Protecting children, Empowering Youth, Strengthening Families.

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Health & Wellness portal

BENEFIT RESOURCES

Our Human Resources team is proud of the fact that we are able to offer a robust benefits plan with such a wide array of options. In keeping with our mission of “strengthening families,” AzCA galdly makes significant investments in our benefits to ensure our family of employees maintain excellent health, wellness and spirit. We invite you to take full advantage of our plans, whether it be protecting your health, building your wealth or gaining peace of mind that you and your loved ones are protected.

Thank you for all you do to achieve our mission of making better lives for all the people we touch.

Tifney Tihey
Chief Human Resources Officer

benefit documents

Initial Cobra Notice
SBC Explanation Letter
SBC for Classic PPO
SBC for HDHP 2600 Plan
SBC for HDHP 4000 Plan
Ameritas Dental Summary
EDS Schedule of Benefits
HSA Qualified Medical Expenses
Qualified FSA Expenses
Rights & Responsibilities Initial Notification
Vision Summary
Women’s Health & Cancer Rights Act (WHCRA)

AZCA FORMS

Green Sheet
Physical Form
TB Form
Flexible Spending Account Reimbursement
Intern Request Form
Volunteer Request Form
Payroll Deduction Donation Form
Staff Fundraising Form
Donation/Contribution Form
Business Card Ordering Instructions