Director: P. Renee Bright
120 Smith Street,
Jonesboro, GA 30236
Telephone: (770) 477-3239
Job Line: (770) 473-5800

Related Links

• Current Employment Opportunities

HIPAA

• Overview of HIPAA
• HIPAA Privacy Notice
• HIPAA Authorization Form

EMPLOYEE INSURANCES

• COBRA/ARRA
• CHIP
• Federally Mandated Insurance Requirements
• Health Care Reform Mandatory Notifications
• Coverages Required By Law
• Notice Of Privacy Practices
• Network Description Flyer
• Active Employee Open Enrollment Flyer

Self-Funded Medical

• Humana and Kaiser Medical Enrollment Form
• Spousal Surcharge Form

Self-Funded Dental

• Self-funded Dental Option 1 and Option 2 Summary of Benefits
• Enrollment Form

Self-Funded Prescription Benefits

• Prescription Benefits SOB

Kaiser Benefits

• Kaiser (HMO)
  - Humana and Kaiser Medical Enrollment Form
  - Kaiser Summary of Benefits
• Kaiser Senior Advantage (HMO)
  - Enrollment Form

Humana

• Humana Medicare Advantage
  - Enrollment Form

Life Insurance

• Life Insurance
  - Active Employee Enrollment Form
  - Retired Employee Enrollment Form

Davis Vision

• DAVIS VISION

SUPPLEMENTAL INSURANCES

• LONG TERM DISABILITY
• PREPAID LEGAL
• WORKERS' COMPENSATION
• - Form B
• - Form C