Health & Insurance Plans
Medical Plans
Medical Summary Plan Description
2013 myChoice Health Plan Summary of Benefit Coverage
2013 myOptions Health Plan Summary of Benefit Coverage
Tutorial: myBenefit Decision Center
Forms
- UM Choice Medical Claim Form (Coventry)
- 2013 Health Savings Account Enrollment/Change Form
- 2012 Health Savings Account Enrollment/Change Form
- Express Scripts Prescription Drug Claim Form
- Express Scripts Prescription Mail In Form
- Wellness Screening Form
Related Links
Dental Plan
Vision Plan
Flexible Benefits Plans (Health & Dependent Care)
Flexible Benefits Summary Plan Description
Flexible Spending Account & Pre-Tax Premium Contributions
Flexible Spending Automated Account Balance and Reimbursement InfoLine 125 (ASI)
Forms
- Flexible Spending Account Claim Form and Instructions (ASI)
- Flexible Spending Account Mid-Year Change Form (ASI)
Related Links
Life Insurance Plans
Basic & Supplemental Life Summary Plan Description
Dependent Life Summary Plan Description
Forms
- Group Life Evidence of Insurability Form
- Supplemental-Optional Life Insurance Enrollment & Evidence of Insurability Form*
*Please Note: These two forms must be completed and submitted together.
Accidental Death & Dismemberment Plan
Long Term Disability Plan
Long Term Care Insurance Plan
October 2012 Update:
A Long Term Care benefit option will no longer be offered through the University
Health & Insurance Plans Contact
Ted Stahl
Senior Human Resources Specialist
stahlt@umkc.edu or benefits@umkc.edu
816-235-1625
How Do I …
Add/Drop Dependents From My Benefits Coverage?
Continue My Insurance Coverage Once I Have Left the University?
Related Links
Healthy for Life: UM Wellness Program
Information on Diabetic Supplies
