Employee Benefits
2010 EMPLOYEE BENEFITS
FORMS
Spousal Surcharge Affidavit/Waiver Form
HRA/FSA Reimbursement Fax Cover Sheet
FSA Claim Reimbursement Form
BENEFIT SUMMARY
2010 Retirement Plan Highlights
401k Q&A
Profit Sharing Q&A
HRA Benefits Summary
Non-HRA Benefits Summary
Other Benefits Summary
REFERENCE INFORMATION
Premium Rate Sheet
Medical Plan Changes Q&A
Anthem Welcome Letter
Anthem Q&A
Benefit Providers Contact List
Benefit/HR Department Contact List
RETIREMENT PLAN CHANGES
401(k) Q&A & Profit Sharing Q&A
Fidelity Welcome Brochure
CONTACTS & WEB LINKS
Anthem Blue Cross Blue Shield - Medical and Vision Plan
Phone # (866) 309-4315 Web site www.anthem.com
Medco - Prescription Drug Plan
Phone # (800) 669-3730 Web site www.medco.com
Delta Dental - Dental Plan
Phone # (800) 510-9915 Web site www.deltadental.com
Advanced Benefits - HRA & FSA Plans
Phone # (866) 315-1777 Web site www.mybenefits247.com
Fidelity Financial Services - 401k and Profit Sharing Plan
Phone # (800) 835-5095 Web site www.401k.com
Prudential Financial - Basic Life and Supplemental Life Insurance
Phone # (877) 778-2100 Web site www.prudential.com
Employee Assistance Program (EAP) - Unum Benefits Center
Phone # (800) 854-1446 English (877) 858-2147 Spanish
Family Medical Leave (FMLA) & Short Term Disability (STD)
Contact Tammy Ward (888) 672-7766 or (801) 409-2507