Page 2 - 2019 Blacoh Benefit Guide Final 11/13/18
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Welcome to Your Blacoh Employee Benefits
Blacoh Industries takes pride in offering a benefit program that provides flexibility for the diverse and changing needs of our
employees. Blacoh Industries offers employees and their family members a full range of benefits. You choose the options
that best meet your needs. This brochure provides a summary of your benefit options and is designed to help you make
choices and enroll for coverage. If you would like more information about any of the benefits described here, please contact
Human Resources.
Human Resources Contact Information:
Tina Blythe
Phone: 951.342.3100
Email: TBlythe@Blacoh.com
Address:
601 Columbia Ave, Building D
Riverside, CA 92507
Table of Contents
Annual Notices ………….………….………..…………………… 2 Dental Benefits …………………………………………………………... 12
Resources and Contacts ………………..…………………….. 3 Vision Benefits ……………………………….…………………………… 13
Enrollment Information ………………………………………… 4 Life Insurance & Services…………………....…….….……………. 14
Medical Benefits ...……………………………………………….. 6 Disability Benefits………………………………………...…….….…… 15
Supplemental Benefits, Accident & Illness …………... 11 Legal Benefits ……………...……………………….….……………….. 15
Employee Assistance Program……...……..……………… 11 401K & Profit Sharing…...……………………….….……………….. 15
Annual Notices
Various state and federal laws require that employers provide disclosure and annual notices to their plan participants.
Blacoh Industries has posted all federally required annual notices on the EaseCentral site for you to download and read at
your convenience. Blacoh Industries will distribute all federally required annual notices upon hire and during each annual
open enrollment period.
Annual notices include the following:
• Medicare Part D Notice of Creditable Coverage • Medicaid & Children’s Health Insurance Program
• Women's Health and Cancer Rights Act (WHCRA) • HIPAA Notice of Privacy Practices
• Newborns’ and Mothers’ Health Protection Act • Summary of Benefits and Coverage (SBC)
• Special Enrollment Rights
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