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2019 BENEFITS OVERVIEW AND CONTACT INFORMATION
Benefits for My Health (cont.)
Benefit
Options
Who pays
Who to Contact
Dental
(see page 17) Group Number: 3215088
Dental coverage pays cost of preventive dental care and a portion of the cost of other dental services depending on your plan choice, for you and your covered family members. No ID card will be provided, you can use Cigna Medical ID Card.
Two plan choices are available:
1. Basic Plan
2. Plus Plan
You
Cigna DPPO Dental
www.cigna.com www.myCigna.com 800-244-6224
Vision
(see page 18)
VSP Plan ID: 12129690
The Vision Plan pays a portion of the cost of vision exams, contacts and glasses for you and your covered family members. No ID card provided.
You
Vision Service Plan (VSP)
www.vsp.com
800-877-7195
Vision
UHC Plan ID: 915335
United Healthcare
www.myuhcvision.com
800-638-3120
NEW
Benefits for My Life
Benefit
Options
Who pays
Who to Contact
Basic Life Insurance
(see page 19)
NEW AMOUNT
Basic Life Insurance pays a benefit to your designated beneficiary(ies) in the event of your death. The benefit is equal to 1.5 times your annual base salary up to $100,000.
No enrollment is required.
Applied®
Cigna
E-mail questions to
hrinquire@applied.com
Voluntary and Dependent Life Insurance
(see page 19)
You may purchase additional life insurance coverage for yourself, as well as for your spouse and / or dependent children. Dependent life insurance pays a benefit to you in the event of the covered dependent’s death.
You
Cigna
E-mail questions to
hrinquire@applied.com
Hospital Indemnity
(see page 20)
Plan Number: 960067
This coverage helps ease the financial burden of a hospitalization by paying you a daily cash benefit for each day you are hospitalized.
You
Cigna
Policy Number: HC960067 To file a claim, call 800-754-3207
Accident Injury Insurance
(see page 20)
Plan Number: 967060
Accident injury insurance pays a cash benefit in the event of certain accidental injuries. Two plan options with varying benefit levels are available.
You
Cigna
Policy Number: AI 967060 To file a claim, call 800-754-3207
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Applied Choices – 2019 9