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Benefit Plan Information and Forms Select a document from the menu tree below. All forms require the Adobe Acrobat Reader. 2012-2013 Benefit Guide 2012-2013 Benefit Guide - Brooks County Election Forms 2012 Election Form Medical 2012-2013 TRS Enrollment Guide TRS Plan Highlights 2011-2012 Plan Highlights Plan Application Dental NEW! 2012-2013 - Cigna Plan Summary - High Plan Plan Summary - High Plan (Spanish) Plan Summary - Low Plan Plan Summary - Low Plan (Spanish) Claim Form Provider Search 2011-2012 - Assurant Claim Form Plan Summary - High Option Plan Summary - Low Option Temporary ID Information Dental Provider Search Vision 2012-2013 Plan Summary 2012-2013 Plan Summary (Spanish) 2011-2012 Plan Summary SVP Claim Form Vision Provider Search Disability Plan Summary Plan Summary (Spanish) Educator Select Claim Form Unum Disability Division Policy Numbers for claims Cancer Plan Brochure Rate Sheet Claim Form Wellness / Cancer Screening Information Direct Deposit Authorization Accident Plan Brochure Plan Information Claim Form Direct Deposit Authorization NEW! MEDLink Plan Brochure Claim Form APL MEDLink Video American Public Life Home Page Voluntary Life and AD&D NEW! 2012-2013 - Unum Plan Highlights Evidence of Insurability 2011-2012 - Dearborn National Rate Sheet Evidence of Insurability and Enrollment Form Life Policy Free Online Will Preparation Basic Life Policy Information AD&D Claim Form Identity Theft Plan Summary Additional ID Theft Details Reimbursement Accounts (FSA) NEW! 2012-2013 - NBS Plan Brochure FSA Claim Form Direct Deposit Request Form Orthodontic Continual Reimbursement Form Daycare Continual Reimbursement Form Participant Web Login Instructions 2011-2012 - MGM Flex Flex Guide Flex Summary without Flex Card Eligible Expense List Health Care Reimbursement Claim Form Direct Deposit Form Cobra Continuation of Coverage		Enrollment Links Employee Login Enrollment Instructions Administrator Login Quick Links > Financial Benefits Services > ESC-2 Home Page > MGM Flex > NBS Flex > APL MEDLink Video Financial Benefit Services, LLC 2121 N. Glenville Drive Richardson, TX 75082 Local: (469) 385-4640 Toll Free: (800) 583-6908 Fax: (469) 385-4641 Cindy McClure Office: (210) 370-5768 Cell: (214) 732-5970 Email: cindym@fbsbenefits.com Lori Luce Local: (469) 385-4640, Ext. 310 Toll Free: (800) 583-6908 Email: loril@fbsbenefits.com
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