Health Care Renewal Document

This document includes the current benefit grids and premium rates for All ACSHIC medical, dental and vision programs.

Act 110 Guidelines

This notice is provided to the participating school entities participating in the Allegheny County Schools Health Insurance Consortium. It explains the application of Act 110 and COBRA to retirees provided coverage with the Consortium.

Policy for Late Payment of Monthly Premiums

Notice concerning change to procedure for assessment of penalties to delinquent monthly premiums.

Highmark Member Change Form

Directions on how to complete the form are included.

Blue Cross Blue Shield Enrollment Application

Directions on how to complete the form are included.

Blue Flex PPO Summary of Benefits and Coverage

Summary of Benefits and Coverage: What this plan covers and what it costs.

Blue Flex EPO Summary of Benefits and Coverage

Summary of Benefits and Coverage: What this plan covers and what it costs.