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TABLE OF CONTENTS
Who Can You Cover? ......................................................................................................................4 Qualifying Life Events .....................................................................................................................5 Making the Most of Your Benefits Program.......................................................................................6 Medical.........................................................................................................................................7 Medical, continued ........................................................................................................................8 Medical, continued ........................................................................................................................9 Prescription Drugs........................................................................................................................10 Prescription Drugs, continued .......................................................................................................11 Finding a Provider ........................................................................................................................12 Dental .........................................................................................................................................13 Vision .........................................................................................................................................14 Life Insurance..............................................................................................................................15 Disability Insurance......................................................................................................................16 Flexible Spending Account (FSA) ...................................................................................................17 Guidance Resources - Employee Assistance ...................................................................................18 Need Benefits Help? .....................................................................................................................19 Mobile Resources ........................................................................................................................20 Teladoc.......................................................................................................................................21 2017-18 Full Time Employee Medical Contributions - Per Paycheck ................................................22 2017-18 Part Time / Adjunct Employee Medical Contributions - Per Paycheck..................................23 2017-18 Full Time Employee Dental & Vision Contributions - Per Paycheck .....................................24 Key Terms ...................................................................................................................................25 Important Plan Notices and Documents ..........................................................................................26 Required Federal Notices..............................................................................................................27 Medicare Part D Notice.................................................................................................................29 Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP).................31 Notes ..........................................................................................................................................33 Additional Contacts ......................................................................................................................34Medicare Part D Notice: If you (and/or your dependents) have Medicare or will become
eligible for Medicare in the next 12 months, a federal law gives you more choices about
your prescription drug coverage. Please see the Annual Notices on page 29 for more
details.