Family Medical Leave
STOP! Click on the document below and read the FMLA Steps prior to proceeding!

Workers Compensation?
If you are on workers compensation, you do not need FMLA. Please go back to the Home page and click on Disability Insurance if you need Short Term Disability. All other Short Term for FMLA see correct links below.
COVID Related Leave?
Use the COVID Exposure link here. COVID Exposure
Ready to request FMLA?
Before you get started, it is important to know that it is the employee's responsibility to request the leave and follow up on all paperwork with FMLASource, USAble Life and Human Resources. Read the FMLA Instructions carefully along with the information on this page.
Use the FMLASource.com link below to start your leave. If you have never used the FMLASource site before, you will need to register first by providing your Lawson ID. Employees can also call FMLASource at 877-GO2-FMLA. Keep in mind typical long waiting periods like Mondays or during the lunch hour. FMLA packets are received within 5 Days.
NOT eligible for FMLA?
You could be eligible for NonFMLA. This is a two tier leave with 30 days on each tier up to a max of 60 days. Both tiers require approval through FMLASource. You will use the same instructions as FMLA. Apply through the FMLASource link. FMLASource will then deny the FMLA leave request. If you are eligible for NonFMLA, FMLASource will send you a packet within 5 Days to start the NonFMLA process.
How to manage your FMLA after requested?
Will I have to use PTO with my FMLA?
Employees will use PTO for the first week of missed work. If you have Short Term Disability, you are no longer required to use PTO while out on leave unless you choose to use PTO to supplement your Short Term Disability. PTO will stop after the first week unless you complete the PTO Continuation Form located below. If you choose to use PTO after the first week, then you will only use a portion of PTO not to exceed 100% of base pay when combined with STD.
Employees that do not have Short Term Disability are still required to use PTO for their leave.
Sick bank will work the same. You must use 24 hours of PTO prior to using sick bank.
Who signs the FMLASource forms and where do they go?
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The Medical Certification is completed by the employee and the physician who can verify the leave. You have 15 days from the leave request date to submit the forms back to FMLASource to approve or deny the leave request. Contact information on where to send is listed at the top of the certification form.
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The Short Term, Hospital, Accident and Critical Care forms are completed by the employee and the physician that can verify the leave and sent back to USAble Life. Contact information on where to send is listed at the top of each form. Short Term Disability will start after missing 7 days of work. (ONLY USE FORMS SENT FROM FMLASOURCE)
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Authorization for Release of Medical Records - employee will submit form to USAble Life
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Fraud Notice - employee will submit to form USAble Life
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Physician Statement - employee will take the form below to the physician
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Benefits add/change/payments while out on leave are sent to Human Resources. You can email to HR@sbrmc.org, fax to 870-207-0555 or drop by the office.
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Fit for Duty is required to return to work. This tells the manager that you are released to work and if you have restrictions. Your physician will complete the form and send back to Human Resources prior to the leave ending. If submitting prior is not possible, you must take a paper copy to your manager on the day you are released to work and then send to Human Resource.
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IMPORTANT! The decision on the Medical Certification is not required to return to work. Only the Fitness for Duty is required to return to work regardless if a decision on the leave has been made or not.
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We encourage you to read through the FMLA Instructions for each leave.
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Additional FAQs Click Here
Tracking Absences on FMLA
If you are on a Continuous leave from a start date to an end date, you do not have to track your time.
If you are on an Intermittent Leave or a Reduced Schedule Leave, you must track your time in FMLASource for each day used and the hours used for that day. Use the reporting Intermittent Leave link here for more information on how to track your time in FMLASource. Reporting Intermittent Leave
Maintaining Benefits on FMLA
If you have the benefit below and the benefit applies to the leave, simply complete the employee section, have your PCP complete the physician statement and send to the contact information at the top of each form.
Note: if you have a leave request through FMLASource, you do not need the employer statement. The employer information will automatically be sent to USABLE from FMLASource once the leave is submitted.
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Insurance Change & Payment Form - send to Human Resources
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Short Term Disability Form - send to USAble Life (ONLY USE FORMS SENT FROM FMLASOURCE)
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Accident Care Form - send to USAble Life
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Critical Care Form - send to USAble Life
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Hospital Care Form - send to USAble Life. If you plan to add the baby to your Hospital Care benefit, complete one claim form for you and a separate claim form for the baby. For the baby, the Hospital Attending Physician’s Statement should be emailed to Brittney Martin at bdgoad1@sbrmc.org. Brittney will return the completed statement back to you so you can submit to USAble along with your Attending Physician Statement as well as the Employee Statement.
Submitting Online Forms To USAble LIFE
You can submit your EMPLOYEE ONLY forms online by going to usablelife.com. Click on Individuals and Families link and then click on "How to Start a Claim." Physician Statement forms can be submitted separately by the Physician's office. For Short Term Disability, you must notify Human Resources by sending an email to HR@sbrmc.org with your name and employee ID or SSN. Online option is for submitting only. There is not an online option to check the status of the claim. Group Number for St. Bernards Medical is 50042523. Please note, it is the employee's responsibility to follow up on all forms. Click here for the online instructions
Need to Add Dependents?
Be sure to come by HR to pick up your St B baby blanket and coffee card if you are a new parent! You can add dependents if they qualify as a Life Change Event. For more information on Life Change Events, go to the BenefitHUB Home Screen by clicking the St. Bernards logo at the top left hand corner of this page. Then select Life Change Event tab and the event that applies to you. From here you can either make the changes to your benefits from the enrollment portal or use the benefit change form and submit to Human Resources. Medicaid Health Insurance programs are offered during your stay at St. Bernards. This is NOT adding your child to your benefits.
Other Information on FMLA
Contact Information
FMLA for Employee Medical Certification Forms
Phone: 877-GO2-FMLA
Email: fmlacenter@fmlasource.com
Website: FMLASource.com
USAble for Short Term, Accident, Critical and Hospital Care (ONLY USE FORMS SENT FROM FMLASOURCE)
Phone: (800) 370-5856
Email: claims@usablelife.com
Website: https://www.usablelife.com/
St. Bernards Human Resources for Fit for Duty Form & Benefit Changes/Payments
Phone: 870-207-1605
Email: HR@sbrmc.org
Fax: 870-207-0555
FMLA
FMLA Videos


My Benefits
Click here for 2022 Clinic Benefit Brochure
Click here for 2022 Paragould Benefit Brochure
Who can use the enrollment portal?
Current and New employees can use the enrollment portal.
When do you use the enrollment portal?
Current Employees - will use the portal to view all of their benefit elections for the current year. The portal will show what benefit you are in currently, how much the benefit costs per pay period and the effective dates of each benefit. Simply click on My Benefits from the enrollment portal link below.
NOTE: if there is not a My Benefit link in the left hand navigation, this means you have a benefit that is waiting for an election. Hit next through the prompts and either accept or waive the benefit. Click the orange button at the end to save.
New Employees - will use the enrollment portal below to sign up for benefits. New employees are eligible for benefits the first of the month following enrollment date with up to 90 days from the hire date to enroll.
Example: If your hire date is March 4th and you enroll in benefits on March 15th, benefits will start April 1st. If you enroll in benefits on April 1st, your benefit start date is May 1st. You have 90 days from your hire date to enroll in benefits.
How do you log into the enrollment portal?
Username: First 6 characters of last name + first initial of first name + last four digits of your Social Security Number.
Password: Full Social Security Number (SSN) no dashes for new employees. Current employees use the same password you set up during open enrollment. If you do not remember, use the forgot password option.
You will be prompted to change your password upon your initial login.
Example:
Jane Thompson SSN: 987-65-4321
Username: thompsj4321
Password: 987654321
What Dependent Documents are Required?
Dependent documents are required. Documents should be submitted to Human Resources at the end of open enrollment. You can submit your documents by emailing HR@sbrmc.org or bring a copy to Human Resources.
NOTE: if documents are not received, dependents will be dropped from the coverage. For a complete list of documents, refer to the dependent link below.
Dependent Document List
When can I make changes to My Benefits?
If your enrollment period has past, you are able to make changes to your benefits either by a Life Changing Event or during the next open enrollment period. Open enrollment is usually in November each year but could vary. To view a Qualified Life Event, go to the Home page of the BenefitHUB and click on Life Events.
The link below is only to enroll in benefits or to view your individual benefits for the current year. This link will not provide information about that benefit. Before enrolling in your benefits, we encourage you to explore your benefithub. Each benefit we offer at St. Bernards will have an individual page where you will find benefit summaries, plan documents, links to providers in-network and other important information on that benefit. Simply, return to the home page of this site and click on the benefit to view details.
IMPORTANT!!! IMPORTANT!!!
If you have newly hired or changed in a status, you will NOT be able to enroll online for the first 2 weeks. You will receive an error or message to contact your administrator during that time. If by the third week, you still cannot get in the system, contact HR.
Enroll-In-Person? Benefit representatives will be onsite the 2nd Friday of each month from 10am to 2pm in HR. If you rather meet in person, just know there is not a schedule and you will be helped in the order received.
Before You Enroll - ALL OPEN ENROLLMENT PASSWORDS HAVE BEEN CHANGED BACK TO THE SSN WITH NO DASHES.
Step one is to add dependents. Step two is to enroll in coverage.
* Those listed with asterisk do not require use of keytag. Individuals may be required to present St. Bernards employee name badge.
Ace of Blade Barbershop
2306 E Matthews Ave
Jonesboro, AR. 72401
$1.00 off any service
870-268-1221
Ad Pro, Inc.
1205 Falls St.
(870) 932-6000
15% off all services
*AT&T
Jonesboro, AR.
(800) 331-0500
24% discount (Mention Discount Code: FAN2397671 and employee id badge)
Click Here for a detailed instruction sheet to get discount.
To sign up online, visit att.com/wireless/sbrmc
Or visit your local AT&T store at: 3006 E Highland, Jonesboro, AR 72401
ATA Martial Arts
1420 S. Caraway Rd.
Jonesboro, AR. 72401
20% Discount on Monthly Tuition
*Must present badge ID for discount
870-972-8811
Battery Outfitters
2838 Race St.
Jonesboro, AR. 72401
20% Discount off purchase
*Must present badge ID for discount
870-930-2838
Cash Discount Furniture
705 W Johnson Ave
Jonesboro, AR. 72401
Phone: 870) 935-2100
Fax: 870) 935-2100
Discount:25% off
Candlewood Suites
Jonesboro, AR
Phone: 870) 336-6500
Fax: 870) 336-6501
Discount Nightly Rates: $85.99 (1 -3 Nights); $79.99 (4 - 7 Nights); $75.99 (8 or more)
Credit Bureau of Jonesboro, Inc.
109 E. Jackson
(870) 932-6681
1 % off of standard rate for collecting
Crown Trophy
450 Southwest Dr.
(870) 268-0901
10% off Awards on orders over $50
Discount excludes engraving & promotional products
www.crowntrophy.com
Daycare Discounts
To find a list of all daycare providers in our area please click here.
Below are the local day cares that provide discounts to St. Bernards employees:
· Ana's Angels
2614 East Matthews Ave.
10% off by presenting St. Bernards ID Badge
· Kids Kingdom Daycare
1507 E. Matthews Ave.
Jonesboro, AR 72401
Phone (870) 932-2543
5% off Discount
Embassy Suites Jonesboro
223 Red Wolf Blvd.
Jonesboro, AR 72401
870-619-4482
$119 per night, must present employee ID
Fairfield Inn & Suites
3408 Access Rd.
Phone: (870) 934-1600
www.fairfieldjonesboro.com
10% off Regular Rate
Gearhead Outfitters
231 S. Main St. & The Mall at Turtle Creek
Phone: (870) 910-5569
20% off select footwear, inserts and socks. Free shipping for orders over $49.99.
Shop online at https://www.gearheadoutfitters.com/thank-you#hcw.
Hampton Inn
2900 Phillips Dr
Phone (870) 974-9500
$90.00 plus tax rate for standard rooms (just ask for SBMC rate)
HealthWear inc.
1320 Red Wolf Blvd.
Jonesboro, AR 72401
(870) 336-3046
10% off purchase
HiJinx: Game Night Reinvented
3102 Shelby Dr.
(870) 972-5270
10% discount at snack bar (Must show Employee Badge)
Holiday Inn (Jonesboro Location Only)
2908 Gilmore Dr.
(870) 333-5100
Discounted Rate of $129 Monday-Thursday and $119 Friday-Saturday by clicking here.
Jonesboro Jaycees
P.O. Box 741
(870) 275-1975
5% off 1 year membership
Layton Eye Clinic, P.A.
2706 Phillips Dr.
(870) 932-9800
15% off discount on a complete pair of glasses with valid prescription
Discount not applicable with any insurance or other discount
LensMasters
320 S. Church St.
(870) 972-1818
10% off of complete pair with no other insurance or discounts
www.rxlensmasters.com
Magic Springs Water & Theme Park
1701 E. Grand Ave.
Hot Springs, AR, 71901
Click Here to view available discounts. Save up to 60% off one-day tickets.
Purchase tickets at www.tiny.cc/saintbernard
501-624-0100
Master Print Group
5115 E Highland Dr
Jonesboro, AR. 72401
Phone: 870) 932-4491
Fax: 870) 932-8080
www.masterprintgroup.com
15% Discount on new customers on initial order
The Moving Company
Jonesboro, AR
Phone: 870) 882-2842
10% Discount
NEA Credit Union
2704 Fair Prk Blvd.
Jonesboro, AR 72401
NEAFCU members have access to thousands of surcharge free ATMs nearby and around the world (see attached information)

NEA Massage Therapy
$10 off a 60 minute massage—normally $70
$15 off a 90 minute massage—normally $100
Call to book at 870-219-9633
Must show Employee Badge for discount
Qdoba
2935 Parkwood Rd.
(870) 336-2172
10% off purchase. Must present Employee ID at purchase.
Parkey & Davis
906 Enterprise Dr.
(870) 932-0330
50%off Zoom Whitening or take home bleaching trays
www.smiles4jonesboro.com
Ritter Communications
http://rittercommunications.com/residential/communities (to view locations served)
888-336-4466
Free internet upgrades for a year for St. Bernards Employees
(*Only Applies to New Accounts Created)
Silver Dollar City
Log on to http://store.silverdollarcity.com to purchase your disounted tickets. Use promo code 25607.
Six Flags St. Louis
Username: SBRMC
Password: SixFlags8
Username & Password are case sensitive. Log onto the link below to purchase:
www.sixflags.com/partnerlogin
Save $27 off per ticket
Sleep Cheap Mattresses
1700 E Johnson Ave
Jonesboro, AR.
Phone: 870) 253-6600
www.mysleepcheap.com
$100 off any size Mattress Set originally priced $299.99 or higher
Soo's Drug Store
2905 E. Nettleton Ave.
(870) 932-6930
10% off gift purchases
www.mygnp.com
Supertints
3212 E Nettleton Ave
Jonesboro, AR. 72401
Phone: 870) 935-7799
Fax: 870) 935-7771
Discount:10% off Tints
TicketsatWork.com
Create an account using Code: SBHC to gain access to discounts to major theme parks, shows, theaters, hotels, car rentals & more!
CLICK HERE FOR MORE DETAILS!
TJ's Burgers
2810 E. Highland Dr.
Jonesboro, AR. 72401
Phone: 870) 938-0008
10% off purchase: Must present employee ID badge when checking out to receive discount
Verizon wireless
verizonwireless.com/discounts
Discount:
18% off monthly access fees
Please select the icons below to view discount and instructions


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Short Term Disability
If you have FMLA, do not use these forms. Go to the Family Medical Leave page from the Home screen for the correct forms.
Short term disability (STD) insurance helps provide financial security while you are on an approved medical leave. You will receive a weekly benefit in $50 increments (minimum of $100) up to $1,000, not to exceed 70% of your pre-disability base pay for up to 25 weeks. There is a 7 calendar-day elimination period and benefits are paid out on the 8th day.
Additional Plan Details—Optional
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Contributions are based on the benefit selected amount
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Your PTO is concurrent with the STD benefit
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Disability must be approved by USAble Life
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Pre-existing conditions are waived if enrolling during your initial eligibility period
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Benefit reduction and termination:
STD Form Process
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Employee Statement - employee can submit by the form below or online
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Physician Statement - employee will take the form below to the physician
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Employer Statement - employee will email HR at HR@sbrmc.org once the employee statement and the physician statement have been completed. HR will then complete the employer statement for the leave.
It is the employee's responsibility to make sure all 3 statements are submitted to USAble Life.
Online Access
You can also complete the USAble Forms online. The online option is for submitting only. There is not an online option to check the status of the claim. Group Number for St. Bernards Clinics is 50042523, this is required to submit a leave online.
USAble Life Contact Information
Toll free: (800) 370-5856
Monday - Friday 8 a.m. - 5 p.m. (CST)
https://www.usablelife.com/
Email: claims@usablelife.com
Long Term Disability
Long Term Disability (LTD) replaces a portion of your income due to a non-work related disabling illness or accident for an extended recovery period.
Basic Long Term Disability is a Company Paid Benefit
$8,000 maximum per month benefit when combined with Basic LTD
Benefits continue to age 65 or later depending upon your age at the
date of disability
- Provides up to 40% of base pay for full-time employees. You are automatically enrolled in the Basic LTD plan
- 180-day elimination period
- $6,000 maximum per month benefit
- Two years for your own occupation; after that, any occupation
- Benefits continue to age 65 or later depending upon your age at the date of disability
- Pre-existing conditions apply
OPTION 1
- Adding employee paid 10% to the 40% company paid benefit for a total of 50%.
- Monthly benefit payout on a salary of $30,000 x 40% (company paid portion) = $1,000 per month.
- The $30,000 x 50% (40% company paid + 10% employee paid) = $1,250 per month.
OPTION 2
- Adding employee paid 20% to the 40% company paid benefit for a total of 60%.
- Monthly benefit payout on a salary of $30,000 x 40% (company paid portion) = $1,000 per month.
- The $30,000 x 60% (40% company paid + 20% employee paid) = $1,500 per month.
Long Term Disability Paper Form
Long Term Online Form
Online Access
You can also complete the USAble Forms online. The online option is for submitting only. There is not an online option to check the status of the claim. Group Number for St. Bernards Clincs is 50042523, this is required to submit a leave online.
USAble Life Contact Information
Toll free: (800) 370-5856
Monday - Friday 8 a.m. - 5 p.m. (CST)
https://www.usablelife.com/
DataPath Flexible Spending for Health Care
DataPath offers an FSA debit card, which allows you to pay for eligible expenses directly from your account. Expenses include medical, prescription, dental and vision. The advantage of using the FSA for these expenses is that you get all of your money at the beginning of each year and is tax free. If you choose to participate, you may contribute up to $2,750 per year on a pre-tax basis. Money is loaded to your card on 1/1 and you split up the contributions through out the year pre-tax.
Receipt Rules
The below list shows transactions that do not require you to submit an itemized receipt:
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St. Bernard’s Affiliated pharmacies & clinic’s.
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Amounts that match the co-pays attached to your health or dental benefits.
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Pharmacies with the IIAS certification. This is an inventory system that approves or denies items at the point of sale. Typically larger locations such as Kroger or Wal-Mart have this in place at their pharmacy counters.
ALL OTHER LOCATIONS OR OUTSIDE THE COPAYS WILL REQUIRE A RECEIPT. This is NOT a debit card receipt.
Per IRS guidelines, if you use your card outside of the set paramaters you are required to submit an itemized receipt to substanitate the transaction. All transactions are subject to review. Failure to do so will result in the funds being owed back to the plan.
If you are uncertain if an item is covered you can contact customer service for further asssitance at 1-877-685-0655.
FSA Funds Notice
FSA is a use it or lose it program.
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All transactions must be for the dates of the service year from 1/1 to 12/31.
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All FSA claims must be submitted to DataPath on or before 3/31 for dates of service from the prior year.
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Any funds left after your run out period will be forfeited.
Account Setup
You will receive in the mail a series of plan white envelops with your FSA account setup. These are sent separately for your protection.
To activate your card by phone, use the TPA number 10.
To register online, use the Employer ID 10307 and the Participant ID that came in the mail with your card. If you do not know your Participant ID contact Human Resources or call DataPath Customer Service.
Enrollment Guide
Login Instructions
Claim Reimbursement Form
Direct Deposit Form
FSA Store
Customer Service 1-877-685-0655
Email: St.bernards@datapathadmin.com
Mobile Summit App
Dependent Flexible Spending Account
DataPath offers an FSA debit card, which allows you to pay for dependent expenses directly from your account. The advantage of using the FSA for these expenses is that you get all of your money at the begining of each year and is tax free. If you choose to participate, you may contribute up to $5,000 per year on a pre-tax basis ($2.500 maximum if married and filling separate tax returns.)
Eligible dependent care expenses include:
- Before- and after-school care
- Extended day programs
- Daycare, preschool, or nursery school
- Summer day camp
- Elder day care
An eligible dependent is:
- A child under age 13, who is claimed as a dependent on your income tax
- A child age 13 and older, who depends on you for at least half of his/her support;
- Regularly spends at least eight hours a day in your household; and
- Is physically or mentally unable to care for himself/herself
- A disabled spouse
- An elderly parent
Instructions
Dependent Care requires a request reimbursement from you on your Dependent Care Account. Contributions will be reimbursed to you on a per pay period basis. Deductions go out of your pay check on payroll Thursdays and deposit into your bank account on Friday. You must complete the Direct Deposit Form and the Recurring Expense Form below. By completing the Recurring Expense Form you will not need to provide continuing documentation for the remainder of the plan year.
Please note: forms should be completed at the beginning of the plan year. the sooner you submit the required forms, the sooner you will see a reimbursement payment in your bank account on Friday.
Dependent Care Fact Sheet
Enrollment Guide
Recurring Expense Form
Direct Deposit Form
Customer Service 1-877-685-0655
Email: St.bernards@datapathadmin.com
Mobile Summit App
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Medical Plan
For Regular Full-time Employees. This plan does not include Staff Support Employees.
SHARP (St. Bernards Healthcare Associated Regional Providers, Inc.) is a physician hospital organization (PHO) developed in 1994 by St. Bernards Healthcare and the physicians in Northeast Arkansas. SHARP connects providers, employers, and patients seeking medical services to create the very best healthcare service possible at an affordable rate. With over 4,300 providers and 173 facilities, SHARP is one of only a few PHOs in the country that is licensed to provide services to review the necessity, use, appropriateness, and efficiency of healthcare services. Utilization review is about verifying value for the healthcare consumer.
SHARP provides St. Bernards Medical Center employees the following services to help reduce healthcare costs.
We partner with BlueAdvantage Administrators and SHARP to offer medical coverage for the St. Bernards Health Plan.
BlueAdvantage Administrators can provide you with all information as it relates to what your health plan will cover, benefit limits, claims processing and explanation of benefits (EOBs). For medical claims call 800-370-5853 and for prescription claims call 888.293.3748.
SHARP can provide you with our in-network providers. They also are able to case manage on some physicians that are out-of-network.
Network Coverage:
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SHARP Identifies In-Network Providers—contact SHARP for local and surrounding areas in-network providers and facilities.
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Referrals outside SHARP Network—Must have prior authorization from referring physician to SHARP prior to services rendered. Specialists visits outside of the SHARP network must be referred from the current treating Specialist in-network.
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To find a SHARP provider or facility in-network, go to https://www.stbernards.info/sharp-pho Or call 870-972-0032
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Precertification*: SHARP provides precertification services as required by the plan for all Inpatient Services, Outpatient Surgery (excluding EGD, Colonoscopy, and HC), CT, MRI, PET Scans, insulin pumps (prior authorization required), and private duty nursing services.
Employees must get approval for out-of-network coverage and precertifications or penalties could be applied.
Find In-Network Providers Here
* This True Blue PPO is essentially a "wrap" network to the SHARP PHO network. If SHARP pre-approves and refers a member to one of the True Blue PPO providers (Tier 2), then the claim would be paid at 80% after the deductible is met. If SHARP does not pre-approve using a provider outside of the SHARP network, it is subject to only being paid at 25% after the deductible is met. Care provided by an out-of-network facility in the event of an emergency is processed as an in-network claim. See plan documents for specifics.
Network Deductibles and Cost
Click on the flyer below for more information!

No ID Card? No Problem!
With My Blueprint Mobile, you can view, print, email, or fax your ID card while in your doctor’s office. You can also access many more My Blueprint features such as order replacement cards, check claims status, review EOB’s, check deductibles, and review your personal health record.. Click on the flyer below for more information!

What does your plan cover?
The purpose of a Coverage Policy is to inform members and their physicians why certain medical procedures may or may not be covered under Arkansas Blue Cross and Blue Shield health plans. In addition to these specific Coverage Policies, all Arkansas Blue Cross and Blue Shield health plans or contracts also include more generally applicable coverage standards known or the Primary Coverage Criteria. The Primary Coverage Criteria apply to ALL benefits members may claim under their plan, no matter what types of health intervention may be involved or when or where members obtain the intervention. For more specifics on Primary Coverage Criteria, click on the Primary Coverage Criteria link here.
Covering Dependents
Dependents for coverage generally include Legal Spouse and Children. All dependents must have the required documents submitted prior to the benefit start date or they will be dropped from your coverage. More information can be found in the Covering Your Family Link here.
Do you need help navigating through the medical plan?
Your Employee Care Navigator is an RN Case Manager available to assist you with healthcare needs. The program is designed to help employees and their dependents get from place-to-place in a healthcare system that can often be difficult to understand. Your personal health information will always remain confidential. Give Beth Wallace a call to help you with any of your health care needs. Beth serves as a patient representative to facilitate medical care and navigate the healthcare system including coverage through BlueAdvantage and SHARP.
Beth Wallace, RN 870-207-7486 or 870-351-6831 or e-mail at owallace@sbrmc.org
Other Medical Forms
Contact Information
BlueAdvantage Administrators
Phone Number: 800-370-5853
Website: www.blueadvantagearkansas.com
Email: BAACustomerService@arkbluecross.com
SHARP for Network and Precertification Questions
Phone Number: 870-972-0032
Website: https://www.stbernards.info/sharp-pho
Care Navigator, Patient Representative for Employees to help with SHARP and BlueCross
Beth Wallace, RN 8
870-207-7486 or 870-351-6831
Email: owallace@sbrmc.org
Human Resources for Payroll Deductions and Qualified Insurance Changes
Shannon Hamrick
870-207-1604
Email: smhamrick@sbrmc.org
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