Series includes insurance policies maintained by the city, correspondence, renewals, and reports. Series includes employee's name, social security number, address, benefit election, dependent information, and beneficiary information. Consult your agency's legal counsel for assistance before releasing information. Series includes employee's name, social security number, address, benefit elections, dependent information, beneficiary information, job class and hire date. Consult your agency's legal counsel for assistance before releasing information.
Series includes reimbursement request forms and supporting documents.
Forms include name, social security number, address, dollar amount requested for reimbursement, patient's name, date of service, and provider. Consult your agency's legal counsel for assistance before releasing information. Series consists of copies of plans and contracts with private sector providers and vendors. Series is a summary of the medical claims for the City's self-insured programs. Series includes provider name, date of service, employee name, and dollar amount paid to vendor.