Plan Documents & Required Notices

Out of Area Standard Plan Option

Out of Area Premium Plan Option

Vision Certificate of Insurance

Supplemental Life– Production Employees

Supplemental Life– Support Employees

Supplemental Life– Professional Employees

Supplemental Life– Sales Employees

Supplemental Life– Directors and Above

Supplemental Life– Over the Road Truck Drivers

Long Term Disability – Production Employees

Long Term Disability – Professional and Support Employees

Long Term Disability – Sales Employees

Long Term Disability – Over the Road Truck Drivers

Summary of Benefits & Coverage (SBC's)

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.

NWGA Local Plus Medical Neighborhood HSA Plan Summary Plan Description

401(k) Retirement Plan I (coming soon)

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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2022 Plan Documents & Required Notices

Choice My Medical Neighborhood HSA Summary Plan Description

Choice Local Plus HSA Summary Plan Description

Choice OAP HSA Summary Plan Description

NWGA Local Plus Medical Neighborhood Copay Plan HSA Summary Plan Description

My Medical Neighborhood Copay Plan Summary Plan Description

Local Plus Copay Plan Summary Plan Description

OAP Copay Plan Summary Plan Description

Summary of Material Modification-VIVIO Specialty Medications Program

Vision Certificate of Insurance

Critical Illness Certificate (CIAA)

Critical Illness Policy (CIAA)

Grandfathered CI Certificate (CIIA)

Grandfathered CI Policy (CIIA)

401(k) Retirement Summary Plan Description

Amendment Six Plan 1 - Signed

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

Important Notice Regarding Wellness Program

Women's Health and Cancer Rights Act Notice

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

2021 Summary Annual Reports (SARs)

HSA Local Plus My Medical Neighborhood - Northwest Georgia

HSA My Medical Neighborhood with Cigna - Muskogee & Bennettsville

401(k) Retirement Plan I (coming soon)

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

Open Access Plus H.S.A.

Local Plus H.S.A.

Long Term Disability – Production Employees

Vision

Long Term Disability – Professional and Support Employees

Long Term Disability – Sales Employees

Long Term Disability – Over the Road Truck Drivers

Critical Illness Certificate

Accident Certificate

Supplemental Life– Production Employees

Supplemental Life– Support Employees

Supplemental Life– Professional Employees

Supplemental Life– Sales Employees

Supplemental Life– Over the Road Truck Drivers

Summaries of Benefits & Coverage (SBC)

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

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

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

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

Employee Assistance (Short Term Counseling)

Other Notices

Women's Health and Cancer Rights Act Notice

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

Looking for 2020 Plan year documents? Click here.

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.

401(k) Retirement Plan II

401(k) Retirement Plan I

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.

Save

2020 Plan Documents & Required Notices

HSA Local Plus My Medical Neighborhood - Northwest Georgia

HSA My Medical Neighborhood with Cigna - Muskogee & Bennettsville

Local Plus H.S.A.

Open Access Plus H.S.A.

Long Term Disability – Production Employees

Vision

Long Term Disability – Professional and Support Employees

Long Term Disability – Sales Employees

Long Term Disability – Over the Road Truck Drivers

Critical Illness Certificate

Accident Certificate

Supplemental Life– Production Employees

Supplemental Life– Support Employees

Supplemental Life– Professional Employees

Supplemental Life– Sales Employees

Supplemental Life– Over the Road Truck Drivers

Summaries of Benefits & Coverage (SBC)

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

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

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

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

Employee Assistance (Short Term Counseling)

Short-Term Disability Summary

Other Notices

Important Notice Regarding Wellness Program

Women's Health and Cancer Rights Act Notice

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

Health Care Plan Notice of Privacy Practices

Looking for 2019 Plan documents? Click here.

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.

401(k) Retirement Plan II

401(k) Retirement Plan I

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

HSA My Medical Neighborhood - Northwest Georgia

HSA My Medical Neighborhood with Cigna - Muskogee & Bennettsville

Local Plus H.S.A.

Open Access Plus H.S.A.

Short-Term Disability Summary

Vision

Long Term Disability – Production Employees

Long Term Disability – Professional and Support Employees

Long Term Disability – Sales Employees

Long Term Disability – Over the Road Truck Drivers

401(k) Retirement

Critical Illness Certificate

Accident Certificate

Medical Summaries

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

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

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

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

Other Notices

Important Notice Regarding Wellness Program

Health Care Plan Notice of Privacy Practices

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

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.