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Texas Counties Deliver – learn how county government serves you

Insurance

 

Brianda Santiago
Benefits Coordinator
(Health Benefits and HIPAA Contact)
(FMLA, ADA, W/C)

1010 East Eighth Street, Suite 126
Odessa, TX 79761
Phone:(432)498-4011
Fax:(432)498-4097

My Premise Health logo

 Ector County Provider Networks:

BCBS PPO In-Network Physicians (90% after $500.00 Deductible)
Specialist & Other In-Network Facilities (80% after $500.00 deductible)

Out of Network (60% after $500.00 deductible)

BCBS PPO Provider Search
Vision Provider Network


Insurance Department Forms

Eligibility for Health Benefits in Retirement

Health Care Claim Form

Ector County's Health & Dental Benefits

Prescription Formulary - Alphabetical Index

Prescription Formulary - Category/Class

Vision Plan B (Base Plan)

Vision Plan C (BuyUp Plan)

Employee Navigator – Benefit Enrollments

Address Change Form

Tobacco Affidavit

Worker Comp Forms

Injured Employee First Response Forms

Injured Employee Notices

Injured Employee's Statement

Witness Statement

Supervisor Statement

PSWCA Driver


Notary Commissions

Notary Application

Notary Training


Insurance Notices

CHIP Notice

Insurance Marketplace Notice

HIPAA Privacy Notice

TCDRS Retirement ‘On The Road to Retirement’

Employee Health Coverage Tax Documents Information