Page 3 - Industrial Automation Benefits Guide
P. 3
Your Plan Information
Term Definition Industrial Automation
The time of year when your insurance rates are
Effective Date January 1
released and your coverage becomes active
Period of time when employees may make
Open Enrollment December
changes to their elected benefit options
Period of time which must pass before your
Waiting Period 60 Days, 1 of the Month
st
health care coverage can begin
Termination Period Benefits run through end of the month
Ensure your doctor participates in the network
Cofinity PPO Network Search Your Doctor here
before seeking care
IA Election Form Track employee’s elections Download here
For new hires or employees with a qualifying
USHL Enrollment Form event who would like to enroll in Medical Download here
Insurance
USHL HDHP $5000 Plan Summary Summary of Benefits and Coverage Download here
USHL $3500 Plan Summary Summary of Benefits and Coverage Download here
Principal Enrollment & Waiver Form Download here
Ensure your dentist participates in Principal’s
Principal’s Dental Network Search Search Principal’s network here
network before seeking care
Guardian’s DHMO Dental Network Ensure your dentist participates in Guardian’s Search Guardian’s dentists here
Search network before seeking care
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