Your Medical Benefits

Eligibility:

Employees who work a minimum of 30 hours per week are eligible to enroll on their date of hire. You may also enroll your eligible dependents, and they are defined as:

  • All Legal Spouses
  • Qualified Domestic Partners (same or opposite sex)
  • Dependent Children up to age 26 (natural, adopted, foster or stepchildren)

If your dependent child is over age 26 and mentally or physically disabled, coverage can be continued with proof of the ongoing disability.

Anthem Classic Select HMO

Plan Documents

Anthem Value HMO

Plan Documents

Anthem Classic PPO

With the PPO plan, you can visit any licensed doctor, hospital or medical provider you want. However, the method of payment and the cost of the service may vary, depending on whether the doctor is in the Anthem network or not. With a PPO, you will be responsible for copays for certain services and will need to meet your deductible and coinsurance for other services.

Plan Documents

Anthem Solution PPO

With the PPO plan, you can visit any licensed doctor, hospital or medical provider you want. However, the method of payment and the cost of the service may vary, depending on whether the doctor is in the Anthem network or not. With a PPO, you will be responsible for copays for certain services and will need to meet your deductible and coinsurance for other services.

Plan Documents

Anthem Solution HDHP

Plan Documents

Your Dental Benefits

Eligibility:

Employees who work a minimum of 30 hours per week are eligible to enroll

on their date of hire. You may also enroll your eligible dependents, and they are defined as:

  • All Legal Spouses
  • Qualified Domestic Partners (same or opposite sex)
  • Dependent Children up to age 26 (natural, adopted, foster or stepchildren)

If your dependent child is over age 26 and mentally or physically disabled, coverage can be continued with proof of the ongoing disability.

The Anthem Blue Cross DPPO plan covers a wide range of dental services. You have the freedom to go in or out of network for care; however you can maximize your benefits and pay less out-of-pocket when you see a dentist in the PPO network.

Plan Documents
Contributions

Cost Per Pay Period

Employee OnlyEmployee + SpouseEmployee + Child(ren)Employee + Family
DPPO$4.44$19.25$20.63$36.94
Carrier Forms and Information

Carrier Service Contact
Anthem Blue Cross
877-567-1804

Anthem Website

Find a Dentist

Anthem Flyers

Your Vision Benefits

Eligibility:

Employees who work a minimum of 30 hours per week are eligible to enroll on their date of hire. You may also enroll your eligible dependents, and they are defined as:

  • All Legal Spouses
  • Qualified Domestic Partners (same or opposite sex)
  • Dependent Children up to age 26 (natural, adopted, foster or stepchildren)

If your dependent child is over age 26 and mentally or physically disabled, coverage can be continued with proof of the ongoing disability.

Anthem Vision

We provide vision coverage that is both comprehensive and affordable for you and your family. Our carrier’s extensive network of professionals allows you to choose from a wide variety of providers to fit your needs.

Plan Documents
Carrier Forms and Information
Contributions

Cost Per Pay Period

Employee OnlyEmployee + SpouseEmployee + Child(ren)Employee + Family
Blue View Vision$3.35$6.69$6.86$10.21

Helpful Resources

Carrier Service Contact
Anthem Blue Cross
866-723-0515

Anthem Website
Find a Doctor

Your Life and AD&D Benefits

Life insurance is an affordable way to help you provide financial security for your loved ones. Available to employees who work 30+ hours per week.

Note: In order for your beneficiary to receive a benefit in the event of a death claim, an employee must have worked a minimum of 30 hours per week.

Plan Documents

Life/AD&D Insurance

Helpful Resources

Carrier Service Contact
Mutual of Omaha
800-775-8805
mutualofomaha.com

Your EAP Benefits

Eligibility: The EAP through Mutual of Omaha is available to all employees.

Plan Documents
Helpful Resources

Carrier Service Contact
Mutual of Omaha
800-316-2796
mutualofomaha.com/eap