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TABLE OF CONTENT
CONTACT INFORMATION.............................................1
Reasons to Call.........................................................1
How to Use This Claims Resolutions .......................1
WHAT’S INSIDE..............................................................2
ENROLLING IN THE PLANS..........................................2
Who’s Eligible ...........................................................2
When to Enroll ..........................................................2
Open Enrollment .......................................................2
Changing Coverage During the Year .......................2
MEDICAL INSURANCE OPTIONS.................................4
UnitedHealthcare - HSA Choice Plus -
$2,600 QHDHP .........................................................4
UnitedHealthcare - Choice Plus PPO -
$1,500 Deductible Plan.............................................5
UnitedHealthcare - Choice Plus PPO -
$750 Deductible Plan................................................6
HEALTH SAVINGS ACCOUNT (HSA) ...........................7
YOUR HEALTH BENEFITS ............................................9
Stay Healthy with Medical Coverage ........................9
Get the Most from Your Benefits ..............................9
When to Use Primary Care, Convenience Care,
Urgent Care, Lab Services or Emergency Care .......9
DENTAL INSURANCE ..................................................12
Dearborn National Dental........................................12
Network Savings Example......................................12
About Your Dental Insurance..................................12
VISION INSURANCE ....................................................13
Choice Plan VSP.....................................................13
LIFE AND ACCIDENTAL DEALTH & DISMEMBERMENT
INSURANCE .................................................................14
Basic Employee Life Insurance ..............................14
Optional Employee Life...........................................15
Basic Dependent Life..............................................15
Supplemental Spouse Life......................................15
LONG-TERM DISABILITY ............................................15
FLEXIBLE SPENDING ACCOUNTS (FSA) ..................16
Health Care FSA.....................................................16
Dependent Care FSA .............................................17
Limited Purpose FSA..............................................17
VOLUNTARY WORKSITE BENEFITS .........................18
Critical Illness..........................................................18
Supplemental Health ..............................................18
Accident Insurance .................................................19
EMPLOYEE ASSISTANCE PROGRAM (EAP)............ 20
Boone Hospital Center’s Employee Assistance
Program.................................................................. 20
RETIREMENT BENFITS .............................................. 21
Missouri Local Government Employees
Retirement System (LAGERS) .............................. 21
Columbia Police and Firemen’s Retirement
Fund ....................................................................... 21
457 Deferred Compensation Plan.......................... 21
401(a) Plan............................................................. 21
EMPLOYEE WELLNESS ............................................. 22
Services/Programs................................................. 22
TIME OFF ..................................................................... 22
IMPORTANT NOTICES................................................ 23
Special Enrollment Notice ...................................... 23
Women’s Health and Cancer Rights Act
Of 1998................................................................... 23
Notice of Privacy Practices .................................... 23
Marketplace Options .............................................. 23
Important Information Regarding 1095 Forms ....... 24
Medicaid CHIP Notice ............................................ 24
Medicare Part D Credible Coverage ...................... 24