Devro Model Notice Page




Devro Model Notices and Employee Documents

This web page houses all of the Devro model notices along with your Employee Benefits Summary Plan Description for the 2017 benefit year that starts on January 1, 2017. Also, on this page are each carriers certificate of coverage for your benefit. We have also included summaries of these documents for your review along with some carrier forms below. If you need any more information please contact Human Resources, or your Clarke & Company Benefits representative below.


2017 Enrollment Guide


Blue Cross

Summary of Benefits & Coverage-Base Plan

Find a Provider

Women’s Preventive Covered Services

Mail Service Order Form

Speciality Drug List

Generic Drug List

Prescription Drug List

Prescription Drug Claim Form

My Health Toolkit Login

Preventive Care Brochure


Health Care Reform Notices

Chipra Notice

WHCRA Notice

Health Care Reform Model Notice

Preventive Services Covered Under HCR


Delta Dental

Dental Benefit Summary


Physicians Eyecare Plan

 Plan Description

Out of Network Claim Form



Disability Contract

Flex Life Contract

Life Certificate


Questions About Your Devro, Inc. Employee Benefits

If you have any questions concerning your current benefit package, any future benefits, or any other benefit information that you may need, please contact Human Resources or our benefit team at Clarke & Company Benefits. Our contact information is below.

Edwin Croft

Laura Howell-Account Manager

Toll Free-888-540-9403

Columbia: 803-253-6997

To email click on name above.

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