Page 2 - Enrollment Guide
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2
Table of Contents
Eligibility .............................................................. 3 Voluntary Spouse/Dependent Life Insurance..........22
Medical/Prescription Drug Coverage ....................... 6 STD/LTD .............................................................23
Spousal/Biometric/Tobacco Surcharge ...................10 Employee Assistance Program .............................23
Tobacco Cessation/BCBS of TN Tools and Critical Illness—Alac ...........................................24
Resources .....................................................12
Accident—Alac ...................................................25
Dental Coverage ..................................................14
401(k) ................................................................27
Vision .................................................................15
Social Security Statements ...................................30
Flexible Spending Accounts (FSA) ........................16
Compliance Line .................................................. 31
Healthcare FSA ...................................................18
Glossary .............................................................32
Dependent Care FSA ...........................................19
How to Enroll—Plan Source ..................................34
Health Savings Accounts ......................................20
ACA Reporting ....................................................36
Life and AD&D Insurance .....................................21
Contact Information ............................................38
Voluntary Life Insurance ......................................21
This booklet highlights the main features of the beneit plans sponsored
by EnTrans International, LLC. Full details of these beneits are
contained in the legal documents governing the plans. If there is any
discrepancy or conlict between the plan documents and the information
presented here, the plan documents will govern. In all cases, the plan
documents are the exclusive source for determining rights and beneits
under the plans. EnTrans reserves the right to change or discontinue
the plans at any time. Participation in the plans does not constitute an
employment contract. EnTrans reserves the rights to modify, amend, or
terminate any beneit plan or practice described in this guide. Nothing
in this guide guarantees that any new plan provisions will continue in
effect for any period of time. This guide serves as a summary of material
modiications as required by the Employee Retirement Income Security
Act of 1974, as amended.
Table of Contents
Eligibility .............................................................. 3 Voluntary Spouse/Dependent Life Insurance..........22
Medical/Prescription Drug Coverage ....................... 6 STD/LTD .............................................................23
Spousal/Biometric/Tobacco Surcharge ...................10 Employee Assistance Program .............................23
Tobacco Cessation/BCBS of TN Tools and Critical Illness—Alac ...........................................24
Resources .....................................................12
Accident—Alac ...................................................25
Dental Coverage ..................................................14
401(k) ................................................................27
Vision .................................................................15
Social Security Statements ...................................30
Flexible Spending Accounts (FSA) ........................16
Compliance Line .................................................. 31
Healthcare FSA ...................................................18
Glossary .............................................................32
Dependent Care FSA ...........................................19
How to Enroll—Plan Source ..................................34
Health Savings Accounts ......................................20
ACA Reporting ....................................................36
Life and AD&D Insurance .....................................21
Contact Information ............................................38
Voluntary Life Insurance ......................................21
This booklet highlights the main features of the beneit plans sponsored
by EnTrans International, LLC. Full details of these beneits are
contained in the legal documents governing the plans. If there is any
discrepancy or conlict between the plan documents and the information
presented here, the plan documents will govern. In all cases, the plan
documents are the exclusive source for determining rights and beneits
under the plans. EnTrans reserves the right to change or discontinue
the plans at any time. Participation in the plans does not constitute an
employment contract. EnTrans reserves the rights to modify, amend, or
terminate any beneit plan or practice described in this guide. Nothing
in this guide guarantees that any new plan provisions will continue in
effect for any period of time. This guide serves as a summary of material
modiications as required by the Employee Retirement Income Security
Act of 1974, as amended.
