Priority One Services, Inc. holds its employee benefits open enrollment each year prior to the October 1st new plan year. The following enrollment forms and benefits summaries can be downloaded by our employees for their use during open enrollment and throughout the year. If you have any questions regarding this process or any of the forms, please contact the H/R Benefits department here.

Please note that these files are in PDF format. You will need Adobe Acrobat Reader to view these files.

Employee Benefits Forms

Medical

• Cigna POS Summary
  Presents coverage highlights of the Cigna Point of Service (POS) medical plan.
  
• Cigna HMO Summary
  Presents coverage highlights of the Cigna HMO (network) medical plan.
  
• Cigna OAP Summary
  Presents coverage highlights of the Cigna Open Access Plus (OAP) plan.
  
• Cigna Enrollment Change Form
  Use this form during open enrollment to enroll or change our medical plan or dependents you cover.
  

Dental

• Delta Dental Summary (High Option)
  Presents coverage highlights for the High Option Delta Dental Plan.
• Delta Dental Summary (Low Option)
  Presents coverage highlights for the Low Option Delta Dental Plan.
• Delta Dental Enrollment Change Form
  Use this form during open enrollment to enroll or change your dental plan or dependents you cover.
  
  

Have questions or
need more info?
Call 800-971-2010 or
Contact us here