Medical, Dental & Vision Fact Sheets 5.1.14

PCH ELECTIONS FORM  **This Form Must be completed and turned in with your enrollment forms***

MEDICAL INFORMATION

Medical Plan Comparisons

G714OPT Buy Up Plan

G716OPT Base Plan

BC/BS Enroll Form **Turn this form in to HR**

DENTAL INFORMATION

DELTA DENTAL FACT SHEET

Delta Dental Enrollment Form  **Turn this form in to HR**

VISION INFORMATION

VSP Fact Sheet

VSP Vision Enrollment Form