Page 2 - Open Enrollment Guide Sample
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Table of Contents







Annual Enrollment Annual Enrollment .................... 3 Vision .................................................................17

Eligibility .............................................................. 4 Disability.............................................................18

Medical Plan Changes ........................................... 5 Life and AD&D ....................................................19
Medical ............................................................... 5 Flexible Spending Accounts .................................. 20

PPO Plan ............................................................. 6 Employee Assistance Program .............................. 22

HSA Plan ............................................................. 7 Commonly Used Terms ........................................23

Healthcare Bank Account ...................................... 8 Resources ........................................................... 25

Prescription Drug Plan .........................................12 Important Notices ...............................................26

Dental ................................................................16




[Client Name] offers healthcare coverage to almost 3,600 team members and their families, and we remain
committed to offering competitive beneit programs that help us attract and retain our team members.


In 2015, we will continue to offer our traditional PPO Plan and are pleased to let you know that the PPO rates
will be the same as they were in 2014. Last year we introduced a new medical plan called a Health Savings
Account (HSA) Plan. This plan is more commonly known as a Consumer Driven Health Plan (CDHP). The
premiums are less than our traditional PPO Plan and the plan includes a personal healthcare bank account to

help with future medical expenses. In 2015, the HSA rates will be lower than they were in 2014, and we will
once again contribute $300 (employee only) or $600 (family coverage) to your personal healthcare bank account
throughout the year to help you pay for some of your medical expenses. Our HSA Plan is designed to incentivize
team members to sit in the driver’s seat and take control of their healthcare spending.


As you read about the beneits we are offering in 2015, I encourage you to research your options before making
a decision. For questions about our beneits programs, you can call the Beneits Department at 1-800-436-9556.
For information about medical coverage through the Marketplace, visit www.healthcare.gov.


Please know we are working hard to provide you with a good beneit program to meet you and your family’s
needs. Thanks for all you do taking care of our guests and of each other.





[Client]
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