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Welcome! My name is Tina Lax, I am the Benefits Specialist for THQ Inc., I'm here to provide assistance on questions or concerns as it pertains to benefits. Below you will find forms to assist you anywhere from enrollment, to status changes, to processing a claim and more. Please feel free to download forms, and if necessary you may contact me to answer any questions.

BLUE CROSS FORMS:
- Blue Cross HMO Summary (For CA employyees only)
- Blue Cross PPO Summary (For CA employyees only)
- Blue Card Incentive Plan Summary (Forr employees
  outside of CA excluding IL)
- Blue Cross Enrollment Form
- Blue Cross Change Form
- Blue Cross Claim Form
- Blue Cross RX Claim Form
- Blue Cross Declination Form
- Blue Cross Authorization for Release of Medical Information (This form is necessary if an employee needs assistance from HR to resolve specific claim issues)

THE PRINCIPAL FINANCIAL GROUP:
Enrollment forms for:

  • THQ Inc.
  • Volition
  • Cranky Pants Games
  • Helixe
  • Heavy Iron
  • Outrage Games
  • PCP&L
  • Rainbow Studios
  • ValuSoft
  • SUMMARIES AT A GLANCE:
    Vision Dental
  • THQ Inc. and

  •    All Companies
  • THQ Inc.
  • Volition
  • Cranky Pants Games
  • ValuSoft
  • GROUP BOOKLET CERTIFICATE FOR MEMBERS:
    Vision Dental
  • THQ Inc. and

  •    All Companies
  • THQ Inc.
  • Volition
  • Cranky Pants Games
  • ValuSoft
  • CLAIM FORMS ALL COMPANIES:

  • Vision
  • Dental
  • Medical

  •     Volition PHCS PPO Plan
        Volition HealthNetwork Plan

    THQ INC. CAFETERIA PLAN:

  • Benefit Highlights
  • 2003 Enrollment
  • 2003 Dependent Care Certification
  • Election Not to Participate
  • Claim Form
  • Change In Family Status