Treble One, LLC

Table of Content

  1. Header
  2. Page
    1. Welcome
    2. Overview
    3. Enrollment
    4. MEDICAL
    5. DENTAL
    6. VISION
    7. LIFE & DISABILITY
    8. FSA & HSA
    9. ADDITIONAL BENEFITS
    10. UNDERSTANDING YOUR BENEFITS
    11. Plan Details
    12. Contact Us
  3. Footer

Welcome

Helping you and your family reach and maintain good health is very important to Treble One, LLC. Treble One, LLC 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.


Eligibility

Regular employees working at least 30 hours per week are eligible to participate in benefits offered by Treble One, LLC. When you enroll in the benefits program, you may also cover your eligible benefits. Dependents include your legal spouse, child(ren) up to age 26 (regardless of student status, marital status, residence, or financial dependence on you), and an unmarried child incapable of self-support.



Administrative Cover Page

Administrative Cover Page

Overview

Treble One, LLC remains committed to providing a competitive, cost-effective benefit program.


Please review and sign your 2022 Treble One, LLC Annual Notices.

Annual Notices

Annual Notices

Benefit Notices

Benefit Notices

ERISA

ERISA

Enrollment

How To Enroll In Benefits

Action Required:


All elections must be submitted by 04/30/2022 Health and 05/31/2022 Dental and Vision. The benefits you elect during open enrollment will be effective from 05/01/2022-04/30/2023 Health and 06/01/2022-05/31/2023 Dental and Vision.


The Benefit choices you make during your initial enrollment or annual 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 or 60 days if the event is due to birth or adoption of a child.



Anthem Enrollment and Change Form

Anthem Enrollment and Change Form

Dental and Vision Enrollment Form

Dental and Vision Enrollment Form

MEDICAL

Anthem SOCA MEWA

Anthem SOCA MEWA will administer your medical and prescription drug benefits this year.


To find out if your provider is in-network, please visit the Anthem SOCA MEWA website below.

PPO Overview

PPO Overview

Prescription Drug Benefits Overview

Prescription Drug Benefits Overview

DENTAL

Ameritas Dental Plan

Treble One, LLC's dental plan provides comprehensive coverage to help you and your family maintain good dental health. Providers are part of the Ameritas network, or you may see an out-of-network dentist of your choice. Be aware if you go out-of-network, your costs will be higher.


To find out if your provider is in-network, please visit the Ameritas website below.

How Does Dental Insurance Work?

How Does Dental Insurance Work?

VISION

Ameritas Vision Plan

DID YOU KNOW?

  • Eye exams can help detect serious eye and general health conditions sooner: high blood pressure, diabetes, heart disease, high cholesterol
  • Babies should receive their first professional eye exam at 6 months
  • 80% of learning in the first 12 years comes through the eyes


Treble One, LLC offers vision coverage through Ameritas to help pay for eye exams, prescription glasses and contact lenses. You receive a higher level of benefits when you see a provider in the Ameritas Network. Review your coverage details in your Benefit Guide.


To find out if your provider is in-network, please visit theAmeritas website below.

How Does Vision Insurance Work?

How Does Vision Insurance Work?

UNDERSTANDING YOUR BENEFITS

What is Preventive Care?

What is Preventive Care?

Benefit Terms Explained

Benefit Terms Explained

How To Read An EOB (Explanation of Benefits)

How To Read An EOB (Explanation of Benefits)

Contact Us


Client Contacts

BB

Brian Bullerman

brian@treble-one.com

(937) 256-2285

HB

Hank Barnard

hank@treble-one.com

937-256-2285 ext.4

KH

Kim Hagerman

kim@treble-one.com

1-937-256-2285