Unified Fire Authority
Table of Contents
Explanation of Benefits ............................................................................................................. 3 Benefits Overview ...................................................................................................................... 5 Navigate my Benefits ................................................................................................................ 6 Medical Benefits ........................................................................................................................ 7 SelectHealth Member Resources ............................................................................................. 9 On the Move ?.......................................................................................................................... 10 Virtual Visits — Connect Care .................................................................................................. 13 Prescription Drug Coverage .................................................................................................... 17 SelectHealth Healthy Beginnings ............................................................................................ 18 Helping You Quit ..................................................................................................................... 19 Member Discounts .................................................................................................................. 20 Dental Benefits ........................................................................................................................ 21 Vision Benefits ......................................................................................................................... 22 Flexible Spending Account ..................................................................................................... 23 Health Reimbursement Arrangement ( HRA )........................................................................... 24 Life and Accidental Death & Dismemberment Insurance ....................................................... 25 Voluntary Life Insurance .......................................................................................................... 25 Voluntary AD & D Insurance ...................................................................................................... 26 Accident Weekly Indemnity Coverage .................................................................................... 27 Accident Medical Expense ...................................................................................................... 27 Long-Term Disability Insurance ............................................................................................... 27 Tier 1 Firefighters Retirement Information ............................................................................... 28 Critical Illness .......................................................................................................................... 29 Hospital Indemnity .................................................................................................................. 30 Identity Theft Protection .......................................................................................................... 31 VEBA Plan Information ............................................................................................................ 32 Important Notices and Disclosures ......................................................................................... 34 Contact Information ................................................................................................................. 42 Monthly Contributions for Benefits .......................................................................................... 42
IMPORTANT :
If you ( and / or your dependents ) have medicare or will become eligible for medicare in the next 12 months , federal law gives you more choices about your prescription drug coverage . Please see page 37 for more details .
This document is an outline of the coverage proposed by the carrier ( s ), based on information provided by your company . It does not include all of the terms , coverage , exclusions , limitations , and conditions of the actual contract language . The policies and contracts themselves must be read for those details . Policy forms for your reference will be made available upon request .
The intent of this document is to provide you with general information regarding the status of , and / or potential concerns related to , your current employee benefits environment . It does not necessarily fully address all of your specific issues . It should not be construed as , nor is it intended to provide , legal advice . Questions regarding specific issues should be addressed by your general counsel or an attorney who specializes in this practice area .
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