Ector County, Texas

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Texas Counties Deliver

Insurance

Benefits Coordinator

(Health Benefits and Workers Comp)

HIPAA Contact

1010 East Eighth Street, Suite 126

Odessa, TX 79761

Phone:(432)498-4011

Fax:(432)498-4097

Ector County Provider Networks:

Permian Basin Health Network (90% after $441.00 Deductible)

Private Healthcare Systems (80% after $441.00 deductible)

Permian Premier (80% after $441.00 deductible)
Vision Provider Network

Insurance Department Forms

Health and Dental Enrollment Form

Health Care Claim Form

Ector County's Health & Dental Benefit Plan

Summary of Benefits and Coverage

Vision Enrollment Form

Vision Plan B (Base Plan)

Vision Plan C (BuyUp Plan)

Employee Navigator – Benefit Enrollments

Request for Employee Change

Address Change Form

2016 Tobacco Policy

Tobacco Affidavit

Worker Comp Forms

Worker's Compensation Procedure

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

Summary of Benefits

Life Insurance Enrollment Form

Provided by the Texas Association of Counties

Provided by the Texas Association of Counties Duties & Responsibilities of County Officials

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