BENEFITS FORMS
| General 2022 Benefits Guide - English | Spanish Medical Declaration of Adult Dependent Prescription Drug Formulary Prime Mail FAQ Dental DHMO Highlights DPO Highlights Claim Form Vision Vision Plan Highlights - English Spanish Member Guide Claim Form |
Life Insurance Evidence of Insurability Beneficiary Resource Guide Dependent Care FSA DCFSA Claim Form Individual Investment Program (IIP) IIP Enrollment Guide IIP Plan Document Tobacco Cessation Program Tobacco Cessation Program Dependent Eligibility Verification Dependent Verification Information Dependent Verification Transmittal Form Employee Self Service (ESS) ESS Benefit Enrollment Guide |
If you have benefits questions, send them to psbenefits@clubcorp.com