Page 44 - 2013 ABC FCU Plan Doc SPD (DEMO)

APPENDIX A

BENEFIT PROGRAMS OFFERED: MEDICAL/PRESCRIPTION DRUG, DENTAL, VISION, SHORT-TERM
DISABILITY INSURANCE COVERAGE, LONG-TERM DISABILITY INSURANCE COVERAGE, GROUP
TERM LIFE INSURANCE, ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE COVERAGE,
HEALTH REIMBURSEMENT ARRANGEMENT AND EMPLOYEE ASSISTANCE PROGAM (EAP).
BENEFIT PROGRAM/ NAME OF INSURER/ POLICY OR CLAIMS
BENEFITS
EFFECTIVE DATE CLAIMS CONTRACT PROVIDED ELIGIBILITY PROCEDURE
OF COVERAGE ADMINISTRATOR NUMBER(S) & BENEFITS

     
     
     
    



    
  


     
     
    
  
 
  
    
 

     
     
    
  
 
  
    
 

     
     
    
  
 
  
    
 

     
     
    
  
 
  
    
 

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