Annual Enrollment
Deadline Nov 20, 2019 at 11:59pm ET
Medical
No Coverage
$0.00
Medical
Plan Options
$0.00
Critical Illness
No Coverage
$0.00
Critical Illness
No Coverage
Critical Illness
Dental
Aetna Dental PPO
Employee
$28.99
Dental
Plan Options Employee plus Child(ren)
$0.00
$28.99
Vision
Vision Plan
Employee
$7.34
Vision
Plan Options Employee plus Child(ren)
$0.00
$7.34
Non Tobacco User Credit
Per paycheck credit: ($20)
$-20.00
Non-Tobacco User Credit
ABC Co. is rewarding non-tobacco users and tobacco users that agree to begin a cessation program by January 31, 2016 with a reduction on the cost of your medical coverage. If you're a tobacco user who wants to quit, call BCBS toll-free at 1-866-412-8795 to enroll in the BCBS Wellness Coach Tobacco Cessation Program. Your BCBS Wellness Coach will provide you with personal assistance,tips, and periodic progress checkups through follow-up calls. If you are covered under ABC Co. provided medical coverage, you will receive a $520 annual credit if you are 100% tobacco free or are a tobacco user but agree to begin a cessation program. If you are a tobacco user and do not agree to begin a cessation program, you are not eligible for the non-tobacco user credit.
Per Paycheck Credit:
($20.00)
By making this selection, you acknowledge that if any of this information is found to be false or misleading, you may be required to reimburse the plans for monies spent as a result of any false or misleading statements, and subject to discipline, up to and including termination of employment.
Health Care Flexible Spending Account
N/A
$0.00
Health Care Flexible Spending Account
Benefit Title
Benefit Top
YTD Contributions:
0.00
Per Paycheck Contribution:
Datepicker has to be called
Benefit Bottom
Dependent Care Spending Account
$0.00
Dependent Care Spending Account
The minimum annual contribution allowed is the greater of your year to date deposits or $120. The maximum annual contribution allowed is $5,000. If you currently have year to date deposits they are listed below.
YTD Contributions:
0.00
Per Paycheck Contribution:
0.00
Basic Employee Life Insurance
Basic Employee Life Insurance
$0.00
Basic Employee Life
Optional Life Insurance
No Coverage
$0.00
Optional Life Insurance
No Coverage
1 x Annual Pay
2 x Annual Pay
3 x Annual Pay
4 x Annual Pay
5 x Annual Pay
6 x Annual Pay
7 x Annual Pay
8 x Annual Pay
Spouse Life Insurance
No Coverage
$0.00
Spouse Life Insurance
No Coverage
0.5 x Annual Pay
1 x Annual Pay
1.5 x Annual Pay
2.0 x Annual Pay
2.5 x Annual Pay
3.0 x Annual Pay
$25,000 Guaranteed Issue
Child Optional Life Insurance
No Coverage
$0.00
Child Optional Life Insurance
Optional Accidental Death and Dismemberment
No Coverage
$0.00
Optional Accidental Death and Dismemberment
No Coverage
1 x Annual Pay
2 x Annual Pay
3 x Annual Pay
4 x Annual Pay
5 x Annual Pay
6 x Annual Pay
7 x Annual Pay
8 x Annual Pay
9 x Annual Pay
10 x Annual Pay
Occupational Accidental Death and Dismemberment
Occupational Accidental Death and Dismemberment
$0.00
Occupational Accidental Death and Dismemberment $0.00
Short Term Disability
No Coverage
$0.00
Short Term Disability
Long Term Disability
No Coverage
$0.00
Long Term Disability
Group Legal
No Coverage
$0.00
Group Legal