Page 2 - 2019-2020 Country Financial Credit Union Benefit Booklet
P. 2

Table of Contents


         2019-2020 Open Enrollment Key Points                                                               2
         Open Enrollment: Reviewing Your Benefits                                                           3

         Making Changes to the Insurance During the Plan Year                                              4-5
         Medical Plan Summary                                                                               6

         Prescription Drug Summary                                                                          7
         Voluntary Dental Plan Summary                                                                      8

         Voluntary Vision Plan Summary                                                                      9
         Employer Paid Short-Term Disability                                                                10

         Voluntary Long-Term Disability                                                                     10
         Employer Paid Group Life Insurance and (AD&D)                                                      10

         Voluntary Term Life and AD&D Summary                                                               11

         Welcome to Bywater                                                                                 12
         Bywater – Get to Know Your ID Card                                                                 13
         Cigna – Find a Health Care Professional                                                            14

         Bywater Member Portal                                                                              15

         Bywater Benefit Zone App                                                                           16
         Bywater Diabetic Wellness Supply Program                                                           17

         Southernscripts- Getting the Most Out of Your Pharmacy Benefits                                    18
         Southernscripts – How to Locate a FirstChoice Pharmacy                                           19-20

         Voluntary Dental Plan Summary                                                                    21-26
         Voluntary Dental Provider Search Instructions                                                     27

         Voluntary Vision Plan Summary                                                                    29-33
         Voluntary Vision Search Instructions                                                              34

         Employer Paid Short-Term Disability Benefit Summary                                              35-37
         Voluntary Long-Term Disability Benefit Summary                                                   38-40

         Employer Paid Group Life and AD&D Benefit Summary                                                41-43
         Voluntary Term Life and AD&D Benefit Summary                                                     44-47

         Notice of Right to Elect COBRA                                                                   48-49
         Special Notices                                                                                  50-51

         Notice of Privacy Practices                                                                      52-53
         CHIP Notice                                                                                      54-55

         Medicare Part D Notice of Credible Coverage                                                      56-57
         Notes                                                                                             58

         Contact Information                                                                               59




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