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Insurance Benefits Hub
 
The purpose of this hub is to provide the employees of the Mississippi Department of Transportation (MDOT) with a central location to assist with all insurance benefits needs.  The information on this page is subject to change and may be updated as new information is obtained.  It is the goal of the Insurance Benefits Section of the Financial Management Division of MDOT to provide the most accurate, helpful and user friendly information as possible.  If you have any questions about your insurance benefits that you are unable to answer from the information provided, please feel free to contact any member of the Insurance Benefits Department or your insurance provider.  Contact information is listed at the beginning of each link.
 
 

 Click The Below Folders To View Benefits

 
  
  
Aflac-Short Term Disability Cancelation Notice.pdf
  
Aflac-Short Term Disability Claim Form.pdf
  
Aflac-Short Term Disability Request for Change Form.pdf
  
Allstate Accident Insurance Enrollment effective 01-01-17.pdf
  
AlwaysCare Dental Claim Form.pdf
  
AlwaysCare Dental Enrollment Form effective 01-01-17.pdf
  
Cafeteria Plan Change Form.pdf
  
Cigna (Voluntary Group Term Life) Change Request Form.pdf
  
Cigna (Voluntary Group Term Life) Claim Form. rev 04-02-12.pdf
  
Cigna (Voluntary Group Term Life) Enrollment Form.pdf
  
Colonial Binding Arbitration Form.pdf
  
Colonial Cancer Change Form.pdf
  
Colonial Life (Cancer) Insurance Application Form. rev 08-04-16.pdf
  
Colonial Life (Cancer) Insurance Claim.pdf
  
Colonial Med Bridge 3000 Application Form.pdf
  
Colonial Med Bridge 3000 Claim Form.pdf
  
Colonial Request for Service Form.pdf
  
Davis Vison Out-of-Network Claim Form (In-Network providers will bill directly). rev 04-02-12.pdf
  
Dependent Care (CareFlex) Reimbursement Request Form.pdf
  
Legal Shield and Identity Shield Gold Application Form.pdf
  
Medical (MedFlex) Reimbursement Request Form.pdf
  
PRIME Prescription Drug Claim Form.pdf
  
PRIME Prescription Order Form.pdf
  
State and School Employees Health Insurance Plan Claim Form. rev 04-02-12.pdf
  
State and School Employees Health Insurance Plan Enrollment and Change Request Form.pdf
  
State and School Employees Life Insurance Beneficiary Designation and Change Request Form.pdf
  
State and School Employees Life Insurance Enrollment and Change Request Form.pdf
  
State and School Employees Life Insurance Evidence of Insurability Form. rev 04-02-12.pdf
  
Superior Vision Enrollment Form effective 01-01-17.pdf
  
                                                                     Contact Information 
 
Payroll & Insurance Benefits Manager
LaWanda McGhee
Phone 601-359-7377
Fax 601-359-7948
Assistant Insurance Benefits Manager
Russell Scott Roberts
Phone 601-359-9899
Fax 601-359-7948 
 
Insurance and Benefits Analyst
Turner Smith
Phone 601-359-7384
Fax 601-359-7948
 
 
Staff Officer
Yolanda Townsend
Phone 601-359-7395
Fax 601-359-7948
 
 
 
 
     

MISSISSIPPI DEPARTMENT OF TRANSPORTATION

401 North West Street, Jackson, Mississippi 39201
Telephone: 601-359-7249 Fax: 601-359-7834
Over-Dimensional Permits: 601-359-1717
Department Of Public Safety (Driver License): 601-987-1212
Contact Us: Online Submission Form
Employment: MDOT Careers
Copyright (c) 2017. All Rights Reserved : Privacy
Melinda McGrath, P.E. » Executive Director
James Williams, P.E. » Deputy Executive Director, Chief Engineer
Lisa Hancock, CPA » Deputy Executive Director, Administration




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