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Cover design Suite 2 Back cover Suite 2
BENEFITS
ENROLLMENT
20XX
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.
Please read thoroughly. [Rev 01/13/20] RL\EB\EE Communications\BE Suite
Templates\2020-21\Suite 2\Untitled-1.pdf
Inside spread design Suite 2
20XX
[Company Name] Benefits Enrollment
What is a Network? Medical and Prescription Vision Finding In-Network Providers
A network is a group of providers your plan contracts with Drug We partner with [Carrier] to offer you and your family Remember to visit in-network dentists to receive the
at discounted rates. You will almost always pay less when members vision insurance. Visit www.[Carrier].com deepest level of discount on your services.
you receive care in-network. [Client Name] partners with [carrier] to offer medical to ind in-network providers and access to a variety of To ind a participating in-network provider in your area go
If you choose to see an out-of-network provider, you may and prescription drug insurance. online tools and programs. to [website.com] or call [555.555.5555] .
be balance billed, which means you will be responsible for
charges above [Carrier]’s reimbursement amount. Plan Highlights In-Network Out-of-Network
You have the option of choosing one of [X] plans. Copay
Exam
Important Insurance Terms Our plans offer coverage for most healthcare services. Materials
Deductible: the amount of money you are When you receive care in-network you beneit from Lenses
responsible for paying up-front before your plan our negotiated discounts with [Carrier].
shares your costs Single
Coinsurance: the percentage you and the plan pay; Bifocal
in our plans, you pay a smaller percentage and the [Carrier] Member Site Trifocal
plan pays a larger percentage Visit www.[Carrier].com to take advantage of all Lenticular
Copay: a ixed amount for certain services you pay in the helpful tools and resources available including the Frames
some of our plans following.
Out-of-pocket maximum: the limit on your
expenses; once you reach this limit, the plan covers In-network provider and pharmacy searches Contacts
all eligible expenses for the remainder of the plan
year A list of prescription drugs covered by our plans Frequency
Access to temporary ID cards and means to order Exam
another ID card Lenses
Information regarding paid and pending claims Contacts (in lieu of
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 2 Back cover Suite 2
BENEFITS
ENROLLMENT
20XX
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.
Please read thoroughly. [Rev 01/13/20] RL\EB\EE Communications\BE Suite
Templates\2020-21\Suite 2\Untitled-1.pdf
Inside spread design Suite 2
20XX
[Company Name] Benefits Enrollment
What is a Network? Medical and Prescription Vision Finding In-Network Providers
A network is a group of providers your plan contracts with Drug We partner with [Carrier] to offer you and your family Remember to visit in-network dentists to receive the
at discounted rates. You will almost always pay less when members vision insurance. Visit www.[Carrier].com deepest level of discount on your services.
you receive care in-network. [Client Name] partners with [carrier] to offer medical to ind in-network providers and access to a variety of To ind a participating in-network provider in your area go
If you choose to see an out-of-network provider, you may and prescription drug insurance. online tools and programs. to [website.com] or call [555.555.5555] .
be balance billed, which means you will be responsible for
charges above [Carrier]’s reimbursement amount. Plan Highlights In-Network Out-of-Network
You have the option of choosing one of [X] plans. Copay
Exam
Important Insurance Terms Our plans offer coverage for most healthcare services. Materials
Deductible: the amount of money you are When you receive care in-network you beneit from Lenses
responsible for paying up-front before your plan our negotiated discounts with [Carrier].
shares your costs Single
Coinsurance: the percentage you and the plan pay; Bifocal
in our plans, you pay a smaller percentage and the [Carrier] Member Site Trifocal
plan pays a larger percentage Visit www.[Carrier].com to take advantage of all Lenticular
Copay: a ixed amount for certain services you pay in the helpful tools and resources available including the Frames
some of our plans following.
Out-of-pocket maximum: the limit on your
expenses; once you reach this limit, the plan covers In-network provider and pharmacy searches Contacts
all eligible expenses for the remainder of the plan
year A list of prescription drugs covered by our plans Frequency
Access to temporary ID cards and means to order Exam
another ID card Lenses
Information regarding paid and pending claims Contacts (in lieu of
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
