SAMPLE Employee Benefit Guide.pub

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2015 Benefits Guide
Contact Information ....................................................................................................................................................1
Enrolling in the Plans..................................................................................................................................................2
Eligibility......................................................................................................................................................................2
Frequently Asked Questions ......................................................................................................................................3
Pre-Notification Information........................................................................................................................................3
Anthem Providers .......................................................................................................................................................3
Medical Insurance ......................................................................................................................................................4
Base Plan Option...................................................................................................................................................4
Buy Up Plan Option...............................................................................................................................................5
Enhanced Plan Option ..........................................................................................................................................6
Prescription Benefits...................................................................................................................................................7
Preventive Care..........................................................................................................................................................7
Women’s Preventive Care Coverage .........................................................................................................................7
Health Savings Account (HSA) ..................................................................................................................................8
Dental Insurance ......................................................................................................................................................10
Vision Insurance .......................................................................................................................................................11
Basic Life and Accidental Death & Dismemberment Insurance...............................................................................12
Voluntary Life and Accidental Death & Dismemberment Insurance ........................................................................12
Employee Assistance Program (EAP)......................................................................................................................13
Flexible Spending Accounts (FSAs).........................................................................................................................14
Important Notices .....................................................................................................................................................16
Special Enrollment Notice....................................................................................................................................16
Women’s Health and Cancer Rights Act of 1998 ................................................................................................16
Summary of Material Modification .......................................................................................................................16
Notice of Privacy Practices ..................................................................................................................................16
Marketplace Options ............................................................................................................................................17
Medicaid CHIP Notice..........................................................................................................................................18
Medicare Part D Creditable Coverage.................................................................................................................19
Glossary of Terms ....................................................................................................................................................20
TABLE OF CONTENTS