Additional Employee Resources
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Click to download the One America EOI form
Click to download the CHUBB EOI form
Click to download the Lincoln EOI form
Plan Features
Everything You’ll Need to Know
ā The pay period differs for each employeeās job class by either 22 pay periods or 26 pay periods. All benefit deductions are over 22 pay periods. Click to view!
ā To update your Beneficiary information, complete and email the Change of Beneficiary Form to Benefits at [email protected]. Download the form!
ā If you opt out of medical, a copy of your insurance card must be submitted annually to Benefits at [email protected]. Download the form!
ā Pottstown PFT Change Form (Teachers only): If you would like to add a dependent to your plans, please submit a copy of a marriage certificate to add a spouse and a birth certificate to add a child. SSN required for all dependents. Download the form!
āĀ Name changes must be sent to HR at [email protected] with your updated Social Security Card.
ā The Evidence of Insurability Forms (EOI) must be submitted to the carrier directly within 30 days of enrollment; otherwise, coverage will not be issued.
Download the One America EOI form
Download the CHUBB EOI form
Download the Lincoln EOI form
ā You can request the Insurer Directory from the Benefits Coordinator at HR, or click to access the Benefits Insurer Contact Directory to contact them directly if you have additional questions about ID Cards, or if the member ID # is needed to start making doctor appointments.Ā

ā You must provide Social Security numbers and birth dates for all your NEW dependents during your enrollment call.
If you are adding NEW dependents (Spouse or Children), the following proof of documents must be sent to the Benefits Coordinator at [email protected] after completing your benefit to keep the elected coverage: MarriageĀ Certificate or Divorce Decree, Court orders requiring coverage, Birth certificate for child(ren), and Social Security cards for all new dependents. (Domestic partners are ineligible.)Ā
If you have any questions or concerns regarding the upcoming changes, please email HR Benefits:
Benefits-related questions: Patti Sullivan
Email: [email protected] Phone: 610-970-6629Ā Fax: 610-326-3259
Leave-related questions should be directed to: Jen Arndt, Assistant Director of Human Resources
Email: [email protected] Phone: 610-970-6603Ā Fax: 610-323-8263
EMPLOYEE ASSISTANCE PROGRAM SERVICES
Confidential help 24 hours a day, seven days a week for employees and their family members. Get help with:
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- Family, Parenting
- Addictions, Emotional
- Legal, Financial
- Relationships, Stress
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Lincoln Financial Group
Claims Customer Support Line: 800-487-1485. In order to start theĀ Lincoln ClaimĀ process, you will need the following information:
- The Insured’s name and date of birth
- The policy owner’s name and address
- The policy number(s)
- Type of benefit claim (for example, home care or nursing home admission)
- Date of onset
- A brief description of the reason for the claim (for example, injury or illness)
- A durable power of attorney (POA) may be required if the policy owner cannot initiate the claim.
Plan Documents
POTTSTOWN SD 2026-2027 Pay Schedule 22 INS Deductions
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PSD. PFT Change Form (Teachers)
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Waiver Authorization Form
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409A Election Form
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IBX: ID Card Access and Find a Provider - Member Website Instructions
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Health Advocate Flyer
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One America Employee Benefits- Online Instructions to submit the Evidence of Insurability (EOI)
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One America: Employee Assistance Program - EAP Flyer
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CHUBB- How to File a Claim / Portal Self-Service Guide- Claim form
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CHUBB- Wellness Benefit Claim Form
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CHUBB- Accident & Critical Illness Benefit Claim Form
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CHUBB Beneficiary Change Form
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CHUBB Life Insurance - EOI form
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LINCOLN: EOI Instructions Letter Flyer
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Websites
Contacts
Health Advocate
866-695-8622
Lincoln Customer Service Line
800-487-1485
Benefits Coordinator- FAX Number
610-326-3259
CHUBB Workplace Benefits Line
833-542-2013