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It is time for our 2017 Employee Benefits open enrollment. We value your contributions to our

success and want to continue to provide you with a competitive and comprehensive benefit package.

Healthcare costs continue to rise and we have worked hard to keep our plan affordable. We are

excited to announce that medical plan payroll deductions will remain the same this plan year and we

will be making no plan design changes. We have decided to renew our dental and vision plans with

BlueCross/BlueShield again this year and our plan designs will stay the same. There will be a small

increase to dental payroll deductions. Open enrollment will begin on Monday June 19th and continue

until Friday June 23rd. Please use the directions below to make any needed changes. Remember this

is your only opportunity to make plan changes until open enrollment next year unless you have a

qualifying life event such as marriage, death, birth, and loss of other coverage.

Medical Benefits

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FSA and HSA Information

Voluntary Dental Benefits

Voluntary Vision Benefits

Base Life, AD&D, and LTD

Voluntary Benefits

COBRA, HIPAA, and WHCA

Marketplace Notice

Questions?

Please call us! We can help.

CBIZ Ed Jacobs and Associates

264 North Ocoee Street NW

Ste 202

Cleveland, TN 37311

1-866-656-0202

Online Enrollment System:

https://benefits.plansource.com

User Name: First letter of your

first name, up to the first 6 let-

ters of your last name , followed

by the last 4 digits of your social

security number.

Password: 4 digit year of birth,

the 2 digit birth month, followed

by the 2 digit day of your birth.

(Example:03/18/1971—

Password would be: 19710318)

Open Enrollment Dates: June 19th—June 23rd