2 / 24
2 |
Page
INSIDE THIS GUIDE
Welcome.................................................................................................................................................. 3
Employee Call Center / How Do I Enroll? ............................................................................................... 4
Medical Benefits ..................................................................................................................................... 5
Health Savings Account .......................................................................................................................... 8
Flexible Spending Accounts .................................................................................................................... 9
Dental Benefits ...................................................................................................................................... 10
Vision Benefits....................................................................................................................................... 11
Life and Disability .................................................................................................................................. 12
Employee Life Assistance Program ...................................................................................................... 13
Travel & Accident Insurance.................................................................................................................. 13
Travel Assistance and ID Theft Protection Services ............................................................................. 14
Compliance Notices............................................................................................................................... 15
REFERENCE
Coverage
Vendor
Website / Phone
Employee Call Center
CBIZ
(800) 820-5090
Medical & Prescription
Independence Administrators
and FutureScripts
To register, use:
https://myibxtpabenefits.com(844) 864-4352
Independence Administrators
Wellness Reimbursement
Independence Administrators
(888) 356-7899
Dental
Unum/United Concordia
www.unumdental.com(888) 222-2685
Vision
Superior Vision
www.superiorvision.com(800) 507-3800
Life, AD&D, Disability
Cigna
Disability - (800) 362-4462
Travel & Accident
The Hartford
Travel Assistance & ID Theft Protection
(800) 243-6108
Travel Assistance ID #: GLD-09012
Health Savings Account (HSA)
HealthEquity
www.healthequity.com/hsalearn(866) 346-5800
Flexible Spending Account (FSA)
The Harrison Group, Inc.
(610) 853-9075
Employee Life Assistance Program
Cigna
www.cignabehavioral.com/cgi(800) 538-3543
This benefits summary describes the highlights of our benefits in non-technical language. Your specific rights to benefits under the plan are governed solely, and in every
respect, by the official documents and not the information in this summary. If there is any discrepancy between the descriptions of the programs as contained in this bro-
chure and the official plan documents, the language of the official plan document shall prevail as accurate. Please refer to the plan-specific documents for detailed plan
information. Any plan benefits may be modified in the future to meet Internal Revenue Service rules or otherwise as decided by Brinker Capital.