Welcome XYZ CorporationIn this custom section you will find everything you need to help administer, enroll and participate in your employee benefit plans.
Looking for something in particular? Have any suggestions on what we can add here for you? Let Clint Perry know via email at [email protected] . |
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Enrollment information and applications are below
2017 Deduction Schedule
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This is the 2017 Deduction guide. It shows you how much will be taken from your paycheck, for the plan you choose, on a bi-weekly basis.
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Aetna HMO Employee Application
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Use this form to enroll in your employer's HMO Aetna Family of plans. Your employer bases their contribution on the Basic HMO $0/$40/$60
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Aetna PPO Employee ApplicationUse this form to enroll in your employer's PPO Aetna Family of plans. Your employer bases their contribution on the Basic HMO $0/$40/$60
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Aetna Basic HMO Deductible $0/$40/$60
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This is the plan on which your employer bases their contribution. Your employer pays 100% toward your single employee premium and generously contributes 20% toward your dependents.
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Aetna Value Network HMO $20/$25
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You may also choose this $0 deductible HMO from Aetna that boasts a larger network of doctors and smaller specialist visit co-pay.
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Aetna PPO OAMC 1000/80/60
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You may also choose this PPO option. This PPO is option 1 of 2
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Aetna PPO OAMC 4000 HSA
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You may also choose the PPO option. This is PPO option 2 of 2. This PPO includes an HSA feature. This means you are able to put money into a health savings account to pay for medical expenses. Money put, pre-tax, into a health savings account may also grow, if unused, tax free.
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Aetna Enrollment Guide
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Your Aetna plan features and how to enroll. Member tools and value added programs.
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Miscellaneous Benefit Info & Disclosures
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Important information to read and consider when enrolling in your employer's Aetna plans. This will give you information on your network, exclusions, contact information and more.
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Your Humana Card is now Digital |
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Use the documents in this section to
1. Find and utilize the mobile app 2. Register for MyHumana 3. Pull your dental ID. It's paperless and always available. |
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Humana Dental & Vision 2017/2018 PricingBi Weekly rate guide for Vision and Dental Benefits
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Humana Employee Enrollment FormPlease use this form to enroll in the Humana Dental HMO, PPO or Vision plan from your employer. You can also use this form to make changes to your plan such as terminating yourself or dependents from you plan.
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Humana Vision Benefit Summary
A basic description of you Humana Vision plan.
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Humana Dental HMO LS200 Benefit Summary
What does the DHMO from Humana offer? Find out with this summary.
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Humana Dental PPO Benefit Summary
What does the PPO from Humana offer? Find out with this benefit summary.
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UNUM Term Life ApplicationApply for more coverage through your group with this Term Life Application from UNUM. You can apply for as much as $500,000 more in coverage from your employer. You must meet qualification standards to be approved.
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UNUM Claim FormIf you need to file a claim with UNUM for Life or AD/D benefits this is the form.
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Beneficiary Change Form.Change your beneficiary? This form is the form to do that.
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Contacts
Kaylee Nelson - HR Department |
Clint Perry - Unlimited Benefits Representative |
Aetna HMO Customer Support |
877-402-8742
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Aetna OAMC/PPO Member Services |
800-535-0880
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Humana Dental & Vision Plan Member |
1-800-4HUMANA (1-800-448-6262)
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Helpful Links
Aetna Doctor Find
Aetna Member Services
Humana Dentist Finder
Humana Member Services
Humana EyeMed Provider Locator
Humana Vision Member Services
UNUM Claim Services
UNUM Forms Library
Frequently Asked Questions
Q: When do Medical maximums and deductibles reset? |
A: Annual Deductibles, maximums and limits add up throughout the coverage year, then reset and begin again on the anniversary date of your coverage year. In this case, December 1.
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Q: What are qualified events?
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A: If you are eligible to make coverage changes, your changes must be consistent with the change in status
The rules vary for each employer but here are some situations that qualify as a change in status: 1. Your legal marital status changes 2. The number of your eligible children changes 3. You or your spouse lose coverage from a different employer |
Q: How do I access my vision benefits?
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A: With Humana you will never receive a card. Just go in to any vision service provider that takes Humana and give them your group name and SS#. They will look you up with that information.
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Q: What is my member ID number?
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A: Your member ID number is a unique number provided to you by your employer or health plan, or it could be the last four digits of your Social Security number. If you’re not sure, your eye doctor or dental provider can usually access your benefit information with the last four digits of your Social Security number.
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