Benefits Updates and Alerts

Plan Documents & Required Notices Here

HIPAA Information Here

Contact the BSC at 866-481-4922
Monday-Thursday 8:00-6:00 ET / Friday 8:00-5:00 ET

Quicklinks

Health Plans Available to me Here

Walmart $4 Prescription Drug List Here

Know The Lingo Here

Extra Programs and Discounts Here

Forms Here

Plan Documents & Required Notices

2022 Plan Documents & Required Notices

pdf button NWGA Local Plus Medical Neighborhood HSA Plan Summary Plan Description

pdf buttonChoice My Medical Neighborhood HSA Summary Plan Description

pdf button Choice Local Plus HSA Summary Plan Description

pdf button Choice OAP HSA Summary Plan Description

pdf button NWGA Local Plus Medical Neighborhood Copay Plan HSA Summary Plan Description

pdf button My Medical Neighborhood Copay Plan Summary Plan Description

pdf button Local Plus Copay Plan Summary Plan Description

pdf button OAP Copay Plan Summary Plan Description

pdf button Summary of Material Modification-VIVIO Specialty Medications Program

pdf button MAC Standard Dental Plan

pdf button MAC Premium Dental Plan

pdf button Premium Access Plus Dental Plan

pdf button Vision Certificate of Insurance

pdf button Critical Illness Certificate (CIAA)

pdf button Critical Illness Policy (CIAA)

pdf button Grandfathered CI Certificate (CIIA)

pdf button Grandfathered CI Policy (CIIA) 

pdf button 401(k) Retirement Summary Plan Description

pdf button Amendment Six Plan 1 - Signed

pdf button Amendment Six Plan 2 - Signed

Summary of Benefits & Coverage (SBC's)
HSA Plans

NWGA Local Plus Medical Neighborhood HSA Plan
Choice My Medical Neighborhood HSA
Choice Local Plus HSA
Choice OAP HSA

Copay Plans

NWGA Local Plus Medical Neighborhood Copay Plan
My Medical Neighborhood Copay Plan
Local Plus Copay Plan
OAP Copay Plan

Other Plans

Employee Assistance

Other Notices

pdf buttonImportant Notice Regarding Wellness Program

pdf buttonWomen's Health and Cancer Rights Act Notice

pdf buttonMedicare Part D – Prescription Drug Coverage

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

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2021 Summary Annual Reports (SARs)

Information about 2021 Benefit Summary Annual Reports
This message applies to you, if during 2021, 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 2021 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 (coming soon)

pdf button 401(k) Retirement Plan II (coming soon)

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.

To view 2021 Plan documents, click here.

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2021 Plan Documents & Required Notices

 

pdf buttonHSA 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 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

Looking for 2020 Plan year documents? Click here

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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.

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2020 Plan Documents & Required Notices

 

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 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

Looking for 2019 Plan documents? Click here.

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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

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.

2019 Plan Documents & Required Notices

 

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 buttonShort-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 button Medicare Part D – Prescription Drug Coverage 

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

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Summary Annual Reports (SARs)

Information about 2018 Benefit Summary Annual Reports
This message applies to you, if during 2018, 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 2018 plan year and to any beneficiaries who received or were entitled to receive benefits under a qualified retirement plan.

pdf_button Health 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.

2020 Benefits Guides Bttn Module Pink

This link leads to the machine readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.