NA Administrator Employee Benefits
The benefit information below is provided for the non-affiliated administrator employee group:
Non-Affiliated Administrators Benefit Information
General Benefit Information Sheet (includes employee per pay amounts)
Medical Insurance Enrollment Request Form
Medical Insurance
- MESSA $300/$600 Medical Summary
- MESSA $500/$1000 Medical Summary
- MESSA $1000/$2000 Medical Summary
- MESSA $1650/$3300 ABC 1 Medical Summary
- MESSA $1650/$3300 ABC 1-20% Medical Summary
Prescription Information
- MESSA ABC with 5-tier Rx Overview
- MESSA Choices with 5-tier Rx Overview
- MESSA ABC Free Preventative Prescriptions
HSA Additional Information
Cash in Lieu of Medical Insurance
Dental Insurance
Vision Insurance
Health Equity Reimbursement Accounts
Dependent Care Reimbursement Claim Form- Medical Reimbursement Claim Form
- Orthodontia Payment Guidelines
- Card Use Checklist