Introduction

Welcome to your 2021 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.

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. 


Changes this Year:


Medical

BCBS has removed the copay for your Virtual Visits. Those services will now be covered at no charge to you.


Your Cost Per Paycheck

We didn’t incur an increase in premium, so your per pay deductions will remain the same, for the new plan year; however, you will see an increase in your cost per pay for Voluntary Life, if you advanced to a new age band. 


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.
2021 Benefits Open Enrollment Guide

This booklet is to help you understand the benefits that are being offered to you.

2021 Benefits Open Enrollment Guide

This booklet is to help you un ...

Benefits Notice Packet

Benefits Notice Packet

How To Enroll and Forms

Your benefits packet includes two copies of your personal Benefits Statement, which reflects your current benefit elections and payroll deductions. Please review for accuracy and report any discrepancies to HR. Note: Your benefits statement might not reflect any recent changes.


Action Required: The top copy of your Benefits Statement is for you to keep for your records. The second copy is for you to initial your open enrollment selection (either continuing your current benefit elections or making a change), and return to HR. If making a benefit or election change, you will also need to complete a new Application/Change form. This form can be found here in your "How to Enroll" section. Please mark your new elections and return to HR with their copy of your Benefits Statement.



Paperwork is due to HR, no later than Friday, August 20th.

Benefits Application/Change Form 2021

For new enrollees or benefit/election changes.

Benefits Application/Change Form 2021

For new enrollees or benefit/e ...

Guardian

Evidence of Insurability Form

Guardian

Evidence of Insurability Form

Aflac

Enrollment Form

Aflac

Enrollment Form

Aflac

Cancellation Form

Aflac

Cancellation Form

Colonial

Change Form

Colonial

Change Form

BCBS

Common Law Affidavit

BCBS

Common Law Affidavit

BCBS of Oklahoma

Medical and Dental Benefits
BCBS Medical

Base Plan

BCBS Medical

Base Plan

BCBS Medical

Buy-up Plan

BCBS Medical

Buy-up Plan

BCBS Medical

Buy-down Plan

BCBS Medical

Buy-down Plan

BCBS Dental

MAC Plan

BCBS Dental

MAC Plan

BCBS Dental

U&C Plan

BCBS Dental

U&C Plan

Guardian Life

Vision, Life and Disability Benefits

If currently enrolled in Supplemental Life, you can increase your election by up to $50,000 (not exceed $100,000), 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" 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)

Employee Assistance Program (EAP)

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.

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 ...

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.

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 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

Lauren Nettleton

Account Manager

lauren.nettleton@nfp.com

405-513-8988