Below is a list of forms and documents relating to STARCON's benefits programs. Please click on the appropriate document and it will open on a separate window.

Health Insurance Privacy Policy

Medical Benefits Summary

             STARCON Medical Booklet

             Blue Cross Blue Shield Preexisting Condition Exclusions

             Blue Cross Blue Shield - Blue Care Connections

                       Resources and online tools to help a team member maintain

                       their health

             Blue Cross Blue Shield - Nurse Line

                       Information on how to call for health questions 24/7

             Blue Cross Blue Shield - Hearing Aide Discount Program

Dental Benefits Summary

              STARCON Dental Booklet

Vision Service Plan Informational Summary

                 Vision Care Eye Exams

Group Life and Accidental Death and Dismemberment

Group Optional Life Insurance

Voluntary Long Term Disability Summary

STARCON Short Term Disability Information

Family Medical Leave Act

STARCON Creditable Coverage

Women's Health and Cancer Act

We also recommend that you use the Consumer Reports website to investigate possible approaches to reducing your drug costs. Click on this link to go directly to www.crbestbuydrugs.org.

10 Ways to Reduce Rx Costs

Mail Order Rx Saves you Money

Wise Use of the Emergency Room

Team Member Assistance Plan (EAP)

Tax Filing Assistance

Information and Enrollment Forms for the STARCON 401(k) Plan

            401k Annual Summary

            401k Educational Summary

Vacation Request Form for Salary and Office Team Members

Vacation Request Form for Field Team Members

This form is used to request paid or non-paid vacation time. It is also used for non-paid personal days and court days. Complete the form and submit it to your immediate supervisor. After approval, it should be sent to the Human Resources Department.

Team Member Charitable Contributions Application

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