Human Resources Home

Personnel

Services

Policies

Resources

Administration & Finance Division
 

Benefits

Collective Bargaining Agreements

Jobline (Job Openings)

Job Opportunities at the Research Institute

Social Equity

Payroll

Acts of Hate and Intolerance

Employee Self Service

Health Benefits
for
AFSCME, SCUPA, PSSU and Physicians

Health Plan Information
for
AFSCME, SCUPA, PSSU and Physicians

 Health Plans

   - What is the Pennsylvania Employee's Benefit Trust Fund (PEBTF)?

  - Eligibility

  - PEBTF website

  - PEBTF Summary Plan Description

  - Get Healthy Program

Health Plan Costs

  - Employees Active On July 31, 2003

  - Employees Hired On or After August 1, 2003

Dental Plan

  - UCCI Dental PPO Provider Directory

  - UCCI Dental HMO Provider Directory

Vision, Hearing and Prescription Plans - see PEBTF Summary Plan Description

Forms

  - PEBTF-2 Enrollment/Change Form

  - PEBTF-7 Student Certification

  - PEBTF-7 Student Certification (January)

  - PEBTF-2A Coordination of Benefits Form

  - PEBTF- 11 Declaration of Spouse Health Care Coverage

• Active on July 31, 2003
• Hired on or after August 1, 2003

  - Medical Expenses Claim Form for PPO and Traditional Plans

  - United Concordia Dental Plan Claim Form

  - Medco Prescription Drug Claim Form

  - Allergenic Extract Claim Form

  - Hearing Aid Claim Form

 Plan Contact Information:

  - Home