Must have Adobe Acrobat Reader® installed on your computer to use the PDF format forms that are on this page. The latest version of Adobe Acrobat Reader® is free at the Adobe web site.
HIPAA Notice of Privacy Practices:
- DSU Health and Welfare Plan Notice of Privacy Practices.
Example of DSU Benefits:
- The 2017-2018 Benefits Summary provides a detailed example of benefits offered to all benefited position employees.
Notices for 2018 – 2019
- Traditional SBC Summary of benefits and coverage examples
- STAR SBC Summary of Benefits and Coverage Examples
- Glossary of Health Coverage and Medical Term
- Benefit Notice
PEHP Benefits Summary Booklet:
General overview of the benefits available and is for informational purposes only.
Cigna – Long Term Disability
Cigna – Term Life Insurance
Contact Michelle Cabana at 435-652-7523 or email@example.com for questions.