Your Medical Benefits
Carrier Information
Blue Cross Blue Shield of Illinois
Phone: (800) 541-2767
www.bcbsil.com
Group Number: 121802
Plan Information
Plan Documents
Eligibility
All full-time employees who work at least thirty (30) hours per week are eligible for medical coverage the first of the month following 30 days of continuous employment.
Contribution Schedule
| PPO Cost Per Month | HSA Cost Per Month | |
|---|---|---|
| Employee | $150.00 | $50.00 |
| Employee + spouse | $450.00 | $350.00 |
| Employee + child | $400.00 | $300.00 |
| Employee + family | $600.00 | $500.00 |
Your BCBS of IL Additional Benefits
Carrier Information
Blue Cross Blue Shield of Illinois
Phone: (800) 541-2767
www.bcbsil.com
Group Number: 121802
Plan Information
Your Dental Benefits
Carrier Information
BlueCross BlueShield of Illinois
Phone: (800) 367-6401
www.bcbsil.com
Group Number: 171491
Plan Information
Important Documents
Eligibility
All full-time employees who work at least thirty (30) hours per week are eligible for coverage the first of the month following 30 days of continuous employment.
Contribution Schedule
| Cost Per Month | |
|---|---|
| Employee | $0.00 |
| Employee + spouse | $40.97 |
| Employee + child | $43.20 |
| Employee + family | $84.16 |
Your Vision Benefits
Carrier Information
Eyemed
Phone: (866) 939-3633
www.eyemed.com
Group Number: 1026470
Plan Information
Important Documents
Benefit Forms
Eligibility
All full-time employees who work at least thirty (30) hours per week are eligible for coverage the first of the month following 30 days of continuous employment.
Contribution Schedule
| Per Month | |
|---|---|
| Employee | $6.89 |
| Employee + spouse | $13.09 |
| Employee + child | $13.78 |
| Employee + family | $20.26 |
Your Group Life Benefits
Carrier Information
Mutual of Omaha
Phone: (800) 228-7104
www.mutualofomaha.com
Group Number: G000BMVC
Plan Information
Eligibility
All full-time employees who work at least thirty (30) hours per week are eligible for coverage the first of the month following 30 days of continuous employment.
Contribution Schedule
Group Life premium is paid by the company.
Your Voluntary Life Benefits
Carrier Information
Mutual of Omaha
Phone: (800) 228-7104
www.mutualofomaha.com
Group Number: G000BMVC
Plan Information
Eligibility
All full-time employees who work at least thirty (30) hours per week are eligible for coverage the first of the month following 30 days of continuous employment.
Contribution Schedule
Please click on the benefit summary above to view the Voluntary Life contribution information.
Your Short Term Disability Benefits
Carrier Information
Mutual of Omaha
Phone: (800) 228-7104
www.mutualofomaha.com
Group Number: G000BMVC
Plan Information
Eligibility
All full-time employees who work at least thirty (30) hours per week are eligible for coverage the first of the month following 30 days of continuous employment.
Contribution Schedule
The Short Term Disability premium is paid by the company.
Your Long Term Disability Benefits
Carrier Information
Mutual of Omaha
Phone: (800) 228-7104
www.mutualofomaha.com
Group Number: G000BMVC
Plan Information
Important Documents
Eligibility
All full-time employees who work at least thirty (30) hours per week are eligible for coverage the first of the month following their date of hire.
Contribution Schedule
The Long Term Disability premium is paid by the company.
Your EAP Benefits
Carrier Information
EAP-MOO
Phone: (800) 316-2796
www.mutualofomaha.com/eap
Travel Assist/ID Theft- AXA Assistance USA
Phone: (800) 856-9947
Will Preparation Services
www.willprepservices.com
Code: MUTUALWILLS
Plan Information
Eligibility
All full-time employees who work at least thirty (30) hours per week are eligible for coverage the first of the month following 30 days of continuous employment.
Contributions
The EAP benefit is provided by the company at no charge to employees.
Your Pet Insurance
Carrier Information
Nationwide
Phone: (877) 738-7874
http://www.petinsurance.com/rohligusa
Plan Information
Your Flex HSA Benefits
Helpful Resources
Phone: 888-345-7990
- Customer Service staff is available
Monday – Friday, 7:00am to 7:00pm - IVR support available 24/7
Email: service@myflexaccount.com
Fax: 844-859-7306
Web: www.myflexaccount.com
Plan Information
Eligibility
All full-time employees who work at least thirty (30) hours per week are eligible for coverage the first of the month following 30 days of continuous employment.
Contribution Schedule
This benefit is provided by the company at no charge to employees.