Insurance Information and Forms

Richmond Community Schools Insurance Information and Forms

Use this page to learn more about the insurance benefit for Richmond Community Schools employees.

Health Insurance Providers & Other Information

Dunn & Associates

• General Insurance Information 
• Dunn Claim Form                                               
• Dunn EOB Example
• KPP Website Information
• KPP Website
• Encore Network Provider Lookup
• Dunn & Associates Website
• Designated Lab Facilities
• SwiftMD Telemedicine

KPP Formulary List

• KPP 2019 National Preferred Formulary

CanaRx

• RCSCanaRx Introduction Flyer
• RCSCanaRx Traditional Enrollment Package
• RCSCanaRx HDHP Enrollment Package

One America (AUL) Life Insurance Policies

• 604977 Life Class 001 Superintendent
• 604977 Life Class 002 Administrators
• 604977 Life Class 003 Full-Time Employees
• 604977 Life Class 004 Retired Superintendent
• 604977 Life Class 005 Retired Administrators
• 604977 Life Class 006 Retired Full-Time Employees

Vision  

• Vision Provider Look up

Insurance Booklets

• Summary Plan Description Booklet (SPD)
  • Amendment 1
  • Amendment 2
  • Amendment 3
• Enrollment Guide 2019
• SBC Uniform-Glossary
• RCS Trad 2019
• RCS HDHP 2019

Family Medical Leave Act

• FMLA Notice
• FMLA Employee Guide
• Employee Rights Under FMLA - English
• Employee Rights Under FMLA - Spanish

Employee Assistance Program

• EAP Information

American Fidelity 

• American Fidelity Information and Forms 

Aflac Claim Forms

• Aflac Accident Policy Wellness Claim Form
• Cancer Policy Wellness Claim Form

Other Notices

• Children's Health Insurance Program (CHIP)
• CMS Creditable Notice 2018
• Womens Health Cancer Rights Act 2014
• Specified Disease-Organ & Tissue Transplant Certificate