2021-22 Plan Year Documents

Company Documents


UHC Select Plus PPO 1000 25/50/20% Certificate of Coverage
UHC Select Plus PPO 500 15/30/10% Certificate of Coverage




WRAP Summary Plan Description
Summary Annual Report

Medical

UHC Select Plus PPO 1000 25/50/20%

Benefit Summary
Summary of Benefits and Covergae (SBC)

UHC Select Plus PPO 500 15/30/10%

Benefit Summary
Summary of Benefits and Covergae (SBC)

Dental

UHC DPPO

DPPO Benefit Summary
Dental PPO Brochure
Smile Direct Club Member Flyer
Bridge to Health Dental

Vision

UHC Vision

Benefit Summary
Bridge to Health Vision
vision hearing aid discount program
Vision Network

Life and AD&D

Mutual of Omaha Basic Life and AD&D


Beneficiary Designation Form

Mutual of Omaha Voluntary Life and AD&D

Benefit Summary
Beneficiary Designation Form
Portability Form
Conversion Form

Disability

Mutual of Omaha Short Term Disability

Mutual of Omaha Long Term Disability

Employee Assistance Program

Mutual of Omaha EAP

EAP Flyer

FSA

Navia Health Care and Dependent Care FSA

Online Registration Instructions
Debit Card Overview
MyNavia App Registration Guide
Health Care FSA Eligible Expenses
FSA Overview
Navia FSA Cool Features
Claim Form
Summary Plan Description

401(k)

The Standard 401(k)

Summary Plan Description
Enrollment Brochure

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Benefits Advocacy Team

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