Sac & Fox Nation

Table of Content

  1. Header
  2. Page
    1. 2022 Benefits Open Enrollment
    2. Changes This Year
    3. Benefits Overview
    4. How To Enroll and Forms
    5. BCBS of Oklahoma
    6. Guardian Life
    7. Aflac
    8. Colonial
    9. NFP - Broker Contacts
    10. Additional Resources
  3. Footer

2022 Benefits Open Enrollment

Open Enrollment is your opportunity to evaluate your current benefit elections and make changes for the new plan year, beginning October 1st. Meetings will be conducted to discuss updates to your benefits package and to assist you with any questions or changes you may need to make.

 

These meetings will last approximately one hour, so please plan accordingly. Remember to bring information necessary to add dependents, such as birth dates and social security numbers. 


Open Enrollment paperwork is due to HR by August 26th.


Open Enrollment Instructions

Instructions for currently enrolled members

Open Enrollment Instructions

Instructions for currently enr ...

Benefits Enrollment Instructions

Instructions for new enrollees

Benefits Enrollment Instructions

Instructions for new enrollees

Changes This Year

We're happy to announce some exciting changes, this year!


Prescription Drug Formulary

BCBS will be moving your pharmacy benefit to a more cost-effective and clinically appropriate managed drug list.


Member notices and support: Members may be impacted if using prescription medications that are no longer covered, using prescriptions that may still be covered but at a higher payment tier (non-preferred) or may be subject to new utilization management program criteria before prescription drug benefit coverage may be approved. Impacted members may receive a communication alerting them of the change. The letter will explain how the change may impact them. Members will be encouraged to talk with their health care provider(s) about their prescribed medications and if any changes in their drug therapy may be right for them.


Livongo Programs ($0 Cost to You)

Diabetes Management Program

This program is provided to you and your family members with diabetes and coverage through BCBSOK. Livongo helps 700,000+ members worry less about managing diabetes. With Livongo, you’ll get a smart blood glucose meter to guide your journey, a connected app that tracks numbers so you don’t have to, and access to expert coaches for advice on diet, lifestyle and more, all at no cost to you!! This program is available beginning April 1, 2022, but you have to enroll by visiting join.livongo.com/WELL-BCBSOK/hi or call 800-945-4355 and use registration code: WELL-BCBSOK.


High Blood Pressure Management

This program is provided to you and your family members with high blood pressure and coverage through BCBSOK. This program provides a free advanced blood pressure monitor, personalized insights, one-on-one coaching, easy-to-use app and dashboard and guidance on healthy habits, all at no cost to you!! This program is available beginning April 1, 2022, but you have to enroll by visiting ready.livongo.com/BCBSOK-HEALTH/hi or call 800-945-4355 and use registration code: BCBSOK-HEALTH. 


Wondr ($0 Cost to You)

Metabolic Syndrome Reversal Program

Wondr is a behavioral counseling program for metabolic syndrome reversal and weight management. Now you can lose weight, gain energy, sleep better, and improve your mind and body—all while eating your favorite foods.


BCBS Performance Drug List Guide

List of Non-covered Drugs with Alternatives

BCBS Performance Drug List Guide

List of Non-covered Drugs with ...

Livongo Diabetes Management Program

Sign up to receive a glucose meter and support for managing diabetes

Livongo Diabetes Management Program

Sign up to receive a glucose m ...

Livongo Blood Pressure Management Program

Sign up to receive an advanced blood pressure monitor and member support

Livongo Blood Pressure Management Program

Sign up to receive an advanced ...

Wondr Program

Metabolic Syndrome Reversal Program

Wondr Program

Metabolic Syndrome Reversal Pr ...

Benefits Overview

As a full-time employee of the Sac & Fox Nation, you are eligible for the comprehensive benefits available to you and your family. 


Resources Available

This Benefits Open Enrollment Microsite contains all the necessary benefit summaries and forms required to enroll or make changes to your current elections. Also available are some Health Plan Compliance Notices. Please review these notices to learn about your rights pertaining to your benefits.


Please be sure to:

  • Review your benefits open enrollment guide, which highlights the comprehensive coverage available to you and your family.
  • Refer to your Summaries of Benefits and Coverage, for more benefit details.
  • Read the Benefits Compliance notices to learn about your rights pertaining to your benefits.
Open Enrollment Guide

Highlights the comprehensive coverage available to you and your family.

Open Enrollment Guide

Highlights the comprehensive c ...

Benefits Notice Packet

Details your rights pertaining to benefits

Benefits Notice Packet

Details your rights pertaining ...

How To Enroll and Forms

Be sure to attend one of the in-person presentations to get your enrollment packet.


Your benefits packet includes your personal Benefits Statement, which reflects your current benefit elections and payroll deductions, and your customized Benefits Change form, which also includes your current benefit elections. Please review for accuracy, and report any discrepancies to HR.



Action Required:

Everyone is required to complete a new Benefits Change form, even if you aren’t making any changes to your current benefit elections. This form is included in your benefits packet. Please review for accuracy and make any necessary changes, then mark your new benefit elections (either continuing your current benefit elections or making a change), and return to HR no later than August 26th at 4:00 p.m. 


New employees will need to complete the Benefits Enrollment Form, that is included in their packet, and return to HR no later than your 60th day of employment. Blank forms are also available, below.


Your Benefits Application is due to HR, no later than August 26th at 4:00 p.m.

Benefits Application & Change Form

Use this form to enroll or change your benefit elections

Benefits Application & Change Form

Use this form to enroll or cha ...

Evidence of Insurability Form

Required for late enrollees for Voluntary Life

Evidence of Insurability Form

Required for late enrollees fo ...

Aflac

Aflac Enrollment Form

Aflac

Aflac Enrollment Form

Aflac

Aflac Cancellation Form

Aflac

Aflac Cancellation Form

Colonial

Change Form

Colonial

Change Form

BCBS

Common Law Affidavit

BCBS

Common Law Affidavit

BCBS of Oklahoma

Medical and Dental Benefits
Medical - Platinum Plan

Summary of Benefits & Coverage

Medical - Platinum Plan

Summary of Benefits & Coverage

Medical - Gold Plan

Summary of Benefits & Coverage

Medical - Gold Plan

Summary of Benefits & Coverage

Medical - Silver Plan

Summary of Benefits & Coverage

Medical - Silver Plan

Summary of Benefits & Coverage

Dental - MAC Plan

Summary of Benefits & Coverage

Dental - MAC Plan

Summary of Benefits & Coverage

Dental - U&C Plan

Summary of Benefits & Coverage

Dental - U&C Plan

Summary of Benefits & Coverage

BCBS Performance Drug List

List of Covered Drugs

BCBS Performance Drug List

List of Covered Drugs

BCBS Performance Drug List Guide

List of Non-covered Drugs with Alternatives

BCBS Performance Drug List Guide

List of Non-covered Drugs with ...

Guardian Life

Vision, Life and Disability Benefits

As your employer, we automatically provide a certain level of life insurance coverage for you and give you the opportunity to purchase additional coverage for you and your dependents. 


Employees who wish to supplement their basic life insurance benefit, may purchase additional coverage.


Annual Supplemental Life Benefit Increase:

Employees that elected Voluntary Life coverage during their initial enrollment period, has the option to elect $10,000 to $50,000 additional coverage, not to exceed $100,000, during open enrollment, without having to prove insurability. This option is not available for your spouse or dependent children.


If you didn't elect this benefit, when first eligible, and decide to enroll during open enrollment, you will have to prove insurability by completing an Evidence of Insurability form (found in the "How to Enroll and Forms" section. Underwriting will notify you of approval or denial of coverage.

Guardian Vision

Vision Benefits

Guardian Vision

Vision Benefits

Guardian Life

Employer Paid and Voluntary Life Benefits

Guardian Life

Employer Paid and Voluntary Li ...

Guardian Disability

Short and Long-term Disability Benefits

Guardian Disability

Short and Long-term Disability ...

Employee Assistance Program (EAP)

Help for what matters most

Employee Assistance Program (EAP)

Help for what matters most

Employee Assistance Program (EAP)

Clip and save the convenient card

Employee Assistance Program (EAP)

Clip and save the convenient c ...

Guardian Anytime

Your Member Portal

Guardian Anytime

Your Member Portal

Aflac

Accident and Critical Illness Coverage

Contact your Aflac Representative regarding these benefits. They will answer any questions you may have, and take care of enrolling, changing or cancelling your policies.


Your Aflac Representative is Shane Owen. He can be reached at 405-308-3883 or shane_owen@us.aflac.com.

Accident - High Plan

Aflac Accident is designed to provide cash benefits throughout the different stages of care, regardless of the severity ...

Accident - High Plan

Aflac Accident is designed to ...

Accident - Mid Plan

Aflac enables you to take charge and to help provide for an unpredictable future by paying cash benefits for accidental ...

Accident - Mid Plan

Aflac enables you to take char ...

Critical Illness

Aflac can help ease the financial stress of surviving a critical illness.

Critical Illness

Aflac can help ease the financ ...

Aflac Benefits Page Flier

Access your Aflac landing page to view your Aflac Insurance Products

Aflac Benefits Page Flier

Access your Aflac landing page ...

Colonial

Cancer Coverage

Contact your Colonial Representative regarding these benefits. They will answer any questions you may have, and take care of enrolling, changing or cancelling your policies.


Your Colonial Representative is Melissa Hightower. She can be reached at 405-285-5555 (office) or 972-201-4876 (mobile) or by email at melissa.hightower@coloniallife.com.

Colonial Cancer

Cancer Level 3 Benefits

Colonial Cancer

Cancer Level 3 Benefits

Colonial Cancer

Cancer Level 4 Benefits

Colonial Cancer

Cancer Level 4 Benefits

Colonial Cancer

Cancer Initial Diagnosis Rider

Colonial Cancer

Cancer Initial Diagnosis Rider

Colonial Cancer

Specified Disease Rider

Colonial Cancer

Specified Disease Rider

Colonial Cancer

Cancer Rate Schedule 2021

Colonial Cancer

Cancer Rate Schedule 2021

NFP - Broker Contacts

While we are interested and concerned about the health of our employees and their dependents, we have HIPAA Privacy Compliance obligations which limit the information shared with us. NFP is available to assist you with claims issues or any other issues you have concerning our benefits. If you are experiencing a claim issue, please contact Customer Service with the appropriate insurance company, first, to see if you can resolve it on your own. If not, then you need to contact our broker for further assistance.  


Account Team Contacts

ContactImage

Jon Stafford

Account Manager

jon.stafford@nfp.com

405.513.8932

ContactImage

Lauren Nettleton

Account Manager

lauren.nettleton@nfp.com

405-513-8988