Disability
Physician Accident & Sickness Disability Claim Form Employee Accident & Sickness Disability Claim Form
Physician Accident & Sickness Disability Claim Form (Spanish) Employee Accident & Sickness Disability Claim Form (Spanish)
Direct Deposit Authorization Form – NEPA H&W Disability Benefits (English)
Direct Deposit Authorization Form – NEPA H&W Disability Benefits (Spanish)
Option 1 Benefit Chart - PPO $3500-$7000 High Deductible Plan (English & Spanish)
Option 2 Benefit Chart - EPO $400-$800 Deductible Plan (English & Spanish)
Option 3 Benefit Chart - EPO $200-$400 Deductible Plan (English & Spanish)
Highmark Blue Cross Blue Shield Benefits Booklet (English)
Highmark Blue Cross Blue Shield Benefits Booklet (Spanish)
River View Nursing & Rehab Center and ISH Health Services
Summary of Benefits and Coverage (effective 2/1/2024)
Summary of Benefits (effective 2/1/2024)
Knouse Foods
Summary of Benefits and Coverage (English and Spanish)
PPO Plan Summary (English and Spanish)
Wise Foods
Village Supermarkets
Summary of Benefits and Coverage – Gold Plan
Summary of Benefits and Coverage – Silver Plan
Summary of Benefits and Coverage – Bronze Plan
