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2016 Benefits Guide

Contact Information .................................................................................................................................................... 1

Enrolling in the Plans.................................................................................................................................................. 2

Eligibility...................................................................................................................................................................... 2

Frequently Asked Questions ...................................................................................................................................... 3

Pre-Notification Information........................................................................................................................................ 3

Aetna Providers .......................................................................................................................................................... 3

Medical Plan Important Features ............................................................................................................................... 3

Medical Insurance ...................................................................................................................................................... 4

QHDHP Option ...................................................................................................................................................... 4

H.S.A Information .................................................................................................................................................. 5

Base Plan .............................................................................................................................................................. 7

H.R.A Plan............................................................................................................................................................. 8

Health Reimbursement Account................................................................................................................................. 9

Prescription Benefits ................................................................................................................................................ 10

Preventive Care........................................................................................................................................................ 10

Women’s Preventive Care Coverage ....................................................................................................................... 10

Dental Insurance ...................................................................................................................................................... 11

Vision Insurance ....................................................................................................................................................... 12

Basic Life and Accidental Death & Dismemberment Insurance............................................................................... 13

Voluntary Life and Accidental Death & Dismemberment Insurance ........................................................................ 13

Voluntary Short Term Disability................................................................................................................................ 14

Voluntary Long Term Disability ................................................................................................................................ 14

Voluntary Worksite Benefits ..................................................................................................................................... 14

Employee Assistance Program (EAP) ..................................................................................................................... 15

Flexible Spending Accounts (FSAs)......................................................................................................................... 16

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