

Northwood HIPPA Form.pdf

Northwood Provider List

Plant Cisco Code for GRMP SUB and TSP forms: 48063-952

SAP 2009 Official Information (vouchers, etc.)

SUB Application  Every time you receive an extension of unemployment, this SUB application must be mailed in, along with proof of unemployment and the new monetary determination.

TSP Application  TSP must be applied for every two weeks in one of these three ways: by phone at 1-800-489-4646, online at http://www.layoffbenefits.com, or by mail with this paper application.)

Unemployment Filing Guidelines

Unemployment/TRA Update (July 2010)

Vacation Day Pay and Credited Service

VEBA Welcome Letter