Benefits » Benefits


IF YOU HAVE A LIFE EVENT, such as a Marriage, Divorce, Newborn, Loss of Insurance; you have 30 days to contact your Benefits department 219-531-3000. 
Employee Assistance Program (EAP)
We now have two locations to visit for St. Mary Medical Center.
3800 St. Mary Drive and 1451 W. Morthland Dr. Valparaiso, IN
Express Scripts is transitioning to IngenioRx Effective July 1, 2019.
Anthem Health and Vision
Don't forget to use your preventive care benefits!
Additional information:
*Register your account to keep track of deductibles, claims, find a doctor and more!
Live Health Online
Quick and easy access to a doctor 24/7
Delta Dental Plan
Additional Dental Information:
Life Insurance
Hartford Supplemental Life Costs - 26 pays Hartford Costs 24 deductions 
Hartford Supplemental Life Costs - 20 pays Hartford Costs 18 deductions
Hartford Life Insurance Beneficiary Designation Form 
Long Term Disability
Indiana HRA Plan Documents
Indiana VEBA HRA Plan Document - Post Separation Full 213(d)
 Indiana VEBA HRA Plan Document - Limited HRA Plan (PRC Effective 01-01-17)
American Fidelity Supplemental Insurances
Medical Reimbursement Claim Form
Dependent Care Reimbursement Claim Form
 Change of Beneficiary- AF
AFLAC Claim Forms
Questions regarding your AFLAC policy, please contact Kelly Warren -219-226-1633 or the AFLAC Call Center at 800-99-AFLAC (23522)

Accident Claim- (Form)
Accident Wellness- (Form)
Hospital Plan Claim- (Form)
Hospital Wellness- (Form)
 Cancer Claim- (Form)
Cancer Wellness- (Form)
Critical Illness Wellness- (Form)
 Critical Illness Claim- (Form)
Initial Disability- (Form)
Continuing Disability- (Form)
Retirement Plans:

Plans are available through VALIC or VOYA.
To begin or make changes to your retirement plan, please contact Jillian Kucik (VALIC) by cell at 219-216-1489 or by email at or Chris Frain (VOYA)
at 219-926-1182 ext 255.

You may also visit for more information. 
 Salary Reduction Agreement (VALIC)
 VOYA Salary Reduction Agreement