Form

Forms

If you need assistance with submitting a form, please contact the HR Service Center at 888-691-5729 or HRServiceNow.rsfh.com

Affidavit of Common Law Marriage

BCBS Claim Reimbursement Form

Disabled Dependent Coverage Application

Request for Non-Network Service – Medical Plan

2024 Vision Out-of-Network Claim Form

Have a Question?

Call the HR Service Center at 888-691-5729 or go to HRServiceNow.rsfh.com

Your Financial Security

FINANCIAL SECURITY HOME
Short-Term Disability
Long-Term Disability
Life Insurance
Retirement Savings
Student Loan Relief

Your Family

FAMILY HOME
Learning Center
Additional Discounts

Resources

RESOURCES HOME
RSFH Benefits Portal
Benefit Apps
Plan Summaries
Legal Notices
Forms
Retiring from RSFH
Contact Information

What's New for 2024

What's New for 2024

Your Benefits

YOUR BENEFITS HOME
Benefits Summary
Benefits Eligibility
Enroll & Make Changes

Your Health

HEALTH HOME
Getting Care
RSFH Alliance / Find a Physician
Virtual Visits
Express Care
Medical Plans
Prime
Flex
Save
OOA
Health Savings Accounts
Flexible Spending Accounts
Contribution Rates / Plan Coverage Comparison
Which Medical Plan is right for me?
Prescription Drug Coverage
Your Dental
Your Vision

Your Financial Security

FINANCIAL SECURITY HOME
Short-Term Disability
Long-Term Disability
Life Insurance
Retirement Savings
Student Loan Relief

Your Well-Being

WELL-BEING HOME
PTO / Holidays
BeWell
Mental Health/EAP
myDiabetes Program
Tuition Assistance Programs

Your Family

FAMILY HOME
Learning Center
LifeMatters Family Services
Additional Discounts

Resources

RESOURCES HOME
RSFH Benefits Portal
Benefit Apps
Plan Summaries
Legal Notices
Forms
Retiring from RSFH
Contact Information