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Documents 1-25 of 74
Date Type Title Views Size Info
01/26/2022 pdf COVID-19 Test Kit Reimbursement Claim Form 236 190 KB Details icon
01/05/2022 pdf Wellness Benefit Verification Form 207 213 KB Details icon
12/30/2021 pdf IGHCP Health Enrollment Form 202 1,026 KB Details icon
12/29/2021 pdf 457 Deferred Compensation Plans Contribution Change Form 199 100 KB Details icon
12/29/2021 pdf Employee Guide to Beneficiary Designation 81 351 KB Details icon
10/12/2021 pdf EFR Mobile App 178 756 KB Details icon
10/07/2021 pdf 2022 FSA Election Form 208 173 KB Details icon
10/07/2021 pdf 2022 HSA Election Form 196 28 KB Details icon
07/12/2021 pdf Notice of COVID-19 Extended Plan Deadlines 211 135 KB Details icon
07/12/2021 pdf SBC PSF Plan B 7-1-2021 267 302 KB Details icon
07/12/2021 pdf SBC PSF Plan A 7-1-2021 309 242 KB Details icon
07/01/2021 pdf IGHCP SBC Plan B 7-1-2021 to 6-30-2022 386 1,006 KB Details icon
07/01/2021 pdf IGHCP SBC Plan A 7-1-2021 to 6-30-2022 377 1,004 KB Details icon
05/18/2021 pdf EBS Flex Enrollment Form Mid-Year 296 233 KB Details icon
05/18/2021 pdf EBS Flex Change Form 247 220 KB Details icon
05/13/2021 pdf EBS Flex Online Portal & Mobile App Login 228 213 KB Details icon
04/28/2021 pdf City of Fort Dodge Statement on Equal Opportunity 5010 301 KB Details icon
04/12/2021 pdf 2021 - 2022 City of Fort Dodge Benefit Summary Sheet 264 65 KB Details icon
04/12/2021 pdf Blue Rx Complete 4/1/2021 853 1,753 KB Details icon
04/01/2021 pdf EBS FSA Fact Sheet 2020 126 187 KB Details icon
04/01/2021 pdf EBS Request for Reimbursement 352 128 KB Details icon
10/22/2020 PDF Blue Rx Complete Formulary 280 11,237 KB Details icon
10/22/2020 PDF Rx Prior Authorization 179 806 KB Details icon
10/15/2020 pdf FSA Mobile App Flyer 260 251 KB Details icon
10/15/2020 pdf FSA Fact Sheet 2020 217 187 KB Details icon
Documents 1-25 of 74

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