Page 10 - NickCo Hourly Benefits Flipbook

YOUR MONTHLY CONTRIBUTIONS

Medical

Medical Elements HMO
Associate Only $115.00
Associate + Spouse $445.44
Associate + Child(ren) $335.29
Associate + Family $693.28
Dental

Dental PPO
Associate Only $18.50
Associate + Spouse $56.12
Associate + Child(ren) $56.12
Associate + Family $109.73
Vision
Vision PPO
Associate Only $7.72
Associate + Spouse $15.06
Associate + Child(ren) $15.83
Associate + Family $22.01

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, please contact the Home Office.

Anthem Blue Cross

Medical
Select Elements Choice HMO Member Services (279103H007)….....…………………………... (800) 227-3560
Carrier Website ………………………………………………………………….………………….…………………… www.anthem.com/ca
Dental
Dental Complete PPO Member Services (2791030001)……………..………….…………………… (877) 567-1804
Carrier Website ………………………………………………………………….………………….…………………… www.anthem.com/ca
Vision
Blue View Vision Member Services (2791030003)…….…..……………………….…………………… (866) 723-0515
Carrier Website ……………………………………………………………….…………………….…………………… www.anthem.com/ca

Educational Video
Benefits terminology can get confusing. Click here to watch a quick video to learn the basics of how our
medical plans work.

Deductibles, Copays, Coinsurance, and Out-of-Pocket Maximums
http://video.burnhambenefits.com/terms/

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