Page 2 - Hussmann- Chino Union OE Guide 2015 Plan Year
P. 2
Annual
Enrollment



Welcome








to the 2015 Benefits Annual Enrollment






It is time for Annual Enrollment for the 2015 plan year.

Table of Contents Each year during Annual Enrollment, you have the
opportunity to re-evaluate your beneit needs and adjust
Annual Enrollment . . . . . . . . . .3 your coverage for the upcoming plan year. We are happy

General Beneits Eligibility . . . . .4 to continue to offer a wide range of valuable beneits
Medical . . . . . . . . . . . . . . . . . .5 again this year.

Prescription Drugs . . . . . . . . . .7
Please refer to this guide for brief descriptions of many
Dental . . . . . . . . . . . . . . . . . . .8 of the plans and resources available to you.

Flexible Spending Account . . . .10

ID Card Reminder . . . . . . . . . .12
The Employee Assistance
Program (EAP) . . . . . . . . .12
Basic and Supplemental Life
and AD&D . . . . . . . . . . . .13

Supplemental Life Beneit
Features . . . . . . . . . . . . .14

Supplemental Coverages . . . . .15
Child Life Insurance . . . . . . . .16

Dependent Life and AD&D
Options . . . . . . . . . . . . . .16

Supplemental Life Premiums . . 17

Supplemental AD&D Premiums 18
Beneits Directory—
Chino Union . . . . . . . . . . .20











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