Mariani Enterprises

Table of Content

  1. Header
  2. Page
    1. Home
    2. Enroll
  3. How to Enroll
    1. Applications
    2. BCBS Enrollment Forms
    3. MoO Applications
    4. EBC
  4. Medical
    1. Blue Cross Blue Shield
    2. Educational Videos
  5. Dental & Vision
  6. Life Insurance
  7. Disability
  8. Employee Resources
    1. Blue Cross Blue Shield
    2. Mutual of Omaha
  9. Carrier Contacts
  10. Contact Us
  11. Footer



Introduction


Open Enrollment is your annual opportunity to review your benefit needs and make elections that are best for you. Coverage will continue with BlueShield of Illinois, Mutual of Omaha and EBC.


Open enrollment will be held from March 1st to March 8th this year.


Benefits Overview


Beginning April 1, 2024

Medical | BlueCross BlueShield of Illinois

Dental | Mutual of Omaha

Vision | Mutual of Omaha

Flexible Spending Account | EBC

Life and AD&D | Mutual of Omaha

Disability | Mutual of Omaha


Important Things to Know:


  • You will not be able to make changes outside of open enrollment unless you have a qualifying event (marriage, birth, divorce, etc.).
  • All benefits will be effective April 1st, 2024.

How to Enroll



To enroll in or change benefits please login to the UKG Portal using the green UKG enrollment button below.

  • After logging in UKG, go to "My Info" -> "My Benefits" -> "Enrollment" -> "Open Enrollment."


  • If you are having difficulties, download and complete the carrier enrollment forms, return the signed forms to HR.


NOTE: You are required to make a medical plan selection at open enrollment. If selecting the Blue Advantage HMO, you MUST designate a primary care physician for yourself, spouse and any dependents.


Click on the Provider Finder button below to search for a primary care physician

  • -Choose the BluePrint PPO OR ( BlueAdvantage HMO for Illinois residents only. )

Click on the Plan Selection button to log in and make your final selection in the UKG portal.

Applications

Blue Cross Blue Shield of Illinois
Enrollment Form

Blue Cross Blue Shield of IL

Enrollment Form (Spanish)

Blue Cross Blue Shield of IL

Mutual of Omaha
Enrollment Form (English)

Mutual of Omaha

Beneficiary Form (English)

Mutual of Omaha

Enrollment Form (Spanish)

Mutual of Omaha

Beneficiary Form (Spanish)

Mutual of Omaha

Employee Benefits Corporation
FSA Enrollment Form (English)

EBC

FSA Enrollment Form (Spanish)

EBC

Medical

BCBS IL Summary of Benefits and Coverage:
BluePrint PPO 2060 SBC

PLAN MIBPP2060

BluePrint PPO 2130 SBC

Plan MIBPP2130

Blue Advantage HMO 2010 SBC

Plan MIBAH2010

BluePrint PPO 2060 Spanish SBC

Plan MIBPP2060

BluePrint PPO 2130 Spanish SBC

Plan MIBPP2130

Blue Advantage HMO 2010 Spanish SBC

Plan MIBAH2010

Educational Videos

Dental & Vision

Mutual of Omaha
Online Reference Guide

Dental

Dental Summary

Dental Summary (Spanish)

Online Reference Guide

Vision

Vision Summary

Vision Summary (Spanish)

Life Insurance

Mutual of Omaha
Basic Life Summary

Mutual of Omaha

Voluntary Supplemental Life

Mutual of Omaha

Basic Life Summary (Spanish)

Mutual of Omaha

Voluntary Supplemental Life (Spanish)

Mutual of Omaha

Disability

Short Term Disability

Mutual of Omaha

Long Term Disability

Mutual of Omaha

Short Term Disability (Spanish)

Mutual of Omaha

Long Term Disability (Spanish)

Mutual of Omaha

Blue Cross Blue Shield

As an employee enrolled in BlueCross BlueShield of Illinois benefits, you will have access to a variety of employee resources & value adds.

BCBS IL Member Rewards

Flier

Blue Access

Mobile App

BCBS IL Member Dashboard

Flier

MD LIVE

Virtual Visits

Provider Finder

Web Instructions

Well on Target

Presentation

Well on Target

Fitness Program

Well on Target

Health Assessment

Well on Target

Portal

Teledoc

Diabetes Management

Glucose Meter Offer

Teledoc Diabetes Management

Wondr Health

Weight Loss

ComPsych Employee Assistance

5 Sessions

Behavioral Health

Hinge Health Chronic Pain Program

Teledoc

Hypertension Solutions

Hinge Health

Musculoskeletal (MSK) Program

Mutual of Omaha

As an employee enrolled in Mutual of Omaha benefits, you will have access to a variety of employee resources & value adds.

ID Theft

Travel Assistance

Legal Assistance & Will Prep

Employee Assistance Program

Carrier Contacts

PROVIDER CONTACT INFORMATION


BlueCross BlueShield of Illinois

Medical Plans

See back of ID card

www.bcbsil.com



Mutual of Omaha

Dental /Vision / Life / Disability

(800) 775-6000

www.mutualofomaha.com



Employee Benefits Corporation

(800) 346-2126

www.ebcflex.com

Contact Us

Carmen M. Lainez

MLainez@HampshireFarms.com

Phone: (847) 774-4502


Andrea Martinez

amartinez@hampshirefarms.com

Phone: (224) 833-0969


Andres Piedrahita

apiedrahita@hampshirefarms.com

Phone: (847) 975-4897