Page 19 - KNCH Benefits Guide 2019 v3

RESOURCES AND CONTACTS

Below is a list of insurance carrier contacts, should you require assistance with your benefit questions following open
enrollment. If you are unable to resolve your issues or questions with the insurance carriers directly, please contact Joanne
Mcclanahan.
Medical—Anthem Blue Cross

HMO/PPO/EPO Medical Member Services …………………………………………………...….. (800) 888-8288
HSA Medical Member Services ….………………………………………...…………………………… (866) 207-9878
Carrier Website …………………………………………….………………………………………………….. www.anthem.com/ca

HSA Bank
Customer Service………………………………………………………………………………………….…… (800) 357-6246
Carrier Website …………………………………………….………………………………………………….. www.hsabank.com
Dental & Vison—Anthem
Dental Member Services ………………….……………………………….………………………………. (800) 627-0004
Vision Member Services…………………………………………………………………………………….. (866) 723-0515
Carrier Website …………………………………………………………………….………………………….. www.anthem.com

Life and AD&D / Short Term Disability / Long Term Disability—Cigna
Life/AD&D Member Services …………………………………………………………………………….. (800) 732-1603 Underwriting
Disability Member Services ……………………………………………………………………………….. (800) 36-CIGNA Filing Claims
Carrier Website …………………………………………………………………………………………………. www.cigna.com

401(k) Retirement Plan - OneAmerica Retirement Services

Member Services ………………………………………………………………………………………….. (800) 743-5274
Carrier Website …………………………………………………………………………………………….. www.retiresmart.com

EMPLOYEE CONTRIBUTIONS

Employee Cost Per Paycheck

MEDICAL

HSA HMO (CA ONLY) PPO Exclusive PPO
(Non-CA ONLY)
Employee Only $30.00 $50.00 $65.00 $80.00
Employee + Spouse $390.00 $465.00 $480.00 $515.00
Employee + Child(ren) $355.00 $415.00 $435.00 $455.00
Employee + Family $715.00 $825.00 $870.00 $900.00

DENTAL / VISION
Dental Vision
Employee Only $13.70 $4.23
Employee + Spouse $68.97 $8.48
Employee + Child(ren) $68.97 $7.17
Employee + Family $68.97 $11.83

BASIC LIFE/AD&D & EAP
No Charge
VOLUNTARY LIFE AND AD&D / Voluntary Short Term Disability / Voluntary Long Term Disability

100% Employee Paid
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