Page 25 - SIH 2022 Re-Enrollment Guide
P. 25
2022
SIH Benefits Re-Enrollment
MEDICAL
SIH ofers full-time employees who work 72+ hours ID Cards
per pay period, part-time employees who work 40- It is encouraged to have your ID card in hand
71 hours per period, and ACA eligible employees the when going to the doctor or pharmacy. If you
Cigna Open Access Plus Plan.
do not receive your ID cards, contact Allegiance
at 855.999.1052, access your online account
If adding family members to your medical
enrollment, don’t forget to complete the at askallegiance.com/SIH, or contact Human
Coordination of Beneits Form (COB). Employees will Resources.
be asked to complete the Coordination of Beneits All employees enrolling in medical coverage for the
Form around February, 2022. There are three options irst time or re-enrolling in medical coverage for
to complete the Coordination of Beneits Form: 2022 will receive a new medical ID card to relect
1. Return questionnaire by mail MaxorPlus as the pharmacy beneit manager.
2. Online by visiting askallegiance.com/SIH
3. By phone by calling 855.999.1052
Claims will not be paid until your COB is completed
and returned.
Please note: if your spouse is also an employee of
SIH, you will need to choose employee coverage
under your own plan or spouse or family coverage
under your spouse’s plan. You cannot be enrolled in
both.
25
SIH Benefits Re-Enrollment
MEDICAL
SIH ofers full-time employees who work 72+ hours ID Cards
per pay period, part-time employees who work 40- It is encouraged to have your ID card in hand
71 hours per period, and ACA eligible employees the when going to the doctor or pharmacy. If you
Cigna Open Access Plus Plan.
do not receive your ID cards, contact Allegiance
at 855.999.1052, access your online account
If adding family members to your medical
enrollment, don’t forget to complete the at askallegiance.com/SIH, or contact Human
Coordination of Beneits Form (COB). Employees will Resources.
be asked to complete the Coordination of Beneits All employees enrolling in medical coverage for the
Form around February, 2022. There are three options irst time or re-enrolling in medical coverage for
to complete the Coordination of Beneits Form: 2022 will receive a new medical ID card to relect
1. Return questionnaire by mail MaxorPlus as the pharmacy beneit manager.
2. Online by visiting askallegiance.com/SIH
3. By phone by calling 855.999.1052
Claims will not be paid until your COB is completed
and returned.
Please note: if your spouse is also an employee of
SIH, you will need to choose employee coverage
under your own plan or spouse or family coverage
under your spouse’s plan. You cannot be enrolled in
both.
25
