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Clark County Self-Funded PPO
Clark County EPO
Documents sorted by DATE in Ascending Order within category
Health Benefit Forms7 documents
- HEALTH BENEFITS ENROLLMENT FORM
- HEALTH BENEFIT CHANGE FORM
- CCSF PPO WELLNESS BENEFIT DESIGNATION FORM 2022 to be submitted to UMR
- CCSF PPO SPOUSAL COORDINATION OF BENEFITS FORM
- CCSF PPO WELLNESS BENEFIT DESIGNATION FORM 2021 to be submitted to UMR
- CC EPO COORDINATION OF BENEFITS FORM
- CCSF PPO & EPO GUARANTOR AFFIDAVIT FORM
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
- Navitus Health Solutions
- EyeMed Vision Care
- Commercial Formulary (Clark County Employees & Non-Medicare Retirees Only) *Subject to Change*
- CCSF PPO Dental Providers
- CCSF Out-of-Area Dependents and Retirees - Medical Providers
- CCSF PPO Provider Directory
- 2023 CCSF PPO Plan Document
- 2022 CCSF PPO Plan Document
- CCSF Out-of-Area Dependents and Retirees - Mental Health Providers
- Machine-Readable Files 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.