Benefit
|
Insurer or Claims Administrator
|
Title of Benefit Booklet, Guide or Certificate
|
Medical OAP Plan
OAP Certificate Rider - July 2022
OAP Certificate Rider MA - July 2022
OAP Compliance Rider - July 2022
|
Cigna Health and Life Insurance Company
Hartford, CT 06152 |
Open Access Plus Medical Benefits |
Medical OAP-IN Plan
OAP-IN Certificate Rider - July 1, 2022
OAP-IN Certificate Rider MA - July 1, 2022
OAP-IN Compliance Rider - July 1, 2022
|
Cigna Health and Life Insurance Company
Hartford, CT 06152 |
Open Access Plus In Network Medical Benefits
|
Medical OAP HDHP Plan
OAP HDHP Certificate Rider - July 1, 2022
OAP HDHP Compliance Rider - July 1, 2022
|
Cigna Health and Life Insurance Company
Hartford, CT 06152 |
Open Access Plus Medical Benefits,
Qualified High Deductive Health Plan
|
Dental PPO
Dental Certificate Rider - LDA
Dental Certificate Addendum
Certificate Rider - Jan. 1, 2019
Certificate Rider - April 1, 2019
Certificate Rider - July 1, 2020
|
Metropolitan Life Insurance Company
200 Park Avenue
New York, New York 10166
|
Your Employee Benefit Plan
Dental Expense Benefits
PPO Dental Plan
|
Dental Copay Plan
Dental Certificate Rider - LDA
Dental Certificate Addendum
Certificate Rider - Jan. 1, 2019
Certificate Rider - April 1, 2019
Certificate Rider - July 1, 2020
2020-2021 Dental Copay Rider - Copay Schedule
|
Metropolitan Life Insurance Company
200 Park Avenue
New York, New York 10166
|
Your Benefit Plan
Copay Dental Plan
|
Core Vision
|
Mid-Atlantic Vision Service Plan, Inc.
3333 Quality Drive
Rancho Cordova, CA 95670
|
Group Vision Care Policy
Certificate of Coverage
|
Vision Buy-up
|
Mid-Atlantic Vision Service Plan, Inc.
3333 Quality Drive
Rancho Cordova, CA 95670
|
Group Vision Care Policy
Certificate of Coverage
|
Basic Life/AD&D and Dependent Life Insurance |
Principal Life Insurance Company
Des Moines, IA 50392
|
Group Term Life, AD&D and
Dependent Life Insurance Booklet
|
Supplemental Life Insurance |
Principal Life Insurance Company
Des Moines, IA 50392 |
Supplemental Life Insurance Booklet |
Core LTD Insurance – Members with Pension
Certificate Rider
|
Principal Life Insurance Company
Des Moines, IA 50392 |
Core LTD Insurance – Members
with Pension Booklet
|
Core LTD Insurance – Members without Pension
Certificate Rider
|
Principal Life Insurance Company
Des Moines, IA 50392 |
Core LTD Insurance – Members
without Pension Booklet
|
LTD Buy-Up – Members with Pension
Certificate Rider
|
Principal Life Insurance Company
Des Moines, IA 50392 |
LTD Buy-Up – Members
with Pension Booklet
|
LTD Buy-Up – Members without Pension
Certificate Rider
|
Principal Life Insurance Company
Des Moines, IA 50392 |
LTD Buy-Up – Members
without Pension Booklet
|
Employee Assistance Program
|
KEPRO
777 East Park Drive
Harrisburg, PA 17111
|
Employee Assistance Program
|
Health Care Flexible Spending Accounts
HFSA SMM Effective July 1, 2020
|
ConnectYourCare
307 International Circle, Suite 200
Hunt Valley, MD 21030
|
Flexible Benefits Plan Summary
Plan Description
|