Page 3 - Owen Tree Service Benefits Guide
P. 3

Your Plan Information






                        Term                                    Definition                            Owen Tree Service


                                                    The time of year when your insurance rates
        Effective Date                              are released and your coverage becomes       January 1
                                                    active

                                                    Period of time when employees may make
        Open Enrollment Date                                                                     December
                                                    changes to their elected benefit options
                                                    Period of time which must pass before your
                                                                                                              st
        Waiting Period                                                                           60 Days, 1 of the Month
                                                    health care coverage can begin
                                                                                                 Benefits run through end of
        Termination Period
                                                                                                 the month

        Cofinity/First Health PPO                   Ensure your doctor participates in the       Search Your Doctor here
        Network                                     network before seeking care

                                                    For new hires or employees with a qualifying
        Exceedent Enrollment Form                   event who would like to enroll in Medical    Download here
                                                    Insurance

        Exceedent Change Form                       For employees electing a change in medical   Download here
                                                    coverage

        SBC                                         Summary of Benefits and Coverage             Download here

        OptiMed Application                         OptiMed GAP Enrollment form                  Download here

                                                    For employees electing a change in ancillary
        Principal Change Form                                                                    Download here
                                                    coverage



      Tree Care From Arborists Who Care                                                                                                       3
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