3 / 26
2015 Benefits Guide
Contact Information .................................................................................................................................................... 1
Understanding Your Plan Options.............................................................................................................................. 2
Eligibility...................................................................................................................................................................... 2
Frequently Asked Questions ...................................................................................................................................... 2
Your Health Plan Options........................................................................................................................................... 3
Advocate 4Me ............................................................................................................................................................ 3
Rally............................................................................................................................................................................ 4
How to Find a Provider............................................................................................................................................... 4
Medical Insurance ...................................................................................................................................................... 5
Health Savings Account ............................................................................................................................................. 8
Care Options ............................................................................................................................................................ 10
Dental Insurance ...................................................................................................................................................... 12
Vision Insurance ....................................................................................................................................................... 13
Life and Accidental Death & Dismemberment ......................................................................................................... 14
Voluntary Life ........................................................................................................................................................... 14
Long Term Disability................................................................................................................................................. 14
Flexible Spending Account....................................................................................................................................... 15
Enrollment Worksheet .............................................................................................................................................. 17
Important Notices ..................................................................................................................................................... 19
Marketplace Options ................................................................................................................................................ 20
Medicaid Chip Notice ............................................................................................................................................... 21
Medicare Part D Creditable Coverage ..................................................................................................................... 22
Glossary of Terms……………………………………………………………………………………………………………23
TABLE OF CONTENTS