Form #LH-1545-SIP

Audience: Members

Format: Flyer

Share with members as an introduction to the FSA/HRA mobile app; walks them through using the app for the first time.

Updated: 11/24

Form #LH-1269-SIP

Audience: Members

Format: Brochure

Share with members as a guide to accessing their online portal to submit claims, view account balances, download plan information, upload receipts, track expenses and more.

Updated: 4/24

Form #LH-203-SIP

Audience: Members

Format: Brochure

Share with members as a guide to help them enroll in their flexible spending account benefits.

Updated: 4/24

Form #LH-1672-SIP

Audience: Members

Format: Flyer

Share with members to show how to use FSA/HRA benefit card to pay for commuter expenses.

Updated: 4/24

Form #LH-218-SIP

Audience: Members

Format: Flyer

Share with members to answer common questions about their FSA.

Updated: 4/24

Form #LH-2059-SIP

Audience: Members

Format: Form

Share with members requesting reimbursement from FSAs.

Updated: 4/24

Form #LH-2057-SIP

Audience: Members

Format: Form

Share with members requesting reimbursement from commuter benefits FSAs.

Updated: 4/24

Form #LH-389-SIP

Audience: Members

Format: Brochure

Share with members to give members a broad overview of what they can and cannot pay for using funds in their FSA.

Updated: 4/24

Form #LH-1268-SIP

Audience: Brokers, Employers/Clients

Format: Brochure

Share with employers and brokers as an overview of the Benefit Spending Accounts Consumer portal.

Updated: 4/24

Form #LH-2055-SIP

Audience: Members

Format: Form

Share with members requesting reimbursement from dependent care accounts.

Updated: 4/24

Form #LH-1677

Audience: Members

Format: Flyer

Share with members to answer common questions about their FSA and how to use their benefits card.

Updated: 4/24

Form #LH-2058-SIP

Audience: Members

Format: Form

Share with members requesting direct deposit to FSAs.

Updated: 4/24

Form #LH-2056-SIP

Audience: Members

Format: Form

Share with members requesting reimbursement from health reimbursement accounts.

Updated: 4/24

Form #LH-2527_SIP

Audience: Brokers, Employers/Clients

Format: Brochure

Share to inform brokers and employers about your capabilities.

Updated: 4/24

Form #LH-2853-SIP

Audience: Employers/Clients

Format: Flyer

Internal client guide explaining the sales process. Includes information about quoting, underwriting and more.

Updated: 4/24

Form #LH-MK122-SIP

Audience: Brokers, Employers/Clients

Format: Brochure

An overview of the plan design, including details, definitions and more info about solutions.

Updated: 4/24

Form #N/A

Audience: Members

Format: HTML

First of six emails sent to members within 30 days of effective date as welcome to new benefits with key info for accessing.

Updated: 4/24

Form #N/A

Audience: Members

Format: HTML

Second of six emails sent to members explaining where to find key information on their ID card.

Updated: 4/24

Form #N/A

Audience: Members

Format: HTML

Third of six emails sent to members detailing steps to register on their member portal.

Updated: 4/24

Form #N/A

Audience: Members

Format: HTML

Fourth of six emails sent to members detailing how to locate and use digital ID cards from the member portal.

Updated: 4/24

Form #N/A

Audience: Members

Format: HTML

Fifth email of six sent to members detailing the member app, how to download it, and what information can be accessed.

Updated: 4/24

Form #N/A

Audience: Members

Format: HTML

Last of six emails sent to members explaining how to read an EOB and what actions to take.

Updated: 4/24

Form #LH-3089_SIP

Audience: Members

Format: Flyer

Share with members to answer common question about their health plan.

Updated: 4/24

Form #LH-714_SIP

Audience: Members

Format: Brochure

Share with members to walk them through how to register for the portal.

Updated: 4/24

Form #LH-1218_SIP

Audience: Members

Format: Flyer

Provides members with an overview of the portal, including how to find a provider and opt in for electronic communications.

Updated: 4/24

Form #LH-1162_SIP

Audience: Members

Format: Flyer

Provides members with an overview of the app and its functionality.

Updated: 4/24

Form #LH-2498_SIP

Audience: Members

Format: Flyer

Provides members with information about pre-certification, including what it is and how to submit for it.

Updated: 4/24

Form #LH-1883_SIP

Audience: Members

Format: Flyer

Share with members to help educate them about the importance of staying in their network.

Updated: 4/24

Form #LH-178-SIP

Audience: Members

Format: Flyer

Provide to members to help them understand their EOBs.

Updated: 4/24

Form #LH-1495_SIP

Audience: Members

Format: Flyer

Helps members understand the most cost-effective location to seek care.

Updated: 4/24

Form #LH-2200-SIP

Audience: Members

Format: Brochure

Step-by-step guide to registering for and using the member portal.

Updated: 4/24

Form #LH-175-SIP

Audience: Members

Format: Flyer

Share with members to help them understand the information on their health plan ID card.

Updated: 4/24

Form #LH-1221-SIP

Audience: Members

Format: Printables (Posters/Mailers/etc.)

An optional, supplemental piece that can be sent to members with their ID cards.

Updated: 4/24

Form #LH-32_SIP

Audience: Members

Format: Flyer

Explains the benefits of case management.

Updated: 1/24

Form #LH-2942-SIP

Audience: Members

Format: Form

Members should complete and submit this form to prevent interruption of ongoing treatment and ensure the continuation of care and/or other approved services for a limited period of time once enrolled.

Updated: 1/24

Form #LH-1191_SIP

Audience: Members

Format: Flyer

Customize for each new client. Encourages clients to use the portal or app to connect and answers some frequently asked questions.

Updated: 12/23

Form #LH-2455_SIP

Audience: Members

Format: Flyer

Share with members to promote accessing their ID card digitally via the portal or mobile app.

Updated: 12/23

Form #LH-1129hb_SIP

Audience: Members

Format: Printables (Posters/Mailers/etc.)

Sent to members with their ID cards attached; contains language related to the No Surprises legislation

Updated: 6/23

Form #LH-2974_SIP

Audience: Members

Format: Flyer

Share with members to educate them on how case management can help them.

Updated: 6/23

Form #LH-2645_SIP

Audience: Members

Format: Flyer

Provide to members to describe the importance of regularly seeing their PCP.

Updated: 6/23

Form #LH-1129_SIP

Audience: Members

Format: Flyer

Send to members with their ID cards attached. This piece also invites members to register on the portal and download the app.

Updated: 4/23

Form #LH-2937-SIP

Audience: Brokers, Employers/Clients

Format: Flyer

Review how the case management process works, including affected diagnosis codes.

Updated: 2/25

Form #LH-3086_SIP

Audience: Brokers

Format: Flyer

Share with brokers to answer common question about the health plan.

Updated: 4/24

Form #LH-3085_SIP

Audience: Employers/Clients

Format: Flyer

Share with employers to answer common questions about the health plan.

Updated: 4/24

Form #LH-3057_SIP

Audience: Brokers

Format: Form

Brokers complete this form when requesting info; also includes a list of RFP submission requirements

Updated: 4/24

Form #LH-2113-SIP

Audience: Providers

Format: Brochure

Gives providers a step-by-step overview for registering for and using the portal.

Updated: 4/24

Form #LH-2937-SIP

Audience: Brokers, Employers/Clients

Format: Flyer

Review how the case management process works, including affected diagnosis codes.

Updated: 4/24

Form #LH-2199-SIP

Audience: Brokers, Employers/Clients

Format: Brochure

Guide that provides step-by-step instructions for registering for and using the portal.

Updated: 4/24

Form #LH-2138-SIP

Audience: Employers/Clients

Format: Brochure

Share with employers to walk them through how to register for the portal.

Updated: 4/24

Form #LH-2647-SIP

Audience: Brokers

Format: Brochure

Share with brokers to walk them through how to register for the portal.

Updated: 4/24

Form #LH-2938-SIP

Audience: Brokers, Employers/Clients

Format: Flyer

Review how the utilization management process works.

Updated: 4/24

Form #R450-3057_SIP

Audience: Brokers

Format: Form

Brokers complete this form when requesting info; also includes a list of RFP submission requirements

Updated: 6/23