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2015 Benefits Guide
Contact Information .................................................................................................................................................... 1
Enrolling in the Plans.................................................................................................................................................. 2
Eligibility...................................................................................................................................................................... 2
Frequently Asked Questions ...................................................................................................................................... 3
Pre-Notification Information........................................................................................................................................ 3
United Healthcare Provider ........................................................................................................................................ 3
When to Use Primary Care, Convenience Care, Urgent Care, Emergency Care or Lab Services ........................... 4
Your Benefit Plan Options .......................................................................................................................................... 5
Medical Insurance ...................................................................................................................................................... 6
2015-2016 Employee Medical Plan Contributions ..................................................................................................... 6
Premium Saver HRA/Morgan White .......................................................................................................................... 7
Prescription Benefits .................................................................................................................................................. 8
Preventive Care.......................................................................................................................................................... 8
Women’s Preventive Care Coverage ......................................................................................................................... 8
Dental Insurance ........................................................................................................................................................ 9
Vision Insurance ....................................................................................................................................................... 10
Basic Life and Accidental Death & Dismemberment Insurance............................................................................... 11
Voluntary Life and Accidental Death & Dismemberment Insurance ........................................................................ 11
Special Enrollment Notice ........................................................................................................................................ 12
Women’s Health and Cancer Rights Act of 1998..................................................................................................... 12
Notice of Privacy Practices....................................................................................................................................... 12
Marketplace Options ................................................................................................................................................ 12
Medicaid CHIP Notice .............................................................................................................................................. 13
Summary of Material Modification ............................................................................................................................ 14
Glossary of Terms .................................................................................................................................................... 14
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