Benefits Book 20 21 Online Fliphtml5 Com

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-Nov 19, 2025, 7:51 AM

benefits book 20 21 online fliphtml5 com

1919 E. Yellowstone Hwy Casper, Wy 82601 PH: 307-265-0659 Fax: 307-265-0664 Benefits Effective 10/1/2020-9/30/2021 PRESENTED BY: RYAN STODDARD 400 E. 1st St. Suite 214 * Casper, WY 82601 * (307) 473.3000 Contact Information Servicing Agent Account Manager Ryan Stoddard Amber McCormick [email protected] [email protected] 307-233-8596 307-233-8348 Medical Customer Service: 888-292-0272 Account Access: www.alliedbenefit.com Member Advocacy Team: 888-306-0905 Customer Service: Dental & Vision Dental Network:... Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Cove CITY SERVICE ELECTRIC INC The Summary of Benefits and Coverage (SBC) document will help you ch cost for covered...

NOTE: Information about the cost o This is only a summary. For more information about your coverage, or to get a copy of 888-306-0905. For general definitions of common terms, such as allowed amount, balan the Glossary. You can view the Glossary at https://www.healthcare.gov/sbc-glossary Important Questions Answers $7,150 person/$14,300 family. What is the overall deductible? Are there services covered Yes.

Preventive care and primary care services are covered before you meet your deductible. before you meet your deductible? Are there other deductibles No. for specific services? What is the out-of-pocket $7,900 person/$15,800 family. limit for this plan?

What is not included in the Premiums, balance-billed charges, penalty for not obtaining Preauthorization and health care this plan doesn't cover. out-of-pocket limit? Will you pay less if you use Not applicable. a network provider? Do you need a referral to No. see a specialist?

ered Services Coverage Period: 10/01/2020-09/30/2021 Coverage for: Individual/Family Plan Type: Indemnity hoose a health plan. The SBC shows you how you and the plan would share the of this plan (called the premium) will be provided separately. the complete terms of coverage, visit us at http://www.NGBSselffunded.com or call 1- nce billing, coinsurance, copayment, deductible, provider, or other underlined terms see y or call 1-888-306-0905 to request a copy. Why this Matters: Generally, you must pay all of the costs from providers up to the deductible amount before this plan begins to pay. If you have other family members on the plan, each family member must meet their own individual deductible until the total amount of deductible expenses paid by all family members meets the overall family... d This plan covers some items and services even if you haven't yet met the deductible amount.

But a copayment or coinsurance may apply. For example, this plan covers certain preventive services without cost-sharing and before you meet your deductible. See a list of covered preventive services at https://www.healthcare.gov/coverage/preventive-care-benefits/ You must pay all of the costs for these services up to the specific deductible amount before this plan begins to pay for these services. The out-of-pocket limit is the most you could pay in a year for covered services. If you have other family members in this plan, they have to meet their own out-of-pocket limits until the overall family out-of-pocket limit has been met. g Even though you pay these expenses, they don't count toward the out-of-pocket limit.

This plan does not use a provider network. You can receive covered services from any provider. You can see the specialist you choose without a referral. 1 of 6 All copayment and coinsurance costs shown in this chart are after your deduc Common Services You May Need What You Will Medical Event Primary care visit to treat an $50 copay/visit, then covered at... Deductible does not ap or clinic Preventive care/screening/ immunization Diagnostic test (x-ray, blood 50% coinsurance work) If you have a test Imaging (CT/PET scans, 50% coinsurance MRIs) $20 copay retail/$60 copay mail ord If...

Benefits Guide 2021 At Radius Health, we offer a comprehensive suite of benefits to promote health and financial wellness. This guide provides a summary of your benefits. Please review it carefully so you can choose the coverage that’s right for you. In 2021, there are no changes to benefits plans or contribution rates. This is one way we want to support you and your family’s wellbeing. Questions?

For more information about your benefits, please contact Human Resources: [email protected] 484-582-6460 Table of Contents 3 4 Click on a page number to navigate directly to that page. 5 6 Benefit Fundamentals 7 Qualified Life Events 8 Cost of Benefits 9 Medical Coverage 10 The Health Savings Account – A Closer Look 11 Aetna Tools for Wellness 12 Dental Coverage 12 Vision... What is a Domestic Partner? Benefit Fundamentals A domestic partner is eligible for benefits if he or she is not As a Radius employee, you are eligible for benefits if you work a relative and has lived with at... Most of your benefits are effective you for at least six months in on the first day of the month following your date of hire.

a committed relationship. A domestic partner can be of You may enroll your eligible dependent(s) for coverage once the same or opposite gender. you are eligible. Your eligible dependent(s) include: o Your legal spouse o Your domestic partner o Your children up to age 26 Once your benefit elections become effective, they remain in effect until the end of the... You may only change coverage within 30 days of a qualified life event. 30 Day Notification Period It is critical that you notify Qualified Life Events Human Resources and submit your information in Ultipro Because many of our benefits plans are governed by IRS within 30 days...

o Divorce or legal separation o Birth of your child Because our plans are o Death of your spouse, domestic partner, governed by IRS regulations there are no exceptions to or dependent child this... Please plan o Adoption of or placement for adoption of your child accordingly o Change in employment status of employee, spouse/domestic partner, or dependent child o Qualification by the Plan Administrator of a child... Dependent Category Required documentation Spouse Marriage certificate and Spouse Eligibility Affidavit if medical coverage is selected Children or Stepchildren under age 26 Birth certificate Foster child/child for whom you are Court paperwork legal guardian... The Cost of Your Benefits Radius pays the full cost of many of your benefits; you share the cost for others. You pay the full cost for any voluntary benefits you elect. Benefit Who Pays Tax Treatment Medical Coverage Radius Health Pretax & You Dental Coverage Pretax Radius Health Pretax Vision Coverage & You Basic Life and Accidental Death & You n/a Dismemberment (AD&D) Insurance Supplemental...

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Benefits Book 20 21 Online Fliphtml5 Com

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1919 E. Yellowstone Hwy Casper, Wy 82601 PH: 307-265-0659 Fax:

NOTE: Information About The Cost O This Is Only A

Preventive Care And Primary Care Services Are Covered Before You

What Is Not Included In The Premiums, Balance-billed Charges, Penalty

Ered Services Coverage Period: 10/01/2020-09/30/2021 Coverage For: Individual/Family Plan Type: