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Regions Benefits
Documents & Forms
Health
Documents Forms
2019 Cost Worksheet BCBS Dental Claim Form
2019 Dental Plan Summary BCBS Medical Claim Form
2019 Medical SBC HIPAA Release Information
2019 Summary of Benefits PrimeMail Order Form
2019 VSP Summary Tobacco Free Affidavit
90DayMy Way Vitality Check Biometrics Form
Drug Tiers Explanation Ways To Earn Vitality Points
Generics Brochure  
Preventive Services  
SourceRX 1.0 Formulary  
SourceRX 1.0 Guide  
Tobacco Surcharge FAQs  
Free Tobacco Cessation Resources  
Nicotine Replacement Therapy Coverage  
Teladoc Member FAQs  
Teladoc Talk to a Doc Anytime  
Teladoc Pediatric FAQs  
Teladoc Dependent Set Up  
Uniform Glossary  
Vitality Quick Guide  
Flexible Spending Accounts
Documents Forms
2019 Flex Plan Summary HealthEquity DCRA Reimbursement
  HealthEquity Electronic Funds Transfer
  HealthEquity FSA Reimbursement
Health Savings Accounts
Documents Forms
  HSA Beneficiary Designation Form
  HSA Reimbursement Form
Regions 401(k)
Documents Forms
2019 401(k) Required Notices Annual 2% Employer Contribution Appeals Form
2019 401(k) Auto Enrollment Notice 401k Loans Payments While on LOA
2019 401(k) Auto Increase Notice  
401(k) Loan Policy  
401(k) SAR  
Annual 2% Employer 401(K) Contribution FAQs  
401(k) SPD  
401(k) Roth FAQs  
401(k) Roth Contributions Brochure  
Fee Disclosure  
Regions 401(k) Enrollment Book  
Regions Retirement Plan
Retirement Plan Annual Funding Notice  
Retirement Plan for Associates Funding Notice  
BlackArch LLC 401(k)
(for BlackArch LLC Associates only)
Documents Forms
BlackArch LLC 401(k) QDIA Notice  
BlackArch 401(k) Participant Fee Disclosure  
BlackArch LLC 401(k) SPD  
BlackArch LLC 401(k) Loan Program  
BlackArch LLC 401(k) Roth Contributions Brochure  
BlackArch LLC 401(k) Roth FAQs  
BlackArch LLC 401(k) Enrollment Book  
BlackArch LLC 401(k) SAR  
Life & Disability
Documents Forms
Legal Insurance Overview  
ARAG Identity Theft Flyer  
How to Activate ARAG Identity Theft Monitoring  
Legal Issues as Children Grow  
Cigna How to File a Disability Claim Brochure  
Why Purchase Optional Life Insurance  
Legal Needs Life Cycle  
Medical vs Legal  
Identity Theft Summary  
Change In Status and Eligibility
Documents Forms
Change In Status Chart Affidavit for Domestic Partnership (1/1/2019)
Change In Status Documentation Requirements Termination of Domestic Partnership
Change In Status Online Instructions  
Domestic Partner Benefits Policy (1/1/2019)  
My WorkDay@Regions
Documents Forms
Navigate Enrollment Job Aid  
Editing Beneficiary Allocations Job Aid  
Manage Your Benefits Job Aid  
Requesting a Leave of Absence  
Requesting Intermittent FMLA  
Change In Status Online Instructions  
Leave of Absence
Documents Forms
401k Loan Payments While on Leave 401k Loan Payment Debit Authorization Form
How to Report a Disability Claim Change In Status Online Instructions
Benefits While on Leave  
Payroll While on Leave  
Miscellaneous
Documents Forms
2019 Associate Contributions 2019 Request for Appeal
2019 Benefits Summary Change of Address for Former Regions Associates
2019 Enrollment FAQs Flu Shot Reimbursement
2019 Enrollment Guide  
CDC Flu Vaccination Information Statement
Exit Package  
Flu Shot Clinic Listing  
Immunization Consent Form  
No More Excuses Flu Vaccine  
Vacation Policy  
Vacation Purchase FAQs  
Why Get a Flu Vaccine