Page 2 - 2016 Enrollment

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Table of Contents

Beneit Eligibility ......................... 3 Dental Coverage ........................ 14

Annual Enrollment ....................... 4 Vision Coverage ........................ 15

Medical/Prescription Drug Coverage .......... 5 Flexible Spending Accounts ................ 16

Medical Plan Options ...................... 6 HRA vs. HSA Medical Plan ................. 17

Wellness Plan ........................... 8 Life and AD&D Insurance ................. 18

Voluntary Beneits ....................... 10 Disability Coverage ...................... 20
Voluntary Critical Illness Monthly Rates ........ 11 Employee Assistance Program .............. 21

Voluntary Accident Beneit Schedule .......... 13 Retirement Plan ........................ 22

Provider Contact Info

Medical—Premera

www.premera.com Critical Illness—Aflac
800.722.1471 www.alac.com

Dental—Delta Dental 800.992.3522

www.deltadentalWA.com FSA—Navia Benefit Solutions
Phone numbers vary by state, please use www.naviabeneits.com
online resources for more details 800.669.3539

Vision—EyeMed Employee Assistance

www.eyemed.com Program—MHN
866.939.3633 www.mhn.com
Life and Disability—AIG 800.646.9923

www.aigcorporate.com
800.346.7692

Shape Technologies Group