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Annual
Enrollment



Welcome








to the 2015 Benefits Annual Enrollment





Table of Contents

Annual Enrollment . . . . . . . . . .3

General Beneits Eligibility . . . . .4
Medical . . . . . . . . . . . . . . . . . .6

Prescription Drugs . . . . . . . . . .8

CHP Plan . . . . . . . . . . . . . . . .10
Dental . . . . . . . . . . . . . . . . . .12

Vision . . . . . . . . . . . . . . . . . .14

Flexible Spending Account . . . .15
Disability Coverage . . . . . . . . .17

Basic, Supplemental Life, and
AD&D . . . . . . . . . . . . . . .18

Supplemental Life Beneit
Features . . . . . . . . . . . . .19

Supplemental Coverages . . . . .20

Dependent Life and AD&D
Options . . . . . . . . . . . . . .21

Supplemental Life
Premiums . . . . . . . . . . . .22

Supplemental AD&D
Premiums . . . . . . . . . . . . .23 It is time for Annual Enrollment for the 2015 plan year. Each year
Employee Assistance during Annual Enrollment, you have the opportunity to re-evaluate
Program . . . . . . . . . . . . . .24 your beneit needs and adjust your coverage for the upcoming plan
year. We are happy to continue to offer a wide range of valuable
ID Card Reminder . . . . . . . . . .24 beneits again this year.

Beneits Directory—
Non-Union . . . . . . . . . . . .25 Please refer to this guide for brief descriptions of many of the plans
and resources available to you.





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