Employee Medical Plan, PAI Links

PA FT Student Status Form (.pdf)
PAI Authorized Representative Form (.pdf)
PAI COBRA Premium Rates Effective 11012008  (.pdf)
PAI Coordination of Benefits Form  (.pdf)
Partners Rx Prescription Solutions Mailorder Form (.pdf)
Partners Rx Members Transition Letter  (.pdf)
PAI Enrollment Change Form 2009 (.pdf) 
PAI Notices of Privacy Practices (.pdf)
PAI Prescription Drug Claim Form  (.pdf)
PAI PreExisting Information Form (.pdf)
PAI Reimbursement Claim Form  (.pdf)
PAI Subrogation Information Reimbursement Agreement  (.pdf)
Wofford College Group Medical Plan Doc 2008 (.pdf)  
PAI Medical Premiums Effective 11012008  (.pdf)
PAI Wofford College Group Medical Plan Doc Amend 2006   (.pdf) 
BCBS Website
Medcost Website
PAI Website

• Human Resources Home

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