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  6. Benefits
  7. Benefit Forms

Benefit Forms

Health, Dental and Vision:

  • Benefit Change/Life Event

NNERF Forms:

  • Employee's Death Benefit Beneficiary Form
  • NNERF Contribution Beneficiary Form

VRS Forms:

  • VRS-Securian Life Insurance Policy
  • VRS-Securian Life Optional Life Insurance Enrollment Form
  • VRS-Securian Life Evidence of Insurability Form
  • VRS-Electronic Designation of Beneficiary Form (MyVRS)
  • Additional VRS Forms
  1. New Hire Information
  2. 2023 FITNESS CENTER EXCLUSIVE MEMBERSHIP RATES
  3. 2023 BENEFIT ELECTIONS 
  4. Benefit Change/Life Event
  5. Benefit Forms
  6. Health Insurance
    1. Optima POS
    2. Optima Equity HDHP & HSA
    3. Pharmacy
  7. Dental Insurance
  8. Vision Insurance
  9. Life Insurance
    1. Voluntary Whole Life Insurance
    2. Basic and Supplemental Life Insurance (NNERF)
    3. VRS Supplemental Life Insurance
  10. Family Medical Leave
  11. Reimbursement Accounts
  12. Short-Term & Long-Term Disability
    1. The Standard- Short/Long Term Disability (NNERF, VRS 1 & 2)
    2. The Standard - Short /Long Term Disability (VRS Hybrid)
  13. MissionSquare
  14. Retirement
    1. NNERF
      1. Benefits Summary
      2. Health Insurance
      3. Dental Insurance
      4. Vision Insurance
      5. Fitness
      6. Portability
      7. Life Insurance
    2. VRS
      1. Health, Dental and Vision Insurance
      2. Life Insurance
      3. VRS Retirement Planning
      4. Retirement Health Savings Plan (RHS)
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  1. Newport News Home

  1. 2400 Washington Avenue
    Newport News, VA 23607

    757-933-2311

    Email 311


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