Page 10 - NickCo Hospitality_2019 EE Benefits Guide_Hourly Associates_FINAL.2.pub

YOUR MONTHLY CONTRIBUTIONS

Medical

Aetna AVN HMO
Associate Only $125.00
Associate + Spouse $476.35
Associate + Child(ren) $359.24
Associate + Family $739.89
Dental

Aetna Dental PPO
Associate Only $19.43
Associate + Spouse $58.93
Associate + Child(ren) $58.93
Associate + Family $115.22
Vision
Aetna Vision PPO
Associate Only $6.31
Associate + Spouse $11.98
Associate + Child(ren) $12.61
Associate + Family $18.54

RESOURCES AND CONTACTS

Below is a list of insurance carrier contacts should you require assistance with your benefit ques ons following open enrollment. If
you are unable to resolve your issues or ques ons with the insurance carriers, please contact the Home Office.

Carriers

Aetna Medical
Aetna Value Network HMO Member Services …........................................……………….…. (800) 445‐5299
Aetna Managed Choice POS (Open Access) PPO Member Services ………………………..….. (877) 204‐9186
Carrier Website ………………………………………………………………….………………….…………………… www.aetna.com
Aetna Dental
Dental PPO/PDN Member Services …………………………….……………..………….…………………… (877) 238‐6200
Carrier Website ………………………………………………………………….………………….…………………… www.aetna.com
Aetna Vision
Aetna Vision Member Services ………………………….…….…..……………………….…………………… (877) 973‐3238
Carrier Website ……………………………………………………………….…………………….…………………… www.aetna.com

10