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ICSVEBA Benefits Guidebook
The benefit plan year runs from October 1, 2019 - September 30, 2020.
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Imperial County Schools Voluntary Employees Benefits Association
Delta Health Systems - Medical
Forms
Summary of Benefits and Coverage
SIMNSA Medical
Forms
Summary of Benefits and Coverage
Holman Group Summary of Benefits
Mental Health - Summary of Benefits
Dental & Vision Insurance Plans
Delta Dental Plans Association
To view eligible in-network dentists in your area, click on this link Find-a-Dentist and select the "Delta Dental PPO" from the drop down list. For customer service, call 866-499-3001.
Delta Dental Summary of Benefits
Delta Dental Enrollment FormVision Service Plan (VSP)
To find an eyecare provider or for assistance call 800-877-7195.
VSP - Summary of Benefits
VSP Enrollment Form
Provider Directory (Eff. July 2018)
Voluntary Insurances
AFLAC
Seeley Union School District's AFLAC Agent: Heidi Sam / Phone: (619) 871-7589 / Email: heidi_sam@us.aflac.com / License: 0G59240
Take Care by WageWorks Flexible Spending Account (FSA)
Log in to your account: MyFlexOnline
Voluntary Symetra Life Insurance
Application Information
Symetra Financial - Enrollment
Spousal Consent
Address Change Request
Name Change Request
Certificate/Policy Change
Change of Beneficiary
Dependent Life Claim Forms
Life Claim Form - Employee
Life Claim Statement
Prescription Services
Express Scripts - Mail Order Rx
Getting Started with Home Delivery from the Express Scripts PharmacySM
Getting Started
Mobile App Guide
Home Delivery Order FormRX Benefits - Prescriptions
Summary of Benefits
Vaccine Pharmacy Listing Yuma/Imperial Counties
Find a Pharmacy that Offers Vaccines
