CONTACT INFO Kelly Rector email Barb Goode email ..................................... DENNY & ASSOCIATES 636.887.4700 / phone 866.858.0920 / toll free 636.887.3081 / fax 1022 Peruque Crossing Court, Ste. B O'Fallon, MO 63366	WELCOME to Judevine Center for Autism Benefits Directory Denny & Associates, Inc. has provided our valued customers with easy access to all benefits and downloadable insurance forms. Please feel free to contact your representative or Denny & Associates with any questions. We hope that this helpful tool will make your insurance needs easier. Thank You! Medical, Dental & Vision Benefits with Anthem BCBS Anthem Blue Access Choice HSA Option E3 Summary of Benefits PDF Anthem Blue Preferred Select HSA Option E3 Summary of Benefits (*Please Note: Blue Preferred Select (BPS) Network does NOT include BJC hospitals, doctors or affiliates) PDF Anthem Blue Access Choice Option 15 w/Rx E5 Summary of Benefits PDF Anthem Blue Preferred Select Option 15 w/Rx E5 Summary of Benefits (*Please Note: Blue Preferred Select (BPS) Network does NOT include BJC hospitals, doctors or affiliates) PDF Anthem Dental Buy-Up Plan Summary of Benefits PDF Anthem Vision Summary of Benefits PDF Anthem Employee Enrollment Form PDF Anthem Employee Change Form PDF  Anthem Medical Open Enrollment Kit PDF  Anthem Dental & Vision Open Enrollment Kit PDF Anthem Formulary (Select "Essential Drug List 4-Tier") website Anthem Website website Anthem Provider Directory website  Life, Vol Life, Vol STD & Vol LTD with Mutual of Omaha Mutual of Omaha Life and AD&D Benefit Summary PDF Mutual of Omaha Voluntary Life and AD&D Benefit Summary (Full-Time) PDF Mutual of Omaha Voluntary Life and AD&D Benefit Summary (Part-Time) PDF Mutual of Omaha Short Term Disability Benefit Summary (Full-Time) PDF Mutual of Omaha Short Term Disability Benefit Summary (Part-Time) PDF Mutual of Omaha Long Term Disability Benefit Summary (Full-Time) PDF Mutual of Omaha Long Term Disability Benefit Summary (Part-Time) PDF Mutual of Omaha Enrollment Form for Full-Time Employees PDF Mutual of Omaha Enrollment Form for Part-Time Employees PDF Mutual of Omaha Beneficiary Designation Form PDF  Mutual of Omaha Evidence of Insurability Form PDF Mutual of Omaha Life Insurance Conversion Form PDF Mutual of Omaha Life Insurance Portability Form PDF Mutual of Omaha Disability Continuation Form PDF Mutual of Omaha Short Term Disability Claim Form PDF Mutual of Omaha Long Term Disability Claim Form PDF Mutual of Omaha Travel Assistance Program PDF Mutual of Omaha Hearing Discount Program PDF Mutual of Omaha Will Prep Services PDF Mutual of Omaha Website website  Assurity Voluntary Worksite Benefits Assurity Voluntary Benefit Options PDF Assurity Accident Expense Pro Benefits & Rates PDF Assurity Critical Illness Pro Benefits & Rates PDF Assurity Employee & Enrollment Change Form PDF Assurity Accident Claim Form PDF Assurity Certificate Notice Word Assurity Website website Personal Assistance Services (PAS) PAS Employee Assistance Program (EAP) Brochure PDF PAS All Services PDF PAS EAP Summary of Benefits & Coverage WORD Compliance Anthem HSA BPS Summary of Benefits & Coverage PDF Anthem Option 15 BPS Summary of Benefits & Coverage PDF Anthem HSA BAC Summary of Benefits & Coverage PDF Anthem Option 15 BAC Summary of Benefits & Coverage PDF Anthem HSA BPS Certificate of Coverage PDF Anthem Option 15 BPS Certificate of Coverage PDF Anthem HSA BAC Certificate of Coverage PDF Anthem Option 15 BAC Certificate of Coverage PDF Anthem Dental Base Plan Certificate of Coverage PDF Anthem Dental Buy-Up Plan Certificate of Coverage PDF Anthem Vision Certificate of Coverage PDF Mutual of Omaha Life & AD&D Certificate of Coverage (Full-Time) PDF Mutual of Omaha Life & AD&D Certificate of Coverage (Part-Time) PDF Mutual of Omaha Voluntary Life & AD&D Certificate of Coverage PDF Mutual of Omaha Short Term Disability Certificate of Coverage PDF Mutual of Omaha Long Term Disability Certificate of Coverage PDF CMS Creditable Coverage Notice (For those on the PPO Plans) Word CMS Non-Creditable Coverage Notice (For those on the H.S.A. Plans) Word HIPAA Privacy Notice PDF Benefits Notice Word ERISA Wrap Doc PDF Plan Amendment - Summary of Material Modification PDF
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