Resources
HR Forms
Benefits
Ever wonder how to find out which doctors accept your health insurance?
Or maybe you want to know how to change the amount you are contributing to your GSRA (Group Supplemental Retirement Account).
The answers to these and other benefits related questions are available by contacting the Jefferson Lab Benefits Staff.
Treva Ferguson, HR Consultant
(757) 269-7291
Users: For information on employee benefits, please contact your sponsoring college or university.
2015 Benefits
View the Open Enrollment Announcement
Summary of Medical Plans
Medical and Dental Changes
Prescription Drug Change Announcement
CHIP- Required Notice
JSA Summary Plan Description
SURA Jefferson 501 2011 SAR (Welfare)
JSA Cafeteria Plan
SURA/JSA Comprehensive
Summary Plan Description
ESS Information
Log into ESS
ESS Instruction Guide
Notice of Opportunity to Enroll
Notice of Opportunity to Enroll
EAP
Employee Assistance Program
Summary of Benefits and Coverage
Information
2015 Benefit Links:
- JSA Summary Plan Description for the Cafeteria Plan, Health Flexible Spending Plan, Dependent Care Assistance Plan
- JSA Cafeteria Plan
- JSA Health Flexible Spending Account Plan - Privacy Notice
- JSA Flexible Spending Account Enrollment Form
- Flex Plan Text Notifications
- Flex Plan Claim Card Request Form
- Flexible Spending Flex Kit/Eligible Expenses
- JSA Dependent Care Assistance Plan
- Dependent Care Qualifications
- SURA/JSA Comprehensive Health and Welfare Benefit Plan - Summary Plan Description
- SURA/JSA Tax-Deferred Annuity Plan - Summary Plan Description
- SURA/JSA Defined Contribution Retirement Plan - Summary Plan Description
Social Security Administration Benefits Calculator
TIAA-CREF
Medical Retirement
2015 Anthem Information
- Anthem Website
- Women's Preventive Services under Affordable Care Act
- Vision Information
- Find a Doctor
- Anthem Enrollment Form
- Healthkeepers Summary
- Healthkeepers Summary of Benefits and Coverage
- Anthem Prescription Summary
- HealthKeepers Vision Summary
- Anthem Member Change Form
- Healthkeepers EOC
- KeyCare EOB
- Preventive Care Fact Sheet
- Morbid Obesity Coverage Fact Sheet
2015 Optima Information
- Optima Website
- Optima Enrollment form
- Optima Summary of Plans
- Optima Benefit Guide
- Vision Information
- Optima Summary of Benefits and Coverage
- Find a Doctor
- Optima Summary
- Jefferson SURA Vantage Contract
2015 Delta Dental Information
- Delta Dental Website
- Delta Dental Rates
- Delta Dental Evidence of Coverage
- Delta Dental Summary
- Delta Dental Enrollment Application
- Find a Dentist
- Delta Dental Q and A
- Delta Dental Prevention First
- Delta Dental EOB
2015 MetLife Information
- MetLife JSA - Jefferson Lab enrollment form
- STD Plan Highlights and Rate Sheet
- Supplemental Life Rates
- Statement of Health Form
- MetLife Certificate of Insurance - Disability Insurance
- MetLife Certificate of Insurance - Life Insurance
2015 Same-Sex Domestic Partner Information
- Same-Sex Domestic Partner Medical & Dental Coverage
- Domestic Partner Affadavit
2014 Benefit Information
Additional Benefits
Plan Documents
Flexible Spending Account & Summary Annual Report
FMLA Information