Instructions for the Medical Health Plan Changes:
Health Plan Rates Schedule:
Benefit Schedule Rates
Alternate Plan Schedule

Temporary Health ID Card
ABA Temporary ID Card

Fast Track Medical Services - $10 CoPay
PCI Clinic
Primary Care and Wellness Dr. Stinson

Urgent Care/Night Clinic
Urgent Care and Night Clinic Brochure

Health Plan Provider and Facility Lookup:
Independent Medical Systems (IMS)

Call 1-800-853-7003 or go online at

90 Day Retail Pharmacy Network:

SISD Retail 90 Day Pharmacy Network List

RX Mail Order Form:
Prescription Mail Order Form

Imaging Centers: 

Optimum Imaging:
Optimum Imaging
Medical Plan Claim Forms:
Preferred Lab Facility Information: LabCorp
Flexible Spending Account Information & Claim Forms:
FSA Brochure What is FSA
FSA Medical Claim Form 
FSA Dependent Care Claim Form 
Voluntary Life Insurance:
Term Life and AD and D Brochure.

Accident Brochure - Spanish
Formless Claims Submission Flyer
Formless Claims Submission Flyer - Spanish

COBRA Premium Rate Schedule - Need to contact the TPA ABA at 1-800-850-7166 for Rates.

Worker's Compensation Insurance:
Workers Compensation Packet
Workers Compensation Packet (Spanish)

Student Accident Insurance:
Alternate to Social Security Information:
Annuity TPA (Third Party Administrator) Website:
403b Savings Plan
457b Savings Plan