EIA Kaiser 15 Summary

EIA Anthem HMO 15 Summary

EIA Anthem HMO 20 Summary

EIA Anthem PPO 80 Summary

Active Employee Rates

Early Retiree Rates

Kaiser KPSA Summary

Anthem Senior Advantage Summary

Express Scripts Summary (Anthem Medicare Participants Only)

Medicare Retiree Rates

DELTA DENTAL
800-765-6003
deltadentalins.com

• Delta Plan Highlight & Summary
• Enrollment Form

VSP
800-877-7195
www.vsp.com

• Vision Plan Highlight & Summary
• Enrollment Form

FSA
800-685-6100
www.benxcel.com

• FSA Brochure
• Enrollment Form

Hartford Highlight

EAP Ability Assist

Enrollment From

TIAA-CREF
888-225-7377
www.tiaa-cref.org

• About TIAA Flyer
• Informational TIAA Flyer
• Why TIAA

Anthem Select HMO 15 Plan

Anthem HMO 20 Plan

Anthem PPO 80 Plan

Anthem Medicare

Plan Summaries

Active Employees & Early Retirees

• Anthem BlueCross HMO 20
• Anthem BlueCross HMO Select
• Anthem BlueCross PPO
• Kaiser HMO

Note: While the Active Employee and Early Retiree plan benefits are the same, the active employee and early retiree monthly costs to the individual are different. Please see the below “Plan Monthly Costs” section for details.

Summary of Benefits and Coverage

• Anthem BlueCross HMO 20
• Anthem BlueCross HMO Select
• Anthem BlueCross PPO

Medicare Eligible Retirees

• Anthem BlueCross Senior Secure HMO
• Anthem BlueCross Senior Secure LPPO
• Part D Prescription Drug Benefit Chart
• Kaiser Senior Advantage HMO

Plan Monthly Costs

• Active Employees
• Early Retirees
• Medicare Eligible Retirees

DELTA DENTAL
800-765-6003
deltadentalins.com

• Plan Benefit Highlights
• Delta Dental PPO Enrollment Form
• Using the Delta Website

VSP
800-877-7195
www.vsp.com

• Vision Enrollment Form
• Vision Benefits Summary

• FSA Summary and Information
• FSA Enrollment Form

• Life Insurance Enrollment Form

TIAA-CREF
888-225-7377
www.tiaa-cref.org