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 Urethane Roller Specialist 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 Benefits with Aetna
Aetna Base Plan (3500 80/50%) Benefit Summary PDF
Aetna Buy-Up Plan (3000 100/50%) Benefit Summary PDF
New Hire Benefit Selection Sheet PDF
Aetna Rate Grid PDF
Aetna Enrollment & Change Form PDF
Aetna Website PDF
Aetna Provider Directory PDF


Basic & Voluntary Life, Dental & Voluntary Vision with Principal
Principal President Life Benefit Summary PDF
Principal Officers Life Benefit Summary PDF
Principal All Other Members Life Benefit Summary PDF
Principal Voluntary Life Benefit Summary PDF
Principal Voluntary Life Rate Grid PDF
Principal Dental Benefit Summary PDF
Principal Voluntary Vision Benefit Summary PDF
Principal President Enrollment Form PDF
Principal Officers Enrollment Form PDF
Principal All Other Members Enrollment Form PDF
Principal Website website
Principal Dental Provider Directory PDF
Principal Vision Provider Directory website
eService Instructions for Employees PDF
How to pull a billing statement Word
How to pull forms - including conversion forms Word
How to pull Principal booklets Word
How to pull reports - including disability claims Word
Ordering ID Cards Word


Workers Compensation with Missouri Employers Mutual
Injury Reporting Kit
Steps To Follow PDF
Authorization to Obtain Information PDF
Work Comp Authorization for Medical Treatment PDF
Work Comp Declination of Medical Treatment PDF
Employers Physical Capacities Requirements-Return to Work Physic PDF
Report of Injury Fax Cover Sheet PDF
Incident Corrective Action Form PDF
Incident Investigation Report PDF
Incident Witness Statement PDF
MeM - Report of Injury Form PDF

Injury Reporting Kit
Injured Employee Kit PDF
Employee Incident Injury Report PDF
Pay Your Way Auto EFT PDF
Pharmacy Coupon PDF


Compliance
Aetna Base Medical (3500 80/50) Summary of Benefits & Coverage PDF
Aetna Buy-Up Medical (3000 100/50) Summary of Benefits & Coverage PDF
Aetna Base Medical (3500 80/50) Certificate of Coverage PDF
Aetna Buy-Up Medical (3000 100/50) Certificate of Coverage PDF
Principal President Life Certificate of Coverage PDF
Principal Officers Life Certificate of Coverage PDF
Principal All Other Members Life Certificate of Coverage PDF
Principal Voluntary Life Certificate of Coverage PDF
Principal Dental Certificate of Coverage PDF
Principal Voluntary Vision Certificate of Coverage PDF
ERISA Wrap Document SPD PDF
Section 125 Plan Document PDF
Section 125 Summary Plan Description PDF
Medicare Part D Creditable Coverage Disclosure Notice WORD


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