Plan Document  

The Plan Document describes the benefits available to eligible plan participants.  The Plan descriptions in the document are effective the beginning of the plan year January 1st, except for those provisions that specifically indicate other effective dates.  If you are not eligible for certain coverages, then the chapters pertaining to those coverages do not apply to you.

This document will help you understand benefits provided by the City of Mesa. As the Plan is amended those amendments will be posted below.

 

2015 Plan Document

 

 

 

Employee Benefits
20 E Main Street, Suite 600
Mesa, AZ 85201
Office hours:
Mon -Thurs 7am-6pm
(480) 644-2299 - Phone
(480) 644-4548 - Fax

Option 1: Medical Plan

Ameriben

-Verification & Coverage

-Claim Status

-Pre-certification

-Disease & Case Management

-Medical Appeals

-Request Medical/Prescription Card

Option 2: Prescription Plan

CVS Caremark

 -Prescription Coverage

-Authorizations

-Appeals

Option 3: Dental Plan

Delta Dental

-Verification & Coverage

-Claims

-Appeals

-Request Dental Card

Option 4: 2015 FSA

ConnectYourCare

-Claims

-FSA Balance

-Request FSA Card

-Appeals

Option 5: Eligibility - Active Employees 

-New Hires

-COBRA

-Qualifying Events

Option 6: Eligibility - Retired Employees

-Premium Information

-Qualifying Events

-COBRA

 Option 7: General Questions

Option 9: 2014 FSA- Benefits Office


E-mail (password resets cannot be done via email)

Forms

Federally Mandated Notices