AdventHealth transfer of medical records to RosenCare Request Form

Humana Benefits Booklet

Critical Illness Health Claim Assessment Claim Form
Disability Claim Form
OSCEOLACTY- STD One Call Claims Brochure

Term Life Insurance Beneficiary Change Form

Salary Reduction Agreement Processing Service
Election requests will be submitted through an online system. This system is provided by our 403(b) and 457(b) Plan Administrator, US OMNI and TSACG Compliance Services. (USOTCS). The online process eliminates the need for paper SRAs and allows 24-hour access for employees. All approved representatives of the District’s authorized investment provider companies will be able to assist employees with this online process.

There are many benefits to the new SRA process:

• Employees simply visit https://sra.tsacg.com to access the online system. · The system can be accessed 24 hours a day, 7 days a week.
• Employees can start, change, or stop a 403(b) and/or 457(b) SRA at their convenience. 
• Employees receive immediate online confirmation that their request has been submitted.
• Authorized Investment Provider Agents/Representatives can assist employees.
• A list of authorized Investment Providers is available at the TSA Compliance Services website.

Should you have any questions regarding the process, please contact USOTCS’s SRA Department at 888.796.3786, option 5.

457(b) Unforeseen Financial Emergency Disclosure
Hardship Withdrawal Disclosure
Osceola Disclosure Form

Trustmark Accident Claim Form

Trustmark Accident Ins 17-18

Trustmark Universal Life/Death Claim Form

Trustmark Universal Life Accelerated Death Claim Form

Trustmark Universal Lifelong Term Care Claim Form

Trustmark Wellness Claim Form

VSP Member Reimbursement Form