DeWinter Group Health & Welfare Benefit Plan Appendix

Remote Workers – Non-CA

Medical - Cigna - PPO 500

Group Number:

10542601

Phone:

800-997-1654

Claims Address:

CIGNA PO Box 188061 Chattanooga, TN 837422-8061

Website:

www.cigna.com

Eligibility:

Employee’s work at least 30 hours. Must work 30 days and effective the first day of the following month.

Waiting Period:

Employees are eligible to participate when they work 30 days and will be effective the first day of the following month.

How to Find a Doctor:   

Go to: www.cigna.com

Network: Open Access Plus Buy Up Plan

      ·       Click ‘Find a Doctor, Dentist or Facility’ on the top right of the page

      ·       Login to myCigna or register for an account

      ·       Enter location

      ·       Select a plan

      ·       Search for provider or specialty

 

Medical – Cigna PPO 1500

Group Number:

1054261

Phone:

800-997-1654

Claims Address:

CIGNA PO Box 188061 Chattanooga, TN 837422-8061

Website:

www.cigna.com

Eligibility:

Employee’s work at least 30 hours. Must work 30 days and effective the first day of the following month.

Waiting Period:

Employees are eligible to participate when they work 30 days and will be effective the first day of the following month.

How to find a Doctor: 

Go to: www.cigna.com

Network: Open Access Plus Base

      ·       Click ‘Find a Doctor, Dentist or Facility’ on the top right of the page

      ·       Login to myCigna or register for an account

      ·       Enter location

      ·       Select a plan

Search for provider or specialty

 

Medical - Cigna – HSA 2800 Local Plus

Group Number:

10542601

Phone:

800-997-1654

Claims Address:

CIGNA PO Box 188061 Chattanooga, TN 837422-8061

Website:

www.cigna.com

Eligibility:

Employee’s work at least 30 hours. Must work 30 days and effective the first day of the following month.

Waiting Period:

Employees are eligible to participate when they work 30 days and will be effective the first day of the following month.

How to Find a Doctor:  

Go to: www.cigna.com

Network: Local Plus IN HDHP

      ·       Click ‘Find a Doctor, Dentist or Facility’ on the top right of the page

      ·       Login to myCigna or register for an account

      ·       Enter location

      ·       Select a plan

      ·       Search for provider or specialty

 

Medical - Cigna – PPO 1500 Local Plus

Group Number:

10542601

Phone:

800-997-1654

Claims Address:

CIGNA PO Box 188061 Chattanooga, TN 837422-8061

Website:

www.cigna.com

Eligibility:

Employee’s work at least 30 hours. Must work 30 days and effective the first day of the following month.

Waiting Period:

Employees are eligible to participate when they work 30 days and will be effective the first day of the following month.

How to Find a Doctor:

Go to: www.cigna.com

Network: LocalPlus Base

      ·       Click ‘Find a Doctor, Dentist or Facility’ on the top right of the page

      ·       Login to myCigna or register for an account

      ·       Enter location

      ·       Select a plan

      ·       Search for provider or specialty

 

Dental – Cigna PPO

Group Number:

00630804

Phone:

800-244-6224

Claims Address:

CIGNA PO Box 188037 Chattanooga, TN 37422-8037

Website:

www.cigna.com

Eligibility:

Employee’s work at least 30 hours. Must work 30 days and effective the first day of the following month.

Waiting Period:

Employees are eligible to participate when they work 30 days and will be effective the first day of the following month.

How to Find a Doctor: 

Go to: www.cigna.com

Network: Cigna Dental PPO

      ·       Click ‘Find a Doctor, Dentist or Facility’ on the top right of the page

      ·       Login to myCigna or register for an account

      ·       Enter location

      ·       Select a plan

      ·       Search for provider or specialty

 

Vision – VSP

Group Number:

30058521

Phone:

800-877-7195

Claims Address:

PO Box 385018 in Birmingham, AL 35238-5018

Website:

www.vsp.com

Eligibility:

Employee’s work at least 30 hours. Must work 30 days and effective the first day of the following month.

Waiting Period:

Employees are eligible to participate when they work 30 days and will be effective the first day of the following month.

How to Find a Doctor:

Go to: www.vsp.com

Network: VSP Choice

      ·       Click ‘Find a Doctor’

      ·       Search by the ‘Location, Doctor of Office Name’

      ·       Doctor Network is ‘Choice’

      ·       Choose the doctor that works best for you on your plan

 

 

 

Health HSA

Administrator

WEX

Group Number:

N/A

Phone:

866-244-6224

2022 IRS Max Contribution

$3,650 Individual

$7300 Family

Website:

www.wexinc.com

Eligibility:

Employee’s work at least 30 hours. Must work 30 days and effective the first day of the following month.

Waiting Period:

Employees are eligible to participate when they work 30 days and will be effective the first day of the following month.

 

Health FSA

Administrator

WEX

Group Number:

N/A

Phone:

866-244-6224

2022 IRS Max Contribution

$2750

Website:

www.wexinc.com

Eligibility:

Employee’s work at least 30 hours. Must work 30 days and effective the first day of the following month.

Waiting Period:

Employees are eligible to participate when they work 30 days and will be effective the first day of the following month.

 

Dependent Care FSA

Administrator

WEX

Group Number:

N/A

Phone:

866-244-6224

2022 IRS Max Contribution

$5000

Website:

www.wexinc.com

Eligibility:

Employee’s work at least 30 hours. Must work 30 days and effective the first day of the following month.

Waiting Period:

Employees are eligible to participate when they work 30 days and will be effective the first day of the following month.