Employee and Retiree Health Benefits


Open Enrollment begins 10.03.2022 and ends 10.31.2022 at 5:00 p.m. (PST)
2023 Health Insurance Information will posted at a later date.
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Health Benefit Forms6 documents

  • HEALTH BENEFITS ENROLLMENT FORM
    document date 07-17-2020
  • HEALTH BENEFIT CHANGE FORM
    document date 09-29-2021
  • CCSF PPO WELLNESS BENEFIT DESIGNATION FORM 2022
    document date 10-12-2021
    to be submitted to UMR
  • CCSF PPO SPOUSAL COORDINATION OF BENEFITS FORM
    document date 10-12-2021
  • CCSF PPO WELLNESS BENEFIT DESIGNATION FORM 2021
    document date 02-07-2022
    to be submitted to UMR
  • CC EPO COORDINATION OF BENEFITS FORM
    document date 07-18-2022

Clark County Self-Funded PPO

***ATTENTION***The Clark County Self-Funded Plan does not guarantee that all services of providers or facilities will be covered under your health care plan. Benefits should be confirmed by contacting UMR at (800) 395-7069 or by email at clarkcounty@healthscopebenefits.com. Failure to check this may result in your claims not being reimbursed for certain incurred expenses.12 documents

  • UMR
    document date 07-17-2020
  • Navitus Health Solutions
    document date 07-17-2020
  • EyeMed Vision Care
    document date 07-17-2020
  • Commercial Formulary (Clark County Employees & Non-Medicare Retirees Only) *Subject to Change*
    document date 07-17-2020
  • CCSF PPO Dental Providers
    document date 08-13-2020
  • CCSF Out-of-Area Dependents and Retirees - Medical Providers
    document date 08-13-2020
  • CCSF PPO Provider Directory
    document date 01-04-2021
  • 2021 CCSF PPO Plan Document
    document date 01-04-2021
  • 2022 CCSF PPO Plan Document
    document date 09-29-2021
  • CCSF Out-of-Area Dependents and Retirees - Mental Health Providers
    document date 11-10-2021
  • Machine-Readable Files
    document date 07-07-2022
    For any questions regarding the link or pricing, please contact UMR Customer Care at 800.395.7069; the number is also listed at the back of your ID card.  

Clark County EPO (REPLACING HEALTH PLAN OF NV EFFECTIVE 01.01.2022)

***ATTENTION***The Clark County Self-Funded Plan does not guarantee that all services of providers or facilities will be covered under your health care plan. Benefits should be confirmed by contacting UMR at (800) 395-7069 or by email at clarkcounty@healthscopebenefits.com. Failure to check this may result in your claims not being reimbursed for certain incurred expenses.6 documents

  • 2022 CC EPO Plan Document
    document date 09-29-2021
  • CC EPO Provider Directory
    document date 10-06-2021
  • CC EPO Dental Providers
    document date 10-06-2021
  • CC EPO Summary Benefit Coverage
    document date 10-12-2021
  • CC EPO Copayment
    document date 10-12-2021
  • Commercial Formulary (Clark County Employees & Non-Medicare Retirees Only) *Subject to Change*
    document date 01-12-2022

RETIREE PHARMACY BENEFITS INFORMATION EGWP (Medicare Retirees Only)                                          Clark County Self-Funded PPO & Clark County EPO                                                                                                                 4 documents

  • EGWP 2022 Evidence of Coverage
    document date 07-17-2020
  • EGWP 2022 Pharmacy Directory
    document date 07-17-2020
  • EGWP FORMULARY *Subject to Change*
    document date 07-17-2020
  • EGWP Non-Discrimination Statement
    document date 07-17-2020