1
TABLE OF CONTENTS
Who Can You Cover? ...................................................................................................................................... 3 Medical ....................................................................................................................................................... 4 Prescription Drugs ......................................................................................................................................... 5 Vision .......................................................................................................................................................... 8 Dental .......................................................................................................................................................... 9 Life Insurance ............................................................................................................................................. 10 Disability Insurance ..................................................................................................................................... 11 Flexible Spending Account (FSA) .................................................................................................................... 12 401(k) Retirement Savings Plan .................................................................................................................... 13 Cost of Coverage ......................................................................................................................................... 14 Extended Coverage ...................................................................................................................................... 15 Meet Ben-IQ ............................................................................................................................................... 16 For Assistance ............................................................................................................................................ 17 Important Plan Notices and Documents ........................................................................................................... 18Medicare 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 20 for more details.