Oakland County Employee Benefits

Choose one of the following:

Part-time Eligible Employees

Mailing Address:
Oakland County
Employee Benefits
2100 Pontiac Lake Road 41W
Waterford, MI
48328-0440

Part-time Eligible Employees

	Medical Options Comparison Sheet - Compares the provisions of the medical plans available to you.

	Employee Contributions - Your Bi-weekly, after-tax deduction, for the medical, dental, or vision plan you choose.

	Health Plan Enrollment Form - Use this form to select your health plan.

	Dental & Vision Enrollment Form - Use this form to select your dental/vision plan.

Retirement

	401a Overview

	Defined Benefit Overview - for information for those employees on the Defined Benefit Retirement Plan.

	Deferred Compensation

	ICMA (401a) Loan Procedures

Miscellaneous

	HIPAA Privacy Notice - Describes how the privacy of your medical information is protected under the federal law.

	Short-Term Disability Forms - What you need to apply for Short-Term Disability.

	HAP Drug Formulary This link will take you directly to the most current HAP drug formulary.

	Delta Dental Toolkit - To allow the subscriber to access detailed information on your dental coverage.

	OakFit - Oakland County's Wellness Program for Employees Many programs, ideas and recipes available with the click of your mouse. Print and view walking maps, monthly awareness programs and information!

	BCBS Master medical Claim Form - The form and instructions you need to file a master medical claim.

	Delta Dental Certificate

	DeltaUSA Dental Plan Summaries DeltaUSA Dental Plan Standard Option 9936-2

	Navitus Prescription Benefit Manager - www.Navitus.com – Your link to your Prescription Benefit Manager (PBM) - www.NoviXus.com – the form you need to enroll in mail order or order a new prescription - Direct Member Reimbursement Form – the form you need to submit for reimbursement - Drug Formulary – Please click here to see the most up-to-date drug formulary from Navitus

Change Kit - forms to complete due to marriage, divorce, birth, etc.

	Instructions

	Membership and Record Change - add or remove members on your health coverage

	Membership and Record Change Supplement - also complete this when removing members

	Acceptable Legal Documents - information on the legal documents accepted to add any dependents to your coverages.

	COBRA notice

	Life Insurance Beneficiary Form

	Deferred Compensation Beneficiary Form

	Family Status Change - change coverage due to marriage, divorce, birth, etc.

	Name/Address/Marital Status Change

and complete one of these...
	ICMA Beneficiary Change Form (401 Retirement)

	Nomination of Retirement Beneficiary(Defined Benefit Retirement Plan)

FAQs