

For the convenience of our policyholders, below is a list of forms and other information you may access or download as needed. You may need to download the Adobe Acrobat Reader before you can view some of the forms.
Cumberland County Schools Benefit Enrollment
September 29- October 31st
Schedule your appointments now!
You have three convenient options:
1. Schedule a Phone Appointment (Recommended) Speak with a licensed benefits counselor for personal assistance. [Schedule an Appointment]
2. Self-Enroll via Employee Navigator Complete your enrollment online at your convenience.
• Log in: employeenavigator.com
• Company Identifier: CCSBenefits
• Instructions are available in your benefits booklet and within the portal.
3. Email Confirmation
(For employees making no changes and/or electing FSA only)
If you are not making any benefit changes but wish to enroll in Flexible Spending Accounts (FSA) for 2026, you can simply confirm via email.
Please include the following in your email:
• Your full name
• A contact phone number
• Your 2026 FSA election amount (if applicable)
Important: If you do not include your FSA election amount, you will not be re-enrolled in that benefit. FSA elections must be made each year.
Sending this email confirms that you wish to keep your current benefit elections.
Download the 2026 Employee Enrollment Benefits Book
Important Contacts
FSA Customer Service – 1-866-347-3640
Dental. Vision – 1-888-816-3096
Short Term Disability customer service – 1-877-318-4487
For Dental and Vision Reimbursements, members can mail the itemized statement and proof of payment into the following address.
The Health Plan
1110 Main Street
Wheeling WV 26003

Claim Forms & Products
- Allstate Accident Outpatient Physician’s Treatment Claim Form: Download Form
- Group Accident Claim Form Download Here
- Group Cancer Claim Form: Download Form
- Wellness Claim Form: Download Form
- Policy Service form (ex. address, name and beneficiary changes): Download Form
- SHOP Information: Download Brochure
- SHOP Claim Form: Download Form
- Allstate Cancer Plan for Cumberland County Schools
- Claims Service Number: 1-800-348-4489
- Policyholder Service Number: 1-800-521-3535

Accident
Hospital Stay Pay
Critical Illness
Life Insurance with Long Term Care
Wellness Claim Form
Customer Service – 1-800-918-8877 option 6

Cancer Forms (Policies issues prior to 1/1/14)
Manhattan Life (formerly Humana Policies) – Forms & Policies
- Manhattan Life Cancer Forms (Policies issued prior to 1/1/14)
- Manhattan Life (formerly Humana -Cumberland County School Employees ONLY)

Group Life Insurance
Benefit information and Certificate number for CCS employees
Certificate Number: VF02383A


403(b) Retirement Planning

For an Application or to speak with a Representative: Local: 1-910-483-6210

(Universal Life and Term)
For assistance, please contact us at 910-483-6120.







