Blue Cross Blue Shield of Texas
Schedule of Benefits Standard Plan
Schedule of Benefits Premium Plan
Blue Care Connection
Blue Cross Blue Shield Website Instructions
Medical Claims Form
Nurse Line Flyer
Personal Health Manager Brochure

Pharmacy Claim Reimbursement
PrimeMail Refill Order Form
CISD Step Program
Step Therapy Brochure
Prior Authorization Forms
Anti-convulsants
ACE/ARB
Amevive
COX-2 Inhibitors
Cymbalta/Effexor
Enbrel
Humira
Kineret
Leukotriene Modifiers
Raptiva
Serotonin Reuptake Inhibitors
Byetta, Lipid Mgmt, Wellbutrin

CISD Dental
Claim Form
Safeguard SR-32
Safeguard Dental HMO
Safeguard HMO Provider List
Safeguard Plans Claim Form
Request ID Card
My Dental Benefits - Login

Disability Brochure
Gold Plan Rates
Platinum Plan Rates
Instructions for filing Claim
Disability Claim Form
Disability Policy Handbook

Flexible Spending Accounts
Flexible Spending Account FAQ's
Flexible Spending Reimbursement Form
Account Management
Additional Debit Card Request Form

Fort Dearborn Life (Formerly ING Life)
Fort Dearborn Evidence of Insurability
Change of Beneficiary Form

Block Vision
Provider Directory
Provider Finder
Block Vision Claim Form
Print ID Cards and Review Eligibility (Select "Member" to sign-in)

EAP Information
EAP Newsletter
Balancing Work & Family Newsletter
Respect & Civility at Work Newsletter

Your Rights Under the FMLA Act - [Englsih] [Spanish]
When to request leave from work
Request for FMLA
Designation of Leave Use Due to FMLA
Request for Military FMLA
Request for Non-FMLA
Physician Certification - Employee Health    Condition
Physician Certification - Family Member Health    Condition
Professional Leave Request Form
Sick Leave Donation Form
Sick Leave Request for Donation Form