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2017 Bene ts Enrollment .......................................................... 4 How to Enroll ............................................................................ 5 Eligibility .................................................................................... 5 2017 Enrollment Actions ........................................................... 6 Making Changes Mid Year ........................................................ 7
Health Bene ts ......................................................................... 8 Medical /Rx Bene ts ........................................................ 9 Kaiser Medical Plan Summary ....................................... 10 Gold Medical Plan Summary ..........................................11 Gold In-Network Medical Plan Summary ....................... 12 Maximize Your Healthcare & Save ................................. 13 Telehealth Connection ................................................... 14
Dental Bene ts ....................................................................... 15
Vision Bene ts ........................................................................ 16
Financial/Personal Bene ts .................................................... 18 Supplemental Life and Voluntary AD&D ........................ 19 Voluntary Long-Term Disability ...................................... 20 24-Hour Travel Assistance Services ............................... 20 Employee Assistance Program ...................................... 21
Rate Schedules ...................................................................... 22 Health Plan Rates Schedule .......................................... 23 Important Contact Information ................................................ 24
Important Notices ................................................................... 25 Summary Annual Report ........................................................ 34 About This Guide .................................................................... 35
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