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Schuylkill Intermediate Unit 29

Specializing in Educational Solutions for Lifelong Learners

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Capital Blue Cross HDHP and HSA for Act 93/Compensation Plan

Capital Blue Cross H.S.A Informational Guide/Documents

2023 HSA Eligibility Determination Form

2023 HSA Salary Reduction Election Form

PPO HSA 2000Q/100 Plan Highlights

Summary of Benefits & Coverage

Vision Plan Summary

Dental Plan Summary

Opt-Out Provision Form

Capital Blue Cross HDHP and HSA for IU Professionals, BI and MHTs

Capital Blue Cross H.S.A Informational Guide/Documents

2023 HSA Eligibility Determination Form

2023 HSA Salary Reduction Election Form

PPO HSA 2000Q/100 Plan Highlights

Summary of Benefits & Coverage

Vision Plan Summary

Dental Plan Summary

Opt-Out Provision Form

Capital BlueCross Medical Plan - Support Staff

PPO Plan B Highlights

Summary of Benefits & Coverage

Vision Plan Summary

Dental Plan Summary

Opt-Out Provision Form

Other Insurance Information

Capital Blue-Provider Search

Capital BlueCross Application to Enroll or Change Enrollment

Express Scripts website (mail order pharmacy)

Full Time Student Eligibility Form

BenefitWallet website

Claim Forms

Dental Claim Form

Medical Claim Form

Vision Claim Form

Prescription Drug Forms

Reimbursement Form

Home Delivery Form

RX Safety Glasses Reimbursement

STC RX Safety Glasses Reimbursement Form

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