• hdr1.jpg
  • hdr4.jpg
  • hdr3.jpg
  • hdr2.jpg
  • hdr5.jpg

Departments

The Fergus County Commissioners have decided that Fergus County will no longer be a self-funded Employee Health Insurance program.  

The Commissioners have signed a contract with MACO Health Care Trust to be the Administrator of the Fergus County Employee Health Insurance.  This change became effective 9/1/2014.  All documentation for the Employee Health Insurance is below with our representative's contact information. 

The Fergus County contact person is Jean Adams.  The Fergus County Commissioners would like express their appreciation for your patience while they reviewed this employee benefit. 

 Fergus County Employee Health Insurance

Benefit Options (pdf) 

Fergus County Carryover Amendment

Summary of Benefits Basic 2000  

Summary of Benefits HD 1400

Medical, Dental, & Vision Claim Form

Declaration of Adult Dependent Care Form

Summary of Benefits RM 1500

Summary of Benefits HD 3000

Accident Questionnaire

Termination of Coverage

Summary of Benefits RM 2000

Enrollment Form

Group Health Statement

MACO Frequently Needed Phone Numbers

Allegiance Flex Benefit Plan Document

Flexible Benefits Enrollment Form with POP 125

Allegiance Health Plan and Flexible Plan Joint Processing Form

Allegiance Flexible Benefits Guide

HSA Authorization Form

Why Choose an HSA

Caremark Specialty Pharmacy 1-888-727-0511

Caremark Preferred Drug List

Network Pharmacy's

Prescription Drug Claim Form

Standard Medical History Statement

Additional Life Insurance Form 

NOTICES

Cobra Continuation Rights Notice

HIPAA Notice

CHIPS Notice

Women's Health & Cancer Rights Notice

 

 

Address
712 W Main, Suite 208
Lewistown MT  59457


Neal Tucek
HR Coordinator & Payroll Officer
commassistant@co.fergus.mt.us
406-535-1083