Skip to main content
Skip to home page
Javascript must be enabled for the correct page display
812-450-5000
Schedule Appointments
Immediate Care
MyChart
Find a Doctor
Services
Locations
Pay My Bill
RX Refills
Giving
Classes + Events
Careers
For You
Patients & Visitors
Healthcare Professionals
Donors and Volunteers
Employees
Business Solutions
Job Seekers
Students
Community
Your Health
Contact Information
Pay My Bill
My Chart
Giving
Classes + Events
Careers
Contact
Search
Find a Doctor
Locations
Services
Your Health
For You
Schedule Now
For You
/
Employees
/
Employee Benefit Resources
/
Documents
Documents
2022/2023 Employee Benefits Guide
Download
FMLA/Short Term Disability Instruction Guide
Download
Benefit Forms
Name Change Request Form
Health, Leave, and Retirement Vendor Contact Information
EBC Medical & Childcare FSA Claim Form
Elixir Rx Claim Form
Deaconess OneCare Health Plan Medical Claim Form
Family Status Change & Online Enrollment Instructions
Payactiv
Payactiv (Link to site)
How to sign up for Payactiv, QR code for app
Payactiv FAQs
Payactiv Informational Email to Employees 5-12-22
Payactiv options, features, how it works
Educational Assistance Information
Employee Educational Assistance Fact Sheet
Application for Educational Assistance
Instructions for accessing Tuition.io
StepUp Application
Annual Flu Shots
Seven Truths About Flu
Flu Shot FAQ CDC
Declination of Influenza Vaccine
Top
/For You/Employees/Employee Benefit Resources/Documents
Back to top