Page 2 - Practice
P. 2
Suites 1 — clean
Cover design Suite 1 Back cover Suite 1
20XX 20XX
BENEFITS
ENROLLMENT BENEFITS
ENROLLMENT
This Beneit Enrollment Guide is only intended to highlight some of the major beneit provisions of the Company plan and should not be
relied upon as a complete detailed representation of the plan. Please refer to the plan’s Summary Plan Descriptions for further detail.
Should this guide difer from the Summary Plan Descriptions, the Summary Plan Descriptions prevail.
This publication contains important information about your
employee beneit program. © 2020 Lockton, Inc. All rights reserved.
[Rev 01/10/20] RL\EB\EE Communications\BE Suite Templates\2020-21\Suite 1\20-21 Suite 1 sanitized guide.pdf
Please read thoroughly.
Inside spread design Suite 1
20XX
Enrollment Guide
What is a Network? MEDICAL AND VISION Finding In-Network
A network is a group of providers your plan contracts PRESCRIPTION DRUG We partner with [Carrier] to offer you and your family Providers
with at discounted rates. You will almost always pay less members vision insurance. Visit www.[Carrier].com Remember to visit in-network dentists to receive the
when you receive care in-network. [Client Name] partners with [carrier] to offer medical to ind in-network providers and access to a variety of deepest level of discount on your services.
If you choose to see an out-of-network provider, and prescription drug insurance. online tools and programs. To ind a participating in-network provider in your area
you may be balance billed, which means you will be go to [website.com] or call [555.555.5555].
responsible for charges above [Carrier]’s reimbursement Plan Highlights In-Network Out-of-Network
amount. Copay
You have the option of choosing one of [X] plans.
Our plans offer coverage for most healthcare services. Exam
Materials
When you receive care in-network you beneit from Lenses
Important Insurance Terms our negotiated discounts with [Carrier]. Single
Bifocal
Deductible: the amount of money you are [Carrier] Member Site Trifocal
responsible for paying up-front before your plan
shares your costs Visit www.[Carrier].com to take advantage of all Lenticular
Coinsurance: the percentage you and the plan the helpful tools and resources available including the Frames
pay; in our plans, you pay a smaller percentage following.
and the plan pays a larger percentage In-network provider and pharmacy searches Contacts
Copay: a ixed amount for certain services you A list of prescription drugs covered by our plans
pay in some of our plans Frequency
Out-of-pocket maximum: the limit on your Access to temporary ID cards and means to Exam
expenses; once you reach this limit, the plan order another ID card Lenses
covers all eligible expenses for the remainder of Information regarding paid and pending claims Contacts (in lieu of
the plan year glasses)
Employee [Monthly/Weekly/Bi- Frames
Weekly] Medical Contributions This is a high level summary of your beneit coverage. Full coverage
details are available in your summary plan description (SPD). In the
[Plan 1] [Plan 2] event there is a discrepancy between what is relected in this guide and
what is communicated in your SPD, the terms of your SPD will prevail.
Employee Only $ $
Employee and $ $ Employee [Monthly/Weekly/Bi-
Spouse
Employee and $ $ Weekly] Vision Contributions
Child(ren)
Family $ $ Employee Only $
Employee and Spouse $
Employee and Child(ren) $
Family $
4 9
Cover design Suite 1 Back cover Suite 1
20XX 20XX
BENEFITS
ENROLLMENT BENEFITS
ENROLLMENT
This Beneit Enrollment Guide is only intended to highlight some of the major beneit provisions of the Company plan and should not be
relied upon as a complete detailed representation of the plan. Please refer to the plan’s Summary Plan Descriptions for further detail.
Should this guide difer from the Summary Plan Descriptions, the Summary Plan Descriptions prevail.
This publication contains important information about your
employee beneit program. © 2020 Lockton, Inc. All rights reserved.
[Rev 01/10/20] RL\EB\EE Communications\BE Suite Templates\2020-21\Suite 1\20-21 Suite 1 sanitized guide.pdf
Please read thoroughly.
Inside spread design Suite 1
20XX
Enrollment Guide
What is a Network? MEDICAL AND VISION Finding In-Network
A network is a group of providers your plan contracts PRESCRIPTION DRUG We partner with [Carrier] to offer you and your family Providers
with at discounted rates. You will almost always pay less members vision insurance. Visit www.[Carrier].com Remember to visit in-network dentists to receive the
when you receive care in-network. [Client Name] partners with [carrier] to offer medical to ind in-network providers and access to a variety of deepest level of discount on your services.
If you choose to see an out-of-network provider, and prescription drug insurance. online tools and programs. To ind a participating in-network provider in your area
you may be balance billed, which means you will be go to [website.com] or call [555.555.5555].
responsible for charges above [Carrier]’s reimbursement Plan Highlights In-Network Out-of-Network
amount. Copay
You have the option of choosing one of [X] plans.
Our plans offer coverage for most healthcare services. Exam
Materials
When you receive care in-network you beneit from Lenses
Important Insurance Terms our negotiated discounts with [Carrier]. Single
Bifocal
Deductible: the amount of money you are [Carrier] Member Site Trifocal
responsible for paying up-front before your plan
shares your costs Visit www.[Carrier].com to take advantage of all Lenticular
Coinsurance: the percentage you and the plan the helpful tools and resources available including the Frames
pay; in our plans, you pay a smaller percentage following.
and the plan pays a larger percentage In-network provider and pharmacy searches Contacts
Copay: a ixed amount for certain services you A list of prescription drugs covered by our plans
pay in some of our plans Frequency
Out-of-pocket maximum: the limit on your Access to temporary ID cards and means to Exam
expenses; once you reach this limit, the plan order another ID card Lenses
covers all eligible expenses for the remainder of Information regarding paid and pending claims Contacts (in lieu of
the plan year glasses)
Employee [Monthly/Weekly/Bi- Frames
Weekly] Medical Contributions This is a high level summary of your beneit coverage. Full coverage
details are available in your summary plan description (SPD). In the
[Plan 1] [Plan 2] event there is a discrepancy between what is relected in this guide and
what is communicated in your SPD, the terms of your SPD will prevail.
Employee Only $ $
Employee and $ $ Employee [Monthly/Weekly/Bi-
Spouse
Employee and $ $ Weekly] Vision Contributions
Child(ren)
Family $ $ Employee Only $
Employee and Spouse $
Employee and Child(ren) $
Family $
4 9
