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West Coast Paving Employee Benefit Forms & Information

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Hometown Health Plan (Medical)

• My Benefits Portal Login

• Summary Schedule of Benefits for HMO (2022)

• Enrollment/Change Form - English

• Enrollment/Change Form - Spanish

• Waiver of Health Coverage Benefits - English

• Waiver of Health Coverage Benefits - Spanish

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Principal (Vision)

• Vision Benefit Summary (2022)

• Enrollment/Change Form

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Kansas City Life (Dental & Life/AD&D)

• Dental Benefit Summary (2022)

• Life/AD&D Benefit Summary

• Enrollment/Change Form

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2022 Benefit Premium Rates (all plans)

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Aflac

• Aflac Supplemental Insurance Options and Brochures

• Aflac Premium Rates (2022)

• Aflac Interest Form for Enrollment