Human Resources
Medical/Dental/Vision Insurance
Washington College Open Enrollment Downloads Effective July 1, 2009 thru June 30, 2010
Temp & Duplicate ID Card Instructions
- United Health Care ID Card Instructions
- Delta Dental Insurance ID Card Instructions
- Avesis Vision Plan ID Card Instructions
Health Plan Documents and Forms
- Clarification of MD Children's Health Program Eligibility
- 2009 Annual Health Plan Open Enrollment Letter
- 2009 Annual Health Plan Open Enrollment Form
- 2009 Comparison of Health Plan Options from United Healthcare
- 2009 Three-Tier Prescription Drug Reference Guide
- 2009 MD Choice HMO Benefit Summary
- 2009 MD Choice Plus Low Option Benefit Summary
- 2009 MD Choice Plus High Option Benefit Summary
- 2009 Delta Dental Benefit Highlights
- 2009 Avesis Vision Summary & Premiums
- United Healthcare Web Site
2008 Dental Insurance
- Delta Dental Insurance Enrollment (PDF)
- Delta Dental Brochure (PDF)
- Delta Dental Benefit Highlights (PDF)
- Delta Dental Web Resources (PDF)
- Delta Dental Insurance Web Site
Delta Dental Plus Rates effective July 1, 2008
| Coverage | Bi-weekly rate |
| Employee Only | $9.90 |
| Employee + Child(ren) | $15.19 |
| Employee + Spouse | $21.79 |
| Family | $28.28 |
2008 Avesis
- Vision Enrollment (PDF)
- Vision Summary (PDF)
- Avesis Web Site
Avesis Vision Rates effective July 1, 2008
| Coverage | Bi-weekly rate |
| Employee Only | $2.74 |
| Employee + Child(ren) | $5.06 |
| Employee + Spouse | $4.79 |
| Family | $7.11 |
2008 Medical Insurance
Optimum Choice
MAMSI PPO
- MAMSI PPO Application (PDF)
- MAMSI PPO 1 (PDF)
- MAMSI PPO 2 (PDF)
- MAMSI PPO 3 (PDF)
- Optimum Choice HMO (PDF)
Premiums
- Download (PDF)
List of Participating Providers
Member Services Phone Numbers
- PPO plans - 1-800-447-6267
- HMO plan - 1-800-331-2102
Washington College Account Representative
- Phone Number: 1-800-336-6934
MAMSI Health Plans
Verification of Other Medical Coverage Form
- Download (PDF)
COBRA Benefits
- Download (PDF)
The information above is general in nature and does not outline all the provisions of the plans. If you have questions contact the Benefits Administrator in Human Resources, review your plan booklet or contact MAMSI Health Plans.
IMPORTANT - The benefit explanations contained herein are subject to all provisions of the Group Medical Contract, and do not modify such contract in any way, nor shall the subscriber accrue any rights because of any statement in or omission from the information sheets.
300 Washington Avenue, Chestertown, Maryland 21620 | 410-778-2800 | 800-422-1782