GEO Forms & Documents

  • 2020-21 HIPAA Policy 

Click here for information about HIPAA, the law which protects your health information.

  • 2020-21 Summary of Material Modifications 

Coming Soon.​..

  • 2020-21 Summary Plan Description 

Coming Soon.​..

 

  • 2020-21 Information about COBRA Rights

Click here for important information about your COBRA Rights.

 

  • 2020-21 Trust Financial Report

Click here for a summary of the Trust's finances.

  • 2020-21 Benefit Information for Fellowship Recipients

 

Click here for a information on fellowships.

 

  • Ameritas Subscriber Certificate

Coming Soon...

  • Ameritas Claim Form

 

Click here for the form to use when you see an out-of-network provider and need to seek reimbursement.  The form should be submitted to Ameritas with your receipt(s).

  • Ameritas Coordination of Benefits Policy

 

Click here for the document that governs your multiple insurance plans.

  • EyeMed Subscriber Certificate

Click here for the certificate of insurance.

 

  • EyeMed Claim Form

You can submit a request for out-of-network reimbursement online​. ​

  • 2019-20 UMass Assistantship Guidelines

Click here for a detailed review of the earnings required for student health insurance fee waivers, trust fund benefits and tuition waivers.

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