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Benefit Plan Information and Forms Select a document from the menu tree below. All forms require the Adobe Acrobat Reader. Benefit Guides 2012 WTXEBC Benefit Guide 2011 WTXEBC Benefit Guide 2012 Benefit Guide - Meadow ISD 2011 Benefit Guide - Meadow ISD 2012 Benefit Guide - Panhandle ISD 2011 Benefit Guide - Panhandle ISD 2011 Benefit Guide - Snyder ISD 2012 Benefit Guide - Vernon ISD 2011 Benefit Guide - Vernon ISD Election Forms 2012-2013 Generic Election Form 2012-2013 Election Form - Vernon ISD Medical 2012-2013 TRS Enrollment Guide TRS ActiveCare Highlights with Rates Application and Change Split Application 2011-2012 TRS Enrollment Guide TRS ActiveCare Highlights with Rates Application and Change TRS Active Care Home Page TRS First Care Home Page MEDlink Plan Brochure Claim Form MEDlink Video American Public Life Home Page Dental 2012-2013 - Cigna Plan Summary - High Plan Plan Summary - Low Plan Plan Summary - Contributory Plan Claim Form Your Child's First Dental Visit You, Your Diet, Your Oral Health NEW! Dental Video Cigna Home Page 2011-2012 - Dearborn National Employee Paid Dental Summary Dearborn National Claim Form Certificate - Contributory Certificate - High Plan Certificate - Low Plan Sample Dental Card Dearborn National Provider Search Dearborn National Home Page Vision Plan Information Employee Paid Plan Information District Paid Claim Form Provider Nomination Form Superior Provider Search Superior Vision Home Page UNUM Disability Plan Summary Plan Summary (Spanish) Plan Rates Claim Form Unum Home Page Cancer 2012-2013 - Loyal American Plan Brochure Plan Summary Wellness Claim Form Claim Form NEW! Cancer Video Loyal American Home Page 2011-2012 - American Public Life Plan Summary Claim Form Wellness/Diagnostic Testing Claim Form APL Home Page Accident Plan Summary Claim Form APL Home Page Critical Illness Assurant Plan Summary Assurant Claim Form Certificate of Coverage Assurant Home Page Life 2012-2013 - Unum Basic Life with AD&D Voluntary Term Life with AD&D Voluntary Term Life wtih AD&D (Spanish) Evidence of Insurability Form Claim Form Conversion Form Portability Form NEW! Life w/ AD&D Video Unum Home Page 2011-2012 - Dearborn National Plan Summary Death Claim Form Evidence of Insurability Privacy Notice AD&D Claim Form Portability Application Conversion Application Basic Life Policy Certificate Voluntary Life Certificate Ft. Dearborn Home Page Permanent Life PureLife-Plus Highlight Sheets PureLife-Plus Pamphlet PureLife-Plus Trifold Rev Brochure Texas Life Rates Texas Life Home Page Identity Theft Plan Summary Overview ID Watchdog Home Page Reimbursement Accounts Plan Brochure Dependent Care Claim Form Flex Spending Claim Form Direct Deposit Form NBS Home Page NBS 403b 403b Benefit Summary Salary Reduction Agreement Distribution Authorization Form Maximum Allowed Contribution Worksheet Exchange Authorization Form Hardship Authorization Form Loan Authorization Form Maximum Allowable Contribution Worksheet NBS Home Page		Enrollment Links Employee Login Enrollment Instructions Administrator Login Quick Links > NBS Flex > West Texas > Financial Benefit Services > APL MEDLink Video > Cigna Dental Video > Loyal American Cancer Video > Unum Life w/AD&D Video Financial Benefit Services 2121 N. Glenville Drive Richardson, TX 75082 Local: (469) 385-4640 Toll Free: (800) 583-6908 Fax: (469) 385-4641 Coby James cobyj@fbsbenefits.com Cell: (214) 395-6180 Debbie Walter debbiew@fbsbenefits.com Toll Free: (800) 583-6908 Larry Bowen larryb@fbsbenefits.com Cell: (806) 786-2515
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