Employee Benefits Page

Welcome to Enloe Medical Center's Employee Benefits Page. Here you will find updates, documents, forms and company information.

Update Effective Feb. 4, 2014:

If you are using the Enloe Pharmacy, all new prescriptions and refill requests may only be filled and picked up at the Enloe Outpatient Center phamacy location on Bruce Road. We are hopeful to find a solution in the future to allow our employees to once again be able to pick up their prescriptions at the Esplanade site and will keep you posted.

Quick Links

Documents, Forms & Company Information

All documents and forms are also available in Human Resources, free of charge. To request a CD or hard copy, please email or call 530.332.7344.


Contact Info

Documents & Forms


Keenan HealthCare (Medical)



Keenan Healthcare - Plan Administrator

To access claim info and EOBs

Customer Service & Coverage questions:

Eligibility & Cobra Question:
310.212.0363 ext 3332

Claims Questions:
310.212.0363 ext 3246



Instructions to search for Anthem
Blue Cross providers


Outside of



Plan Documents

Employee Medical Benefit Summary Plan Description 2011

Company Contact Info Documents and Forms

Express Scripts
( Prescriptions)



Prescription Coverage Summary

Company Contact Info Documents and Forms

Delta Dental


Delta Dental Explanation of Coverage

Dental Benefits Summary

Annual notice Delta Dental of California

Company Contact Info Documents and Forms



VSP Evidence of Coverage

VSP Summary of Benefits

Company Contact Info Documents and Forms


(Life Insurance
and AD&D)

Claims: 800.552.2137

Portability & Conversion Services: 800.801.6142

Life and AD&D Benefit Summary

Cert. Basic Life and AD&D

Company Contact Info Documents and Forms




Section 125 Plan

FSA Account Questions:
800.653.3626 ext 3614

Check your YTD account activity:


Look up eligible expenses:

FSA Sec. 125 Plan Doc

FSA Frequently Asked Questions

Health Care Summary

Sample Healthcare Expenses

Company Contact Info Documents and Forms


Instructions for Valic Online Chico office:

Account Access, Fund Prospectus &
Guided Portfolio Services:

Fee Disclosure

Annual Participant Fee Disclosure Cover Letter

Investment Alternatives Comparative Chart

Annual Reports


Summary Plan Description

2012 SPD 401a

2012 SPD 403b

Forms & More

Instructions for Valic Online

VALIC Meeting Schedule

VALIC Beneficiary Designation Form

Company Contact Info Documents and Forms


Assistance Program

For counseling services call 1.800.535.4985 24 hours a day, 7days a week to talk to a professional now or to find a provider.

MHN's online provider search

For additional resources register at:

Company Website:

Summary of Benefits and Coverage: MHN Employee Assistance Program

Company Contact Info Documents and Forms
Work Site Solutions
(Voluntary Benefits)

New Enrollments: 800.299.1377

Current policy owners: 800.544.9382

For More Questions

  • For questions concerning your retirement plan(s), please email or call Enloe's Human Resource Analyst at 530.332.7037.
  • For all other benefits questions, please email or call Enloe's Benefits Specialist at 530.332.7090.



FSA Reimbursement Forms

Health Care

Depedent Care



Instructions for Valic Online

Instructions for Valic Online



Medical,Dental,Vision, Rx Reimbursement forms

Medical Claim/

Prescription Drug Claim Form

VSP Out-ofDelta Claim Form-Network Reimbursement Form



Newly Benefit Eligible

Benefits Enrollment

Coordination of Benefits

Medicare Questionnaire

To prove dependent eligibility



Mid-year Changes Due to a Qualifying Event

The following forms must be delivered to HR within 31 days of the date of the qualifying event.

Benefits Change

Coordination of Benefits

Medicare Questionnaire

To prove dependent eligibility