Plan Documents & Required Notices


2021

Summary Plan Descriptions (SPDs) / Certificates of Insurance

pdf button HSA Local Plus My Medical Neighborhood - Northwest Georgia

pdf button HSA My Medical Neighborhood with Cigna - Muskogee & Bennettsville

pdf button Open Access Plus H.S.A.

pdf button Local Plus H.S.A.

pdf button MAC Standard Dental Plan

pdf button MAC Premium Dental Plan

pdf button Premium Access Plus Dental Plan

pdf button Vision

pdf button Long Term Disability – Production Employees

pdf button Long Term Disability – Professional and Support Employees

pdf button Long Term Disability – Sales Employees

pdf button Long Term Disability – Over the Road Truck Drivers

pdf button Critical Illness Certificate

pdf button Accident Certificate

pdf button Basic Life – Production Employees

pdf button Basic Life – Support Employees

pdf button Basic Life – Professional Employees

pdf button Basic Life – Sales Employees

pdf button Basic Life – Over the Road Truck Drivers

pdf button Supplemental Life– Production Employees

pdf button Supplemental Life– Support Employees

pdf button Supplemental Life– Professional Employees

pdf button Supplemental Life– Sales Employees

pdf button Supplemental Life– Over the Road Truck Drivers

Summaries of Benefits & Coverage (SBC)

pdf button HSA My Medical Neighborhood - Northwest Georgia - Summary of Benefits & Coverage (SBC)

pdf button HSA My Medical Neighborhood with Cigna - Summary of Benefits & Coverage (SBC)

pdf button Local Plus H.S.A. - Summary of Benefits & Coverage (SBC)

pdf button Open Access Plus H.S.A. - Summary of Benefits & Coverage (SBC)

pdf button Employee Assistance (Short Term Counseling)

Other Notices

pdf button Women's Health and Cancer Rights Act Notice

pdf button Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP)

pdf button Medicare Part D – Prescription Drug Coverage

 

2020

Summary Plan Descriptions (SPDs) / Certificates of Insurance

pdf button HSA Local Plus My Medical Neighborhood - Northwest Georgia

pdf button HSA My Medical Neighborhood with Cigna - Muskogee & Bennettsville

pdf button Local Plus H.S.A.

pdf button Open Access Plus H.S.A.

pdf button MAC Standard Dental Plan

pdf button MAC Premium Dental Plan

pdf button Premium Access Plus Dental Plan

pdf button Vision

pdf button Long Term Disability – Production Employees

pdf button Long Term Disability – Professional and Support Employees

pdf button Long Term Disability – Sales Employees

pdf button Long Term Disability – Over the Road Truck Drivers

pdf button Critical Illness Certificate

pdf button Accident Certificate

pdf button Basic Life – Production Employees

pdf button Basic Life – Support Employees

pdf button Basic Life – Professional Employees

pdf button Basic Life – Sales Employees

pdf button Basic Life – Over the Road Truck Drivers
 
pdf button Supplemental Life– Production Employees

pdf button Supplemental Life– Support Employees

pdf button Supplemental Life– Professional Employees

pdf button Supplemental Life– Sales Employees

pdf button Supplemental Life– Over the Road Truck Drivers

Summaries of Benefits & Coverage (SBC)

pdf button HSA My Medical Neighborhood - Northwest Georgia - Summary of Benefits & Coverage (SBC)

pdf button HSA My Medical Neighborhood with Cigna - Summary of Benefits & Coverage (SBC)

pdf button Local Plus H.S.A. - Summary of Benefits & Coverage (SBC)

pdf button Open Access Plus H.S.A. - Summary of Benefits & Coverage (SBC)

pdf button Employee Assistance (Short Term Counseling)

pdf button Short-Term Disability Summary

Other Notices

pdf button Important Notice Regarding Wellness Program

pdf button Women's Health and Cancer Rights Act Notice

pdf button Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP)

pdf button Health Care Plan Notice of Privacy Practices

pdf button Medicare Part D – Prescription Drug Coverage

 

2019

Summary Plan Descriptions (SPDs) / Certificates of Insurance

pdf button HSA My Medical Neighborhood - Northwest Georgia

pdf button HSA My Medical Neighborhood with Cigna - Muskogee & Bennettsville

pdf button Local Plus H.S.A.

pdf button Open Access Plus H.S.A.

pdf button MAC Standard Dental Plan

pdf button MAC Premium Dental Plan

pdf button Premium Access Plus Dental Plan

pdf button Vision

pdf button Short-Term Disability Summary

pdf button Long Term Disability – Production Employees

pdf button Long Term Disability – Professional and Support Employees

pdf button Long Term Disability – Sales Employees

pdf button Long Term Disability – Over the Road Truck Drivers

pdf button 401(k) Retirement

pdf button Critical Illness Certificate

pdf button Accident Certificate

Medical Summaries

pdf button H.S.A. My Medical Neighborhood - Northwest Georgia - Summary of Benefits & Coverage (SBC)

pdf button H.S.A. My Medical Neighborhood - Muskogee and Bennettsville - Summary of Benefits & Coverage (SBC)

pdf button Local Plus H.S.A. - Summary of Benefits & Coverage (SBC)

pdf button Open Access Plus H.S.A. - Summary of Benefits & Coverage (SBC)

Other Notices

pdf button Important Notice Regarding Wellness Program

pdf button Health Care Plan Notice of Privacy Practices

pdf buttonMedicare Part D – Prescription Drug Coverage 

pdf_button Premium Assistance under Medicaid and the Children's Health Insurance Program Notice

2017 green line 

2018

Summary Plan Descriptions (SPDs) / Certificates of Insurance

pdf button Medical - My Medical Neighborhood Plan

pdf button Medical - Local Plus H.S.A. Plan

pdf button Medical - Open Access H.S.A. Plan

pdf button MAC Standard Dental Plan

pdf button MAC Premium Dental Plan

pdf button Premium Access Plus Dental Plan

pdf button Vision

pdf button Short-Term Disability Summary

pdf button Long-Term Disability | pdf button Long-Term Disability Amendment (Effective 4/1/2018)

pdf button 401(k) Retirement

pdf button Critical Illness

pdf button Accident Certificate

pdf button Basic Life – Production Employees

pdf button Basic Life – Support Employees

pdf button Basic Life – Professional Employees

pdf button Basic Life – Sales Employees

pdf button Basic Life – Over the Road Truck Drivers
 
pdf button Supplemental Life– Production Employees

pdf button Supplemental Life– Support Employees

pdf button Supplemental Life– Professional Employees

pdf button Supplemental Life– Sales Employees

pdf button Supplemental Life– Over the Road Truck Drivers

Medical Summaries

pdf button Local Plus H.S.A. - Summary of Benefits & Coverage (SBC)

pdf button Open Access Plus H.S.A. - Summary of Benefits & Coverage (SBC)

pdf button HSA My Medical Neighborhood Plan - Summary of Benefits & Coverage (SBC)

Other Notices

pdf button Important Notice Regarding Wellness Program

pdf button Medicare Part D – Prescription Drug Coverage

Looking for 2017 Plan documents? Click here.

 


2017 green line

Summary Annual Reports (SARs)

Information about 2020 Benefit Summary Annual Reports
This message applies to you, if during 2020, you were a participant in, or beneficiary of one ore more of the employee benefit plans listed below. To access a report, please click on a plan name below.

Why We Publish This Information
The Employee Retirement Income Security Act of 1974 (ERISA) requires that we share Summary Annual Reports (SARs) to all current and former employees who participated in any of the benefit plans for the 2020 plan year and to any beneficiaries who received or were entitled to receive benefits under a qualified retirement plan.

pdf_buttonHealth and Welfare Benefit Plans

pdf_button 401(k) Retirement Plan I

pdf_button 401(k) Retirement Plan II

If you would like to obtain a printed copy of any of the documents above, please call the Benefits Service Center at 1-866-481-4922.


2017 green line

Summary Annual Reports (SARs)

Information about 2019 Benefit Summary Annual Reports
This message applies to you, if during 2019, you were a participant in, or beneficiary of one ore more of the employee benefit plans listed below. To access a report, please click on a plan name below.

Why We Publish This Information
The Employee Retirement Income Security Act of 1974 (ERISA) requires that we share Summary Annual Reports (SARs) to all current and former employees who participated in any of the benefit plans for the 2019 plan year and to any beneficiaries who received or were entitled to receive benefits under a qualified retirement plan.

pdf_buttonHealth and Welfare Benefit Plans

pdf_button 401(k) Retirement Plan I

pdf_button 401(k) Retirement Plan II

Summary Annual Reports for the 2018 Benefit Plans can be accessed here.

If you would like to obtain a printed copy of any of the documents above, please call the Benefits Service Center at 1-866-481-4922.

 

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Cigna
1-855-566-4295
Express Scripts
1-877-887-2879
Amwell
1-844-733-3627
Metlife
1-855-488-0520
Aflac
1-800-433-3036
TaxSaver Plan
1-800-328-4337
Fidelity
1-800-835-5087
One America
1-855-279-6375
HLC
1-877-365-0051
Hodges-Mace / Alight
1-877-308-9157