2023 Open Enrollment
2023 Open Enrollment Presentation
2023 Open Enrollment Benefit Guide
2023 Accidental Injury Benefits
2023 Critical Illness Benefits
2023 Accidental Injury/Critical Illness Enrollment Form and Rate Sheet
NOTICE: Pursuant to Centers for Medicare & Medicaid Services (CMS) regulations, below is the link to the Transparency In Coverage website with Preferred One. This webpage will provide the machine-readable files for in-network provider rates and out-of-network allowed amounts and billed charges for covered services.
Transparency in Coverage - Machine Readable Files
The Fond du Lac Insurance Company and board were established in June 1991 to oversee the administration of all benefit programs for the FDL Reservation employees in a manner that maximizes employee benefits under applicable federal law and separates the programs from the processes of tribal government.
The Fond du Lac Insurance Company Board of Directors is composed of five members. Members include the Executive Director of the Reservation Business Committee as a permanent member. One Board member is selected from the Division Directors. The three remaining board members are selected by and from among the employee participants at large. Board members serve two-year terms and elections are held yearly.
The Board meets monthly; employees are welcome to present their concerns and/or suggestions at the monthly meeting. Contact any representative or advisor if you would like to be included on the agenda.
2022 Short Term Disability Enrollment Form
2022 Long Term Disability Enrollment Form
2022 Voluntary Life and AD&D Enrollment/Beneficiary Form
CVS Caremark At-Home COVID-19 Test Reimbursment Form
Caremark.com At-Home COVID-19 Test Receipt Submission
Cigna-New York Life Beneficiary Form
Omada Health Program Presentation