2000 W. Kilbourn Ave | Milwaukee, WI 53233 | T. (414) 933-0302 | F. (414) 933-1914

Medicaid and the Children's Health Insurance Program (PDF)

Women's Health and Cancer Rights Notice (PDF)

Long Term Disability Group Policy (PDF)

Short Term Disability Group Policy (PDF)

Long Term Disability Certificate (PDF)

Short Term Disability Certificate (PDF)

Northwestern Mutual Claim Form (PDF)

Delta Vision Benefits Summary (PDF)

Dental Plan Summary (PDF)

Anthem Benefits Summary (PDF)

Delta Application (PDF)

Anthem Employee Application (PDF)

Anthem Change Form (PDF)

Prescription Mail Order Form (PDF)

Aurora Quick Care Brochure (PDF)

Aurora EAP Brochure (PDF)

Colonial Accident, Critical Illness and Life Information (PDF)

Anthem/BlueCross (Medical)

Select Wisconsin as the state. Under the "select plan" on the next page, select the Lumenas
Plan option.

Dental/Vision

Ignore log in area on the left. Use the "Looking for a Dentist" (or vision care) option. Select the
Delta PPO plan option.

Allowable medical expenses

Health Savings Account Enrollment (PDF)

Explanation of Benefits (PDF)

How to Read Your Medical Bill (PDF)

Filing HSA and Record Keepingv(PDF)

Employee Purchase Plan (PDF)

Mail Order Pharmacy Information

Prescription Price Shopping (PDF)

Loan Deferment/Forgiveness Programs for Educators

2000 W. Kilbourn Ave | Milwaukee, WI 53233 | T. (414) 933-0302 | F. (414) 933-1914