Benefits Documents
Forms
- Employee Medical Leave Form and Certification
- Family Medical Leave Form and Certification - Family Member
- Family Medical Leave Form - Care for Service Member
- Family Medical Leave Form - Qualifying Exigency
- Flexible/HRA Reimbursement Request Claim Form
- Transportation Parking Reimbursement Claim Form
- COBRA Portability Form
- COBRA Conversion Form
- Benefit Waiver Form
Websites
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Click for more information on Medica at welcometomedica.com/cityofstpaul (Have more question? You can reach customer service at 855-857-2045.)
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Click for more information on Delta Dental at https://www.deltadentalmn.org/members/ (Have more questions? You can reach customer service at 651-456-1558 (local) or 1-844-852-1558 toll free.)
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Click for more information on your 2018 Healthy Saint Paul Well-Being Program