Action Required
The Benefit choices you make during your initial enrollment or annual open enrollment remain in effect for the entire year.
You can, however, modify your elections under certain circumstances, called "Qualifying Events". These are events such as marriage, divorce, birth or adoption of a child, loss of eligibility under another plan. If you experience a qualifying event, you may make changes to your benefits within 30 days of the event or 60 days if the event is due to birth or adoption of a child.
EMPLOYEE ELIGIBILITY
You are eligible to participate if you are full-time and work a minimum of 30 hours per week. Your coverage will be effective 1st of the month following 60 days from your date of hire.
STEP 1
You will need to complete an election form if you are making any changes.
STEP 2
If you are enrolling in Sedera:
Existing Members: This year there are no changes! It will be a very simple process. You do not need to reenroll on the Sedera portal if you want to continue your memberships as it is today. All memberships will be renewed based on Members’ current selections if they do not take any action. If you need to make a change to your current membership, you will follow the link you will receive from Sedera the first week of October.
New Members:
Click the following link and enter the Employer code below.
https://sederamcs.org/?trackingEntity=124582c2-5608-4197-93f9-5deb1c6b49cb
Employer Verification Code: 5641
**New Sedera members must complete their online enrollment through the enrollment link above by the 19th of the month to ensure a start date of 11/1. If you do not complete by this date there could be a delay in your enrollment.**
ASi MEC (Minimum Essential Coverage) for your Preventative Care
This plan will cover your preventative care at 100% and also provides the framework for an HSA banking account. You do need to stay in network for your preventative care. All preventative care mandated by ACA is covered. You can see a complete list here.
https://www.healthcare.gov/coverage/preventive-care-benefits/
PHCS network search instructions:
●Go to www.multiplan.com
●Click on Find a Provider in the upper right corner
●Click on the green Select Network button & choose PHCS
●Click the green Select Network box
●Choose PHCS in the pop-up box
●Select Preventive Services Only
Cost Sharing Plan
Sedera is a cost sharing community that will share the cost of the large events in life.* The Sedera plan doesn't have a network. Please reference the Sedera materials and view the video presentations below for details.
There is no ID for this plan and no network. You will present yourself as a cash payer and start a "Need" on the member portal if the total goes over your $1,000 IUA (Initial Unshareable Amount). See "Sedera Select + Presentation" link below..
*Pre-existing limitations apply.
See how to enroll above.
Ameritas Dental
There are no changes to the dental plan this year.
Click on the link to see the full Dental Plan Summary.
Ameritas Vision
DID YOU KNOW?
Appalachian Lumber offers voluntary vision coverage through the Ameritas to help pay for eye exams, prescription glasses and contact lenses. You can view the full benefits by clicking of the Vision Plan Summary.
