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2

2011 Flu Shot Roster (pdf) 150 KB

A

Alcohol Awareness Toolkit (pdf) 59.3 MB
Authorization for Disclosure of Health Information (pdf) 144 KB

B

Bird Flu - What Do I Need to Know? (pdf) 125 KB

C

COBRA Claiming Credit for the COBRA Premium Subsidy (DOC) 32.5 KB
Summary Sheet
COBRA How the Government Made You Want to do Your Taxes (ppt) 792 KB
COBRA Premium Assistance Summary Sheet (doc) 299 KB
COBRA Q&A's from Client Seminar (pdf) 33.5 KB
April 9, 2009
COBRA Recovery & Reinvestment Act of 2009 (ppt) 479 KB
Understanding the COBRA Premium Assistance Law

E

Enrollment Change Form (pdf) 172 KB

F

Fact Sheet (pdf) 169 KB
Covering Dependents up to age 26
Flexible Spending Dependent Claim Form (pdf) 176 KB
Flexible Spending Medical Claim Form (pdf) 194 KB

H

HIPAA Pre-Enrollment Form (pdf) 170 KB
Applies to all Sanford Health Plan products

M

Member Enrollment Application (pdf) 291 KB
Mumps - What Do I Need to Know? (pdf) 144 KB

O

Outline of Plans - Minnesota (pdf) 2.88 MB
Employer Group
Outline of Plans - SD, ND, IA (pdf) 2.59 MB
Employer Group

P

Preventive Health Guidelines (pdf) 769 KB