Check out the website below, for a resource to answer questions regarding Health & Well-being Benefits, Telehealth Service, EAP Counseling, and Provider Contact Information.
Westmoreland County Healthcare Organization
Important Forms
2025 - 403 b 403 b - Roth Salary Reduction Agreement.pdf
2025 - 457 b 457 b -Roth Salary Reduction Agreement.pdf
2025 - Annual Retirement-Benefits Guide 403 b.pdf
2025 - Meaningful Notice IRS 403 b Compliance.pdf
2025 - Plan Participation Guide 403 b or 457 b.pdf
Accident Incident or Injury Report.pdf
Athletic Contest Workers Form.pdf
Blank Requisition Sheet 2020-2021.xls
Election of Health Insurance Withdrawal Buyout - TEACHERS.pdf
Election of Health Insurance Withdrawal Buyout - AFSCME.pdf
Election of Health Insurance Withdrawal Buyout - ADMIN.pdf
Daily Conference Request 2025.docx
Dependent Coverage to Age 26 Notice 4.pdf
Final Accounting Expense Sheet 2025.doc
2024 FMLA Form Family Member.pdf
Guidelines for Public Comment 1.pdf
Health Insurance Letter 2024-25.pdf
Employee Healthcare Selection Form 2024-25 ALL.pdf
Marketplace Model Notice 12-31-2026.pdf
Health Insurance Withdrawl-Buyout Form.pdf
HIPAA Model Notice of Privacy Practices.pdf
Nondiscrimination Notice ACA Section 1557.pdf
Notice of HIPAA Special Enrollment Rights.pdf
Highmark 2023 Preventive Schedule.pdf
Highmark Website Navigation.pdf
Human Resources Tracking Form.pdf
Medicare Part D Creditable Coverage 2024.pdf
Mileage Reimbursement 2025.xlsx
NVA - Yough Benefit Summary.pdf
Newborns and Mothers Health Protection Act.pdf
Overnight Conference Request 2025.doc
Patient Protection Disclosure.pdf
Physicians Certificate for Medication.pdf
School Personnel Health Record Form 2019.pdf
Highmark Benefit Summary - PLAN A.pdf
Highmark Benefit Summary - PLAN E.pdf
Highmark Benefit Summary - PLAN G.pdf
Tuition Reimbursement Packet.pdf
United Concordia Dental Coverage Information.pdf
UPMC Westmoreland Broad Access - FAQs.pdf
UPMC Westmoreland Broad Access Grid.pdf
Voya Financial.pdf WHCRA Notice 1.docx