Custodian Insurance Premiums or Cash in Lieu

Pre-Tax Premium Enrollment Form

Cash in Lieu Election Form

Option 1 Priority Health POS 100%

Benefits Summary

Option 2 Priority Health POS 80%

Benefits Summary

Option 3 Priority Health HMO 100%

Benefits Summary

Glossary Of Terms



Priority Health – 1-800-446-5674


Open enrollment is the month of December with the effective date of January 1

If you have a dependent change or a benefit question, please contact Danielle at 231-882-9653 ext. 2005