Employee Benefits Information HR HomeContact UsHR NewsHR Services for PublicHR Services for EmployeesHealth and Safety Benefit Forms & Resources 2022 Enrollment Form 2022 Premium Rates 2022 Benefit Guide Opt Out Form (Coming Soon) HIPPA Medical Release Form Medical (Blue Cross Blue Shield) 2022 PPO 250/500 Benefit Plan Summary 2022 PPO 1500/3000 Benefit Plan Summary 2022 HDHP w/ H.S.A. Benefit Plan Summary Prime Therapeutics Mail Order Prime Therapeutics New / Refill Prescription Order Form Standard Drug Lists Standard Procedures – Wellness visit (Adults) Standard Procedures – Wellness visit (Children) MDLive Information 24/7 Nurseline – PPO Plans 2020 1095C Form – Model Notice 2022 Model Notices – Health Insurance BCBS Member Services – Available for all employees and covered members on the County’s insurance plans Visit their website Log-in necessary for “Blue Access for Members” Understanding your E.O.B. (Explanation of Benefits) Well on Target – Wellness Services available to health insurance members Blue Access Mobile MDLive Virtual Visits Find a Doctor What do I do if I need medical care in a foreign country? Healthcare coverage when you are traveling or living abroad BCBS Claim Form for foreign travel claims Livongo Program BCBSIL Transparency in Coverage – JSON COBRA FAQs on COBRA Continuation Health Coverage Dental (Delta Dental) 2022 Delta Dental High Plan Summary 2022 Delta Dental Low Plan Summary Your Health – Dental Wellness Vision (VSP) 2022 Plan Summary VSP (Vision Service Plan) – Promotional discounts Wellness Resources SupportLinc – Employee Assistance Program Information Wellbeing Place Wellness Flyers Dearborn Life Basic and Supplemental Life Insurance New Beneficiary Assist Program Basic Term Life, AD&D Plan coverage Supplement Life Insurance Plan Enrollment Change Form Beneficiary Form Voluntary Benefits: Cafeteria 125 Plan Summary 457 Deferred Compensation Plan Illinois Municipal Retirement Fund (IMRF) Log-in necessary for “Member Access” Employer Cost and Participation Information Most Commonly Used Forms Holiday Benefits The County provides 12 paid holidays per year. (Holiday List) Human Resources Information Application Process Frequently Asked Questions FOIA for Human Resources EEO and ADA Information LaSalle County Benefits Employee Benefits Information Employee Forms/Resources