City of Mesa Employee Benefits
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RETIRING SOON? GET BENEFIT FORMS/INFORMATION!

Please complete the forms below and return to the Benefits Office prior to your retirement. A customized premium letter and life insurance information will be sent to you once the Benefits office receives the completed request form.

Future Retirement Information Request Form

Required New Retiree Info Form

New Retiree SUREPAY Enrollment Form

Retiree Premium Benefit Authorization Form

Newsletter

2013

May

April

March

February

January

 

 


 

 

 

Pre-cerfitication Numbers:   602-252-4042 or 800-624-4277
AZ Foundation for Medical Care

For Password Resets call 480-644-2299

Member Login

Provider Login

Are you having trouble logging in?  See more information about the Claims Portal

 

Employee/Retiree/Member Information Provider Information (Physicians)
Find a provider

Health ID Cards
Provider Access

Provider Precertification List
Employee Benefits Summary of Benefits
Active Employees Retirees New Hires
Open Enrollment Workbook - Active Employees and COBRA - Plan Year 2013

Coverage Options

Special Enrollment

Prescription Benefit

Premiums

Medical

Dental

Vision

COMPsych (EAP)

Life Insurance

Short Term Disability

Long Term Disability

Flexible Spending Account (FSA)

Additional Employee Benefits
Open Enrollment Workbook - Retirees Plan Year 2013

Coverage Options

Special Enrollment

Prescription Benefit

Medical

Dental

Vision

 

Premiums

Due to the number of factors that are considered in calculating individual retiree premiums (years of service, plan, coverage level, ASRS/PSPRS subsidy, Medicare discount, etc.), the retiree premiums will not be posted.  If you have a question about the calculation of your retiree premium, please call the Employee Benefits office at (480) 644-2299.

Full-Time Benefits Workbook
Plan Year 2013

Part-Time Benefits Workbook
Plan Year 2013

Special Enrollment

Prescription Benefit

Premiums

Medical

Dental

Vision

 

Employee Benefits
20 E Main Street, Ste 600
Mesa, AZ 85201
Open Mon -Thurs 7am-6pm
(480) 644-2299 - Phone
(480) 644-4548 - Fax

Option 2: Medical/Dental Verify

Other Questions

Password Resets

Option 3: Claim Status

Option 4: Retiree Questions

Option 5: Flex Spending


E-mail (password resets cannot be done via email)

Forms

Federally Mandated Notices