2025 OPEN ENROLLMENT
ENROLLMENT AND BENEFICIARY UPDATES
UMR Enrollment Change Form
FSA Enrollment Form 2025
Life and AD&D Enrollment Kit
RHS Beneficiary Form
Life Insurance Beneficiary Form
HEALTH INSURANCE
UMR, Inc. – Third Party Administrator
Medical Summary of Benefits
Dental Summary of Benefits - General
Dental Summary of Benefits - Police
Dental Summary of Benefits - Fire
Vision Summary of Benefits - General and Fire
Vision Summary of Benefits - Police
2025 Notices & Disclosures Packet
Member Booklet
Eligible and Ineligible FSA Expenses
UMR Consumer Accounts App Brochure
UMR FSA Debit Card Brochure
PRESCRIPTION
Script Care – Prescription Benefit Administrator
Pharmacy Benefit Summary
ACA Preventative Drug List
SCL Compounding Program
SCL Diabetic Program Letter
Mail Service Rx-Prescription Mart Brochure
Member Website handout
HIPAA Notice New Member Packet
LIFE INSURANCE
Guardian-Supplemental Life Insurance & Accidental Death and Dismemberment
(If you want to add coverage or change your existing coverage please access the documents below):
The Guardian Enrollment Form
*If you are adding coverage for the first time, be aware that you will need to provide Evidence of Insurability; if this is the case, you will be contacted by HR once your application has been received.
DEFERRED COMPENSATION (457 PLAN)
To change your deduction amount
For any new accounts, please contact one of the below two providers:
- Morgan Stanley | 563-344-4311 | 4300 E. 53rd Street, Suite 300, Davenport, IA 52807
- Mission Square (Formerly ICMA-RC) | (202) 759-7046 | [email protected]