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Introduction

How To Use This Plan Summary
A Look Inside a Chapt
Introduction
Benefits Just for You
A Valuable Selection
Cost-sharing
Additional Resources
Eligibility
Who Is Eligible for the Vought
Benefits Program?

Who Is an Eligible Dependent?
Full-Time Student Status
Working Spouses
Eligibility in Special Situations
Enrolling in Your Optional Benefits
A Look at Your Vought Benefits
When You Can Enroll
Selecting Your Coverage Category
Benefit Dollars and Your Cost For Coverage
Before-tax Vs. After-tax: What Is the Difference?
Frequently Asked Questions

Medical

Highlights
Your Options
Coverage Categories
Changing Your Coverage

In Brief
Your Options
Comprehensive PPO, Standard PPO And Safety Net PPO Options
Point-of-Service (POS) Option
Choose the Correct Provider Network
Health Maintenance Organization (HMO) Options
Binding Arbitration for HMOs
Opting Out of Medical Coverage

In Detail
In- or out-of-network - the Choice Is Yours
In-network Saves You Money!
Access to in-network Benefits
Out-of-Network Benefits
Benefit Plan Year Deductible
What Is a Copayment?
What Is Coinsurance?
What Is an Out-of-Pocket Maximum?
What Is the Lifetime Maximum?
Usual, Reasonable and Customary
Medically Necessary
Emergency Care
Emergency Care While Traveling Outside Your Network Area
Ambulance Service
Urgent Care
Mandatory Precertification
Eligible Medical Expenses
Ineligible Medical Expenses
Vision and Hearing Care
Vision Care
Hearing Care
Blue Cross Blue Shield Claims Administration
      - Medical Claims
      - Vision and Hearing Care Claims
      - Filing Your Claims
Prescription Drugs
Mental Health and Substance
Abuse Treatment

General
When Coverage Ends
Obtaining New Medical Coverage (HIPAA)
Third-Party Reimbursement (Right of Subrogation)
Non-Duplication of Benefits
Coordination with Medicare for Active Employees
Employee Assistance Program

Frequently Asked Questions

Dental

Highlights
Your Options
Coverage Categories
Changing Your Options

In Brief
Your Plan Options
Coverage Levels

In Detail
Delta Dental How the Options Work
The Deductible
Your Share
Benefits Payable
Eligible Expenses
Ineligible Expenses
Maximum Benefit
Predetermination of Benefits
Extension of Benefits
If You Have Other Coverage
CIGNA Dental Health
      - How the Option Works
      - Ineligible Expenses
      - Maximum Benefit
General Claims
When Coverage Ends

Frequently Asked Questions

Flexible Spending Accounts

Highlights
What Are My Options?
A Word of Caution

In Brief
The Health Care Flexible Spending Account
The Dependent Care Flexible Spending Account
Joining the Plan
How the Accounts Work
How You Save Money
Requesting Reimbursement
Changing Your Selections

In Detail
Are They Right for You?
Health Care Flexible Spending Account
Eligible Health Care Expenses
Plan Your Expenses Carefully
Ineligible Health Care Expenses
Dependent Care Flexible Spending Account
Eligible Dependents
Eligible Dependent Care Expenses
Ineligible Dependent Care Expenses
How Much Can You Contribute?
General
How Other Benefits Are Affected
Health Care Flexible Spending Account Vs. Tax Deduction
Dependent Care Flexible Spending Account Vs. Tax Credit
Reimbursements
When Participation Ends

Frequently Asked Questions

Life and Accident Insurance

Highlights
Your Benefits
What Is Term Insurance?

In Brief
Your Life and Accident Insurance Benefits
Life Insurance Benefits

In Detail
Life Insurance
Accidental Death and Dismemberment Insurance
Business Travel Accident Insurance Coverage
General
When Coverage Ends

Frequently Asked Questions

Long-term Disability

Highlights
Your Benefits
How Your Long-Term Disability Benefits Work
Enrolling in Optional LTD Coverage
Evidence of Insurability
The Disability Process

In Detail
Calculating Your Benefit Amount
Social Security Disability Benefits
The Rehabilitation Benefit
If You Become Disabled Again
Disabilities Due to Mental Illness and/or Drug- or Alcohol-Related Disability
When Your LTD Benefit Payments End
Exclusions
General
When Coverage Ends

Frequently Asked Questions

Group Legal Services

Highlights
The Group Legal Plan

In Detail
Just Pick Up The Phone...
Multiple Legal Actions
Covered Services
Services Not Covered
How To Use Your Group Legal Plan
When Coverage Ends

Frequently Asked Questions

General Plan Administration

Highlights
The Employee Retirement Income Security Act of 1974
What ERISA Means To You
What ERISA Does

In Detail
Administrative Information
Cost of Coverage
How To Claim Your Benefits
If Your Claim Is Denied
Timing of Your Appeal
Your ERISA Rights
Enforcing Your ERISA Rights
COBRA Continuation of Coverage
General
Plan Documents
Future of the Plans
Questions

Service Providers

Premium BCBS
Balanced Choice BCBS
Standard PPO BCBS
Healthcare Essentials BCBS
Aetna U.S. Healthcare of Texas
Aetna New York
Aetna of California
Kaiser Permanente
Pacificare
Premera Health Plus
United Health Care (FSA)
Dental Care Plan
Dental Care Plus Plan
Preventive Plan
CIGNA Dental Health
Prudential Life
A. C. Newman (AD&D)
MetLife (LTD)
Signature Legal Care (Group Legal)
Caremark (Mail-order Prescriptions)

Enrollment Guide

Introduction

NEW Information of Interest

How to Enroll

Download Forms

Glossary

What Do the Benefit Terms Mean

Contact Excel

Who Do You Call If You Have a Problem or Need Assistance


   

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