Health & Dental Insurance

Health

The City of Fond du Lac health plan is self-insured and administered by HPS. The back of your ID card contains contact numbers for customer service, prior authorization, and prescription questions.

Changes to benefits due to a qualifying life event (such as marriage, divorce, birth of child, etc.) must be made within 30 days of the event. Please contact Human Resources at (920)322-3623.

• 2019 Summary of Benefits and Coverage
• Benefits Summary FT Non-Exempt 2019
• Benefits Summary FT Exempt 2019

• HIPAA Privacy Notice

Auxiant & HPS

• Auxiant Website
• Auxiant Change Form

• HPS Provider Directory

Misc. Information

• 2019 Open Enrollment Meeting
• EAP (Employee Assistance Program)
• FABOH Website
• Transplant Insurance

• Optum Rx Website
• Meds Requiring Prior Authorization
• Optum Rx Mail Order Form
• Optum Rx Reimbursement Form

• NOVO 2019
• SmartChoice MRI
• Teladoc

• Wisconsin Vision Discount

Dental

Voluntary Group Dental insurance is provided by Care Plus Dental and Delta Dental of Wisconsin. More information on each provider can be found below.

Changes to benefits due to a qualifying life event (such as marriage, divorce, birth of child, etc.) must be made within 30 days of the event. Please contact Human Resources at (920)322-3623.

• Plan Designs 2019

• Care Plus Website
• Delta Dental of Wisconsin Website