VEHI Membership

Current Member List

This is a listing of VEHI Membership as of 10/3/16.

Medical Program Member Agreement

  1. Agreement to Participate
  2. Power of Attorney
  3. Attachment A:  Summaries of Benefits and Coverages is located on the BCBSVT Employer Resource Center
  4. Attachment B:  Rates for Active Employees and Rates for Retired Employees
  5. Attachment C:  Service Agent Agreement VT-NEA / Service Agent Agreement VSBIT
  6. Attachment D:  Stop Loss Coverage
  7. VEHI Financial Plan
    1. Annualized Health Contributions
  8. VEHI Operational Plan
    1. VEHI Investment Policy

Dental Program Member Agreement

  1. Agreement to Participate
  2. Power of Attorney
  3. Attachment A:  Certificate of Coverage
  4. Attachment B:  Rates
  5. Attachment C:  Service Agent Agreement VT-NEA / Service Agent Agreement VSBIT
  6. VEHI Financial Plan
    1. Annualized Dental Contributions
  7. VEHI Operational Plan
    1. VEHI Investment Policy