Page 5 - 2017 US Benefits Highlighter - for Legacy Capgemini employees in the FS SBU
P. 5
Benefit Plan ID Cards
Medical Plan
If you are currently enrolled in medical beneits, you can continue to use your BCBS of IL ID For More Information
card. You will receive a new BCBS of IL ID card if you are enrolling for the irst time or if you If you would like more information
enroll in the Basic Medical Plan. A new BCBS of IL ID card will be mailed to your home and about your coverage options, beneits
should arrive no later than January 1, 2017. If you do not receive one by January 15, 2017, eligibility, coverage efective dates
please contact BCBS of IL at 1-855-676-4484 . If you need medical care before you receive your and your rights under the plans, visit
ID card, you can print a temporary ID card from the Blue Cross website at www.bcbsil.com , www.capgeminiFS.benergy.com
beginning January 1, 2017. You or your doctor also can conirm your eligibility by contacting BCBS (User ID: CapgeminiFS, Password:
of IL at 1-855-676-4484 . (Please let your covered dependents know that some providers may benefits) . On this site, you will
require your Social Security number at the time services are rendered.) ind our 2017 Benefits Guide , plan
FSA summaries and other beneits
If you are enrolling in a Flexible Spending Account (FSA) for the irst time, your FSA debit cards overviews.
should arrive no later than January 1, 2017. If you are re-enrolling in an FSA, you will continue to You also may call the Beneits Service
use your current card. Center at 1-877-279-3639 , toll-free,
Dental Plan and speak with a Representative,
If you enroll in the Dental HMO (DMO), you will receive an ID card before January 1, 2017. Monday through Friday, between
ID cards are not provided for the Enhanced or Basic Dental Plans. 8:00 am and 5:00 pm Central.
Evidence of Insurability May Be Required to Increase
Optional Life Insurance
If you decide to increase your Optional Life Insurance coverage, you may be required to provide
Evidence of Insurability (EOI), otherwise known as proof of good health. The efective date of your
coverage will be the date your EOI is approved by the insurance company.
CAPGEMINI 2017 ENROLLMENT HIGHLIGHTS 4
Medical Plan
If you are currently enrolled in medical beneits, you can continue to use your BCBS of IL ID For More Information
card. You will receive a new BCBS of IL ID card if you are enrolling for the irst time or if you If you would like more information
enroll in the Basic Medical Plan. A new BCBS of IL ID card will be mailed to your home and about your coverage options, beneits
should arrive no later than January 1, 2017. If you do not receive one by January 15, 2017, eligibility, coverage efective dates
please contact BCBS of IL at 1-855-676-4484 . If you need medical care before you receive your and your rights under the plans, visit
ID card, you can print a temporary ID card from the Blue Cross website at www.bcbsil.com , www.capgeminiFS.benergy.com
beginning January 1, 2017. You or your doctor also can conirm your eligibility by contacting BCBS (User ID: CapgeminiFS, Password:
of IL at 1-855-676-4484 . (Please let your covered dependents know that some providers may benefits) . On this site, you will
require your Social Security number at the time services are rendered.) ind our 2017 Benefits Guide , plan
FSA summaries and other beneits
If you are enrolling in a Flexible Spending Account (FSA) for the irst time, your FSA debit cards overviews.
should arrive no later than January 1, 2017. If you are re-enrolling in an FSA, you will continue to You also may call the Beneits Service
use your current card. Center at 1-877-279-3639 , toll-free,
Dental Plan and speak with a Representative,
If you enroll in the Dental HMO (DMO), you will receive an ID card before January 1, 2017. Monday through Friday, between
ID cards are not provided for the Enhanced or Basic Dental Plans. 8:00 am and 5:00 pm Central.
Evidence of Insurability May Be Required to Increase
Optional Life Insurance
If you decide to increase your Optional Life Insurance coverage, you may be required to provide
Evidence of Insurability (EOI), otherwise known as proof of good health. The efective date of your
coverage will be the date your EOI is approved by the insurance company.
CAPGEMINI 2017 ENROLLMENT HIGHLIGHTS 4
