Rate Charts

• 2023 Management Rate Sheet
• OUT OF STATE RETIREES

Enrollment

• Medical Enrollment/Change Form
• Dental Universal Enrollment Form

Medical Plans

• 2023 Sweetwater-MGT_OE Comparison
• Kaiser 10-10 Medical Summary of Benefits
  –Find Facilities/Create an account
• List of Medical Groups for all UnitedHealthcare Plans
• UnitedHealthcare Network 1 Summary of Benefits
  – Look up the price for a medication under this plan 
  – Find a Doctor under this plan
• UnitedHealthcare Network 2 Summary of Benefits
  – Look up the price for a medication under this plan 
  – Find a Doctor under this plan
• Alliance HMO 20/30
  -Look up a price for a medication under this plan
  –Find a doctor under this plan
• Harmony HMO 10
  -Look up the price for a medication under this plan
  -Find a doctor under this plan
  
• UnitedHealthcare Alliance HMO 2
  -Look up the price for a medication under this plan
  –Find a doctor under this plan
• UnitedHealthcare PPO 1
  -Look up the price for a medication under this plan
  –Find a doctor under this plan
• SIMNSA HMO
  –SIMNSA Eligibility Requirements
  -Find Facilities/Create an Account

Dental Plans

• Delta Dental PPO
  -Find a Dentist/Create an account
  –Out of Network Claim Form
• United Concordia Dental HMO
  -Find a Dentist/Create an Accounts

Vision Plan

• VSP Vision Benefit Summary
• Vision Plan Claim Form
• Find A doctor/Create an account

Legal Plan

• • Legal Plan Services
    -Find an Attorney/Create an Account-if you are not a member, use Metlaw as your password
  • New Legal Plan for Parents
  • Legal Plan Enrollment – Cancellation Form 2023