Table of Content
- Header
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Page
- WELCOME
- ENROLLMENT
- MEDICAL/RX
- VIRTUAL VISITS
- FSA
- DENTAL
- VISION
- LIFE & DISABILITY
- ADDITIONAL RESOURCES
- UNDERSTANDING YOUR BENEFITS
- CARRIER CONTACTS
- CONTACT US
- Footer
WELCOME
Helping you and your family reach and maintain good health is very important to Taplin Group. Taplin is pleased to offer a selection of benefits designed with your health and financial wellbeing in mind. We review our benefit programs each year to ensure we consider the best combination of benefit coverage, network access and affordability for employees.
Taplin Group remains committed to providing a competitive, cost-effective benefit program. Each year we take great care and detail in the benefit programs offered to employees. Below are highlights of the new changes that will be effective December 1, 2022:
- BCBS PPO: Moving to the Simply Blue 2000 PPO
- BCN HMO: Moving to the HMO 2000
Please review your 2022 Taplin Open Enrollment materials for more information regarding your plans offerings for the 2022-2023 plan year.
ENROLLMENT
All regular employees working at least 30 hours per week are eligible to participate in the benefit plans offered by the Taplin Group. When you enroll in the benefits program, you may also cover your eligible dependents. Dependents include your legal spouse and children. Children eligibility is as follows -
- Medical, Dental, & Vision: End of the year the child turns 26
- Child Life Insurance: End of the month the child turns 26
Action Required: All elections must be submitted by October 28, 2022
ENROLLMENT INSTRUCTIONS:
- Review the information on this webpage and in the Employee Benefit Booklet
- You must complete and sign an enrollment form, even if you are waiving coverage.
- You will not be allowed to make changes after the open enrollment window closes, unless you experience a qualifying life event.
The Benefit choices you make during your 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.
Contact Human Resources if you have questions about qualifying events.
MEDICAL/RX
BCBSM PPO Medical/Rx (Group # 007037981) | 313.225.9000 | www.bcbs.com
BCN HMO Medical/Rx (Group # 00418812) | 800.662.6667 | www.bcbs.com
BCBSM and BCN will continue to be the medical and prescription carrier this year. The plans that will be offered effective December 1, 2022 are as follows:
- Simply Blue 2000 PPO
- HMO 2000
A PPO plan (BCBS) is a type of managed care health insurance plan that provides maximum benefits if you visit an in-network physician or provider, but still provides some coverage for out-of-network services. You may also visit any provider without a referral from your primary care physician.
An HMO (BCN) gives you access to doctors and hospitals within the HMO network. But unlike PPO plans, care under an HMO plan is covered only if you see a provider within the BCN network. You must select a primary care physician (PCP) who will determine the care/treatment you need. To see other doctors, such as a specialist, you must obtain a referral from your PCP.
To find out if your provider is in-network, please visit the BCBS/BCN website below. Be sure to select your correct network by choosing either PPO Plans or Blue Care Network HMO Plan under "Plan" in the upper right corner. Once you select your correct network you can search for a doctor or care provider by name, specialty, or condition.
VIRTUAL VISITS
BCBSM Virtual Visits (Group # 007037981 (PPO) & 00418812 (HMO)) | 844.606.1608 | www.bcbsmonlinevisits.com
Taplin provides those employees who are covered by one of the BCBSM/BCN medical plans access to virtual visits with BCBSM Online Visits. BCBSM Online Visits provide members the opportunity to receive medical health care from the comfort of your own home. With BCBSM Online Visits, eligible employees and dependents have access to board certified doctors 24 hours a day, 7 days a week, 365 days per year.
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