Resources

• Appraisal System
• Benefits
• Compensation
• Diversity at JLab
• D&I Council
• Emeritus Program
• Employee Concerns Program (ECP)
• Employee Relations
• Employment
• JLab Registration /
  International Services
• Training and Performance Office
• Job Related Training & Education Reimbursement Procedures

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.

Doug Roeder, HR Consultant
   (757) 269-7576

Treva Ferguson, HR Consultant
   (757) 269-7291

Users: For information on employee benefits, please contact your sponsoring college or university.

2013 Benefits

View the Open Enrollment Announcement
Summary of Medical Plans
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

Extension of Adult Dependent Eligibility Rules

Notice of Opportunity to Enroll
Grandfathered Plans Notice

EAP

Employee Assistance Program
Summary of Benefits and Coverage

Vacation Donation

Information

2013 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

2013 Anthem Information

• Anthem Website
• Women's Preventive Services under Affordable Care Act
• Vision Information
• Keycare Summary of Benefits and Coverage
• Find a Doctor
• Anthem Enrollment Form
• Healthkeepers Enrollment Brochure
• Healthkeepers Summary
• KeyCare Enrollment Guide
• KeyCare Summary
• Healthkeepers Summary of Benefits and Coverage
• Anthem Prescription Summary
• HealthKeepers Vision Summary
• Anthem Member Change Form
• Healthkeepers EOC
• KeyCare EOB

2013 Optima Information

• Optima Website
• Optima Enrollment form
• Optima Benefit Guide
• Vision Information
• Optima Summary of Benefits and Coverage
• Find a Doctor
• Optima Summary
• Optima Vantage Plans - Core Benefit Changes
• Jefferson SURA Vantage Contract

2013 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

2013 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

2013 Same-Sex Domestic Partner Information

• Same-Sex Domestic Partner Medical & Dental Coverage
• Domestic Partner Affadavit

2012 Benefit Information
Additional Benefits
Plan Documents
Flexible Spending Account & Summary Annual Report
FMLA Information