REMINDER
Annual Open Enrollment for Health Plan
If you wish to add or drop health coverage effective September 1st, you must complete request for change during open enrollment
If you wish to add or drop health coverage effective September 1st, you must complete request for change during open enrollment
Employee Contributions 9-1-2022
Benefits Enrollment Form Effective 9-1-2022
Determine your Federal Income Tax (FIT) Bracket plus 7.65% FICA Taxes to calculate your Pre-Tax Savings
2022 Federal Income Tax (FIT) Brackets
(Enrollment form required for new employees or if making a change to benefits during Open Enrollment)
POLICIES / BOOKLETS
Employee Health Benefits Effective 9/1/2022
Medical Plan Comparison 9-1-2022
Summary-of-All-Employee Health Benefits-9-1-2022 Power Point Presentation
- Schedule of Coverage Gold G652CHC – 820 SBC Gold G652CHC-820
- Schedule of Coverage Silver S665CHC – 834 SBC Silver S665CHC-834
- Virtual Visits (MD Live)
- BCBS Global Core
- Formulary List August 2022
- Dental Summary
- Vision Summary
- Life / AD&D Summary and Long Term Disability Summary
- Vol. Term Life/AD&D Summary
- Vol. Term Life/AD&D Monthly Rate Table & Vol. Term Life Enrollment form
Colonial Life Supplemental Benefit Summaries
Summary of All Colonial Life Benefits
- Supplemental Insurance EE Contributions/per pay – Accident, Cancer, and MedicalBridge
- Colonial Cost Examples for Accident, MB, & Cancer with Tax Reform
- Colonial Critical Illness Example
- Colonial Life Taxability of Claim Payments
- Accident Insurance Brochure and Outline of Coverage
- Cancer Insurance Brochure
- Outline of Coverage – Cancer 1000 (Enrolled prior to 9/1/2016)
- Outline of Coverage – CancerAssist (Enrolled on/after 9/1/2016)
- Specified Disease Rider
- Critical Illness Brochure and Outline of Coverage
- Disability Brochure and Outline of Coverage (3 month policy)
- Medical Bridge / Hospital Confinement Brochure
- Hospital Confinement Colonoscopy Benefit
- MB 3000 Outline of Coverage (Enrolled prior to 9/1/2019)
- IMB 7000 Outline of Coverage (Enrolled on/after 9/1/2019)
- Term Life Brochure
- Universal Life Brochure
Colonial supplemental benefits are portable even if you terminate your employment with JBI, LTD at your original issue age. Your benefits can be customized to fit your individual needs. Call HR or your benefits broker for more information.
Other General Information
- On Call International 24 Hour Travel Assistance
- InfoArmor Identity Theft Restoration
- ACI Specialty Benefits Bereavement Support Services
- FSA Participant Guide
- FSA Enrollment Change Form
- Managing Your FSA
- Blue Access for Members (BAM)
- BCBSTX Blue Access Mobile App
- BCBS Provider Finder
- Blue 365 Discount Programs
- BCBS Preventive Services
- Well On Target Wellness Your Healthiest Self Fitness
- Behavioral Health
- Pharmacy Mail Order
- Speciality Pharmacy
- 24 / 7 Nurse
- Preauthorization
- Special Beginnings
- Hinge Health (joint/back pain)
- Glucose Meter
- RSL Beneficiary Form
- BCBS Standard Authorization Form to Release Protected Health Information (PHI)
Important Notifications
- General Notice Of COBRA Continuation Coverage Rights
- Medical Prescription Drug Important Notice
- Notice of Special Enrollment Rights
- Premium Assistance under Medicaid & the Children’s Health Insurance Program
- WHCRA Notification
- Newborns’ & Mothers’ Act Notice
Carrier Contact Information
MEDICAL & DENTAL INSURANCE – BCBS of Texas |
Medical Policy Number: 120534 Dental Policy Number: 299985 |
BCBS Website: | www.bcbstx.com |
BCBS Global Core Website: | www.bcbsglobalcore.com |
Prescription – Prime Therapeutics Website: | www.myprime.com |
Member Services Department | 800/521-2227 |
BCBS Global Core | 800/810-2583 or collect 804/673-1177 |
Prime Member Services | 877/794-3574 |
BCBS Pharmacy Advocate | 800/423-1973 (24/7) |
Medical Preauthorization | 800/441-9188 |
Mental Health / Chemical Dependency | 800/528-7264 |
Nurse 24/7 | 800/581-0368 |
VISION INSURANCE – Vision Service Plan (VSP) |
Vision Account Number: 30069274 |
Website: | www.vsp.com |
Service Department | 800/877-7195 |
LIFE/AD&D & DISABILITY INSURANCE – Reliance Standard Life |
LTD Policy: 121171 Life/AD&D Policy: 147555 Vol. Term Life/AD&D Policy: VG 182338 |
Website: | www.reliancestandard.com |
RSL Customer Service | 800/351-7000 |
Identity Theft Recovery | 855/246-7347 |
24 Hour Travel Assistance | 800/456-3893 |
Bereavement Support Services | 855/775-4357 (24/7) |
SUPPLEMENTAL INSURANCE – Colonial Life |
Colonial Account Number: F5525035 |
Website: | www.coloniallife.com |
Customer Service Center | 800/325-4368 |
FSA ADMINISTRATION – United Healthcare |
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Website: | www.uhcservices.com |
Benefit Services (FSA) | 877/797-7475 |