Page 10 - NickCo Mgmt Benefits Flipbook

ONLINE BENEFITS ENROLLMENT

With PlanSource, you and your family can access your benefits information whenever you want, from home or any place where
you have Internet access. Use PlanSource to make your benefit elections, update your personal information, and to locate
important benefits documents.

To Enroll or Make Changes to Your Benefits
Log in to https://benefits.plansource.com. You’ll be asked to enter your username and your password:
 User Name: For first time users, your user name is the following: the first initial of your first name, up to
the first six characters of your last name, and the last four of your SSN. For example: If your name is Jane
Anderson and the last four of your SSN is 1234, your user name would be janders1234
 Password. For first time users, your birthdate in YYYYMMDD format. For example: If you birthdate is
August 14, 1962, your password would be 19620814. At initial login, you will be prompted to change
your password

Review and update personal information
After you have completed logging in click on “Make a Change to My Benefits” to begin. If you are a new hire – this link will say
“New Hire - Enroll” and during annual enrollment “Enroll – Annual”.

Make your benefit elections
 Follow the enrollment through each step of the enrollment process from top to bottom
 In making your elections, choose the plan option of choice or select the “Decline” option and then select “Continue” after each
election has been made until you reach the confirm page.

Review and Finalize
Once you complete all coverage elections, you will land on the Confirmation Statement. Click the “Confirm Enrollment” button at
the bottom of the page to complete your enrollment process.

YOUR MONTHLY CONTRIBUTIONS

Coverage Tier Vision Dental Medical Value HMO Medical Solutions PPO

Associate Only $7.72 $10.00 $30.00 $50.00
Associate + Spouse $15.06 $22.60 $155.00 $225.00
Associate + Child(ren) $15.83 $22.60 $105.00 $175.00

Associate + Family $22.01 $54.79 $260.00 $375.00

The following benefits are provided to you at no charge and are paid by Nick’s Restaurants:
 Basic Life/ AD&D
 Associate Assistance Program
 Travel Assistance

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