Company Name

Table of Content

  1. Header
  2. Your 202X [Company Name] Benefits
    1. To Our Employees:
    2. How to Enroll
    3. Open Enrollment (ACTIVE)
    4. Open Enrollment (Passive)
    5. Eligibility & Qualifying Events
  3. Medical & Prescription
    1. Medical Summary
    2. Summary of Benefits and Coverage (SBC)
    3. Prescriptions
    4. Prescription Summary
    5. Virtual Visits
    6. MMO Resources
  4. United Healthcare Services
    1. myUHC Member Portal & App
    2. UHC ID Card
    3. How to Find In-Network Doctors
    4. Behavioral Health Virtual Visits
    5. Maven Maternity & Neonatal Resources
    6. UHC - Adovcate4Me
  5. Cigna Services
    1. Download myCigna Health App
    2. How to Find In-Network Doctors
    3. Cigna Case Management
  6. Anthem Services
    1. Download Anthem's Sydney Health App
    2. How to Find In-Network Doctors
    3. 24/7 NurseLine
    4. Anthem ID Card
  7. Spending Accounts
    1. Health Savings Account (HSA)
    2. Flexible Spending (FSA) & Dependent Care Accounts (DCARE)
    3. Health Reimbursement Account (HRA)
  8. Dental
    1. Dental Summary
  9. Vision
    1. Vision Summary
  10. Basic Life and Voluntary Life
    1. Beneficiary Designation
    2. Guarantee Issue (GI)
  11. Overview of Short Term & Long Term Disability
    1. Disability Summary
  12. Voluntary Benefits
    1. Critical Illness Insurance
    2. Accident Insurance
    3. Hospital Indemnity Insurance
    4. Long Term Care Insurance
  13. Resources
    1. MetLife Resources
    2. Guardian Resources
    3. Principal Resources
    4. Mutual of Omaha
  14. Employee Contributions
  15. Employee Assistance Plan (EAP)
    1. Guardian EAP
    2. MetLife EAP
    3. Ease@Work EAP
  16. Well-being Hub
  17. Required Annual Notices
  18. InsurChoice
  19. Total Rewards
    1. Company Time off and Holidays
    2. 401(k) Retirement & Profit Sharing
    3. FMLA
  20. Understanding your Benefits
  21. Carrier Contacts
  22. Questions?
  23. Footer

Prescription Summary


Below is a high-level overview of your plan options and in-network benefit information:


You can view more details of these plans by accessing the medical benefit summaries provided under the Medical & Prescription section above.

RX Summary

Dental Summary


Below is a high-level overview of your plan options and in-network benefit information:


You can view more details of these plans by accessing the benefit summaries provided above.

Dental Summary

Vision Summary


Below is a high-level overview of your plan options and in-network benefit information:


You can view more details of these plans by accessing the benefit summaries provided above.

Vision Benefit Summary

Disability Summary

Below is a high-level overview of your plan options and in-network benefit information:


You can view more details of these plans by accessing the benefit summaries provided above.


Disability Summary

401(k) Retirement & Profit Sharing

Retirement Image

Saving for retirement is one of the most important financial goals you’ll ever set. Having a strong retirement plan will give you more freedom and control over your lifestyle down the road, ensuring a financially secure future for you and your family.

[Company Name] 401(k) Retirement Savings Plan At-a-glance

Enrollment is automatic:

You will be automatically enrolled in the 401(k) plan after you become eligible. Re-enrollment each year is also automatic. 

Access your account online.

For information about your retirement plan benefits, head to gray.trsretire.com to create or sign into your account.

Who can participate?

All full-time members are eligible to participate once the following criteria are met:

  • Must have completed [eligibility waiting period], with no break in employment.
  • After all criteria has been satisfied, you will enter the plan on January 1 (whichever date comes first after you become eligible).

Contact Information

401(k): For questions on the 401(k) please call [Carrier Name and Phone Number].

FMLA

Any time you are missing work due to your serious medical condition or the care of a family member’s condition, please follow the steps below:

 

  • Contact your Supervisor or Human Resources
  • Call toll-free at [Phone Number] to initiate your claim as soon as your leave begins. Your claim can be initiated Monday through Friday, between the hours of [add hours available]. Please be prepared to provide the following information:
  • Your Group # is [Group Number] 
  • Your name, social security number, address and telephone number
  • Physician’s name, address, phone and fax numbers  
  • Please sign the authorization on the back and provide a copy to your treating physician(s)   
  • After your claim has been initiated, for questions regarding ongoing claim status, you may call [Phone Number] to speak with a Representative.

 

About Family Medical and Leave 

 

  • The Family Medical Leave Act (FMLA) is the federal law that provides up to 12 weeks or 26 weeks of unpaid job-protected leave during a 12-month period (which need not be consecutive).
  • Qualifying events for the FMLA:
  • Birth of a child
  • Adoption of a child
  • Care of an immediate family member with a serious health condition
  • Immediate family member includes: spouse, child or parent 
  • An employee’s own serious health condition
  • Military leave
  • Caregiver leave
  • Qualified Exigency
  • Leave can be taken in one of three ways:
  • Continuous – one unbroken block of time
  • Intermittent – leave used in blocks of time that start and stop throughout an approved period for leave
  • Reduced Schedule – leave taken by an employee working less hours a day and/or fewer days a week

 

For more information or if you have any questions on the program or the FMLA, please contact your HR department.

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What is FMLA Coverage?

What is FMLA Coverage?

Questions?

As you consider your benefit options, please be sure to review all available information. If you need further assistance, please reach out to Human Resources.



This is a high-level guide to certain benefits your employer offers. The information in this benefits guide is intended as a general outline of the benefits available under the following welfare benefit programs offered by your employer and should not be considered legal, investment, or other benefits advice. Benefits described are subject to change, amendment, or termination without notice to, or the agreement of, any employee/participant. All protected health information is confidential, pursuant to the Health Insurance Portability and Accountability Act of 1996. If you have any questions about your benefits guide, contact Human Resources. If you (and/or your dependents) have Medicare or will become eligible for Medicare in the next 12 months, Federal law gives you more choices about your prescription drug coverage.