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Documents and Forms

Ethics Code

Forms

New Hire Forms PDF, 1.86 MB
VSP Out of Network Claim Form DOC, 114.00 KB
orientation-packet PDF, 4.10 MB

Benefits Information

Medical

Dental

Alpha Dental Plan Summary PDF, 201.75 KB
Delta Dental Plan A summary PDF, 2.20 MB
Delta Dental Plan B Summary PDF, 2.28 MB

Vision

Vision Service Plan - VSP PDF, 123.66 KB
vision-plan PDF, 563.82 KB
VSP Vision Benefits Summary PDF, 89.60 KB

Life Insurance

2016 Cigna AD&D Booklet PDF, 174.89 KB
2016 Cigna Group Life Booklet PDF, 81.10 KB
Basic Life and Basic AD&D PDF, 214.29 KB
Voluntary Life and Voluntary AD&D PDF, 231.13 KB

Aflac

Aflac Claims Guide PDF, 1.35 MB
Aflac Group Accident PDF, 4.33 MB
Aflac Group Hospital Indemnity PDF, 3.16 MB
Aflac Rates PDF, 977.91 KB

Contact Us!

Human Resources

1000 10th Street
Greeley, Colorado 80631

Monday - Friday
8:00 a.m. - 5:00 p.m.

970-350-9710 tel
970-350-9707 fax
HR@greeleygov.com

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