Page 3 - QSC Benefits Guide 7-17 COLORADO

This guide provides a summary of the high performance benefit options available to you and your
family, and is designed to help you make your choices and enroll in your coverage. If you have any
questions after your benefits coverage goes into effect, please call the benefit plan providers directly or
login to their websites. Refer to the table in the “Questions / Contacts” section for contact information.

CONTENTS

Enrollment Information ....................................................................................................................................... 4
Important Information ......................................................................................................................................... 5
Medical Insurance .................................................................................................................................................. 7
Vision Insurance ...................................................................................................................................................... 12
Dental Insurance ..................................................................................................................................................... 13
Flexible Spending Account (FSA) ................................................................................................................. 14
Employee Assistance Program (EAP) ......................................................................................................... 15
Basic Life and Accidental Death & Dismemberment (AD&D) ......................................................... 15
Voluntary Life and Accidental Death & Dismemberment (AD&D) ................................................ 16
Long-Term Disability ............................................................................................................................................. 16
Voluntary Long-Term Care ................................................................................................................................ 17
Travel Assistance .................................................................................................................................................... 17
Voluntary Legal Plan ............................................................................................................................................ 17
Voluntary Pet Health Care Programs ........................................................................................................... 18
Supplemental Benefits ........................................................................................................................................ 18
Tuition Reimbursement ....................................................................................................................................... 19
401(k) Retirement Savings ................................................................................................................................ 19
One Guide .................................................................................................................................................................. 19
Wellness Program Disclosure ........................................................................................................................... 20
QSC Wellness Programs ..................................................................................................................................... 21
LifeLock ...................................................................................................................................................................... 22
Online Enrollment .................................................................................................................................................. 23
Questions / Contacts ........................................................................................................................................... 24
Your Cost For Coverage - Per Paycheck .................................................................................................... 25

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