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
2022 - Yough SD - 403 b Summary Plan Description.pdf
Accident Incident or Injury Report.pdf
Athletic Contest Workers Form.pdf
Blank Requisition Sheet 2020-2021.xls
Election of Health Insurance Withdrawal Buyout - AFSCME.pdf
Election of Health Insurance Withdrawal Buyout - TEACHERS.pdf
Election of Health Insurance Withdrawal Buyout - ADMIN.pdf
Daily Conference Request 2022.docx
Dependent Coverage to Age 26 Notice 4.pdf
Direct Deposit Form - 2022.pdf
Final Accounting Expense Sheet 2022.doc
Guidelines for Public Comment 1.pdf
Health Insurance Letter 2022-23.pdf
Employee Healthcare Selection Form 2022-23 ALL.pdf
Marketplace Model Notice 6-30-2023.pdf
Health Insurance Withdrawl-Buyout Form.pdf
HIPAA Notice of HIPAA Privacy Practices.pdf
Nondiscrimination Notice ACA Section 1557.pdf
Notice of HIPAA Special Enrollment Rights.pdf
Highmark 2022 Preventive Schedule.pdf
Highmark Website Navigation.pdf
Human Resources Tracking Form.pdf
KM_Salary Reduction Agreement for 403revised.pdf
Mileage Reimbursement Form 2022.xlsx
JUL-DEC 2022 Mileage Reimbursement Form.xlsx
NVA - Yough Benefit Summary.pdf
Newborns and Mothers Health Protection Act.pdf
Overnight Conference Request 2022.doc
Patient Protection Disclosure.pdf
Physicians Certificate for Medication.pdf
School Personnel Health Record Form 2019.pdf
Summary of Benefits - Plan A.pdf
Summary of Benefits - Plan E.pdf
Summary of Benefits - 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