There are three medical plans to choose from, pick the one that’s right for you
Select the plan below to review the full Summary of Benefits and Coverage
Your care is in your hands
See how easily your care fits into your busy lifestyle.
When you move, you may get more than rewards – you get to feel like the healthiest, best you. Here are 3 tips to help inspire you
When searching for providers look for those that accept the VSP Network
click on the logo above to be redirected to VSP’s website
Company Sponsored Term Life and AD&D
Additional Value Added Services
Company Sponsored Long Term Disability
Optional Voluntary Term Life – Premiums are age rated
*Guaranteed issue amounts only apply to new hires when first eligible for benefits.
*Evidence of Insurability Form required for any amounts over the guarantee issue amount, or for any employee adding coverage after they are first eligible.
An FSA Account with Health Equity lets you set aside pretax dollars to pay for expenses
Medical Expenses $3,050 maximum contribution
Dependent Care $2,500 Single / $5,000 Married maximum contribution
The following AFLAC insurance polices are available to employees:
Please click on the options below to view more plan information.
For more information about policy benefits, limitations, and
exclusions, please call your Aflac insurance agent/producer,
Jennifer Goedken, at (480) 773-2068 or email
jennifer_goedken@us.aflac.com
This is a brief product overview only.
CAN I MAKE MID-YEAR PLAN CHANGES TO MY GROUP HEALTH INSURANCE?
An employer’s ability to allow employees to cancel or change health plan elections is governed by the Internal Revenue Code. Section 125 of the Internal Revenue Code (IRC) governs how employers provide benefits to employees on a pre-tax basis. After an employee has made an initial enrollment election, Section 125 does not permit changes outside of yearly open enrollment except for certain, specific reasons. The permitted Section 125 changes are the qualified “change-of-status” events described below:
QUALIFYING LIFE EVENT (QLE)
A change in your situation — like getting married, having a baby, or losing health coverage — that can make you eligible for a Special Enrollment Period, allowing you to enroll in health insurance outside the yearly Open Enrollment Period.
There are 4 basic types of qualifying life events. (The following are examples, not a full list.)
- Loss of health coverage
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- Losing existing health coverage, including job-based, individual, and student plans
- Losing eligibility for Medicare, Medicaid, or CHIP
- Turning 26 and losing coverage through a parent’s plan
- Changes in household
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- Getting married or divorced
- Having a baby or adopting a child
- Death in the family
- Changes in residence
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- Moving to a different ZIP code or county
- A student moving to or from the place they attend school
- A seasonal worker moving to or from the place they both live and work
- Moving to or from a shelter or other transitional housing
- Other qualifying events
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- Changes in your income that affect the coverage you qualify for
- Gaining membership in a federally recognized tribe or status as an Alaska Native Claims Settlement Act (ANCSA) Corporation shareholder
- Becoming a U.S. citizen
- Leaving incarceration (jail or prison)
- AmeriCorps members starting or ending their service
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See all qualifying life events
IMPORTANT PATIENT PROTECTION AND AFFORDABLE CARE ACT NOTICES, ERISA NOTICES AND CONTACTS FOR MORE INFORMATION
Your Employer is providing these important notices to you at no fee. The notices in this package describe important rights that you have under the terms of the Group Health Plan. If you have any questions or need additional information regarding these notices you can contact:
Your Employer Representative
Ronda Mader
rmader@opensourceintegrators.com
or by mail at
PO Box 940
Higley, AZ 85236
Notices
Premium Only Plan
ERISA Summary Plan Description
Click the carrier links below to be directed to their website
Contact
