3 / 22
2016‐2017 Benefits Guide
Contact Information .................................................................................................................................................... 1
Enrolling in the Plans.................................................................................................................................................. 2
Eligibility...................................................................................................................................................................... 2
Domestic Partner Coverage ....................................................................................................................................... 3
Frequently Asked Questions ...................................................................................................................................... 4
Pre-Notification Information........................................................................................................................................ 4
Cigna Providers.......................................................................................................................................................... 4
Out of Network Providers ........................................................................................................................................... 4
Medical Insurance ...................................................................................................................................................... 5
Base Plan Option .................................................................................................................................................. 5
High Plan Option ................................................................................................................................................... 6
Prescription Benefits .................................................................................................................................................. 7
Preventive Care.......................................................................................................................................................... 7
Women’s Preventive Care Coverage......................................................................................................................... 7
Dental Insurance ........................................................................................................................................................ 8
Vision Insurance......................................................................................................................................................... 9
Basic Life and Accidental Death & Dismemberment Insurance............................................................................... 10
Voluntary Life and Accidental Death & Dismemberment Insurance ........................................................................ 10
Voluntary Long Term Disability ................................................................................................................................ 11
Voluntary Worksite Benefits ..................................................................................................................................... 11
Long Term Care ....................................................................................................................................................... 12
Employee Assistance Program (EAP) ..................................................................................................................... 13
Flexible Spending Accounts (FSAs)......................................................................................................................... 14
Important Notices ..................................................................................................................................................... 16
TABLE OF CONTENTS