First Community Model Notices

First Community Bank Model Notices and Employee Documents

This webpage houses all of the First Community Bank employee benefit information along with your benefit notices and your Employee Benefits Summary Plan Description for the 2019 benefit year that starts on January 1, 2019*. Also, on this page are each carriers certificate of coverages for each benefit plan. We have also included summaries of these documents for your review along with some carrier forms below. If you need any more information please contact Brooke Kuchenbrod in Human Resources or your Clarke & Company Benefits representative below.

Click here to watch the open enrollment webinar!

Employee Benefit Summaries

Below you will find concise summaries of your employee benefit plans. These will give you a brief overview of each plans highlights and benefits. For full benefits, consult each plans certificate of coverage below.

• First Community Bank Enrollment Guide
• Blue Cross High Option Benefit Booklet
• Blue Cross Standard Option Benefit Booklet
• Blue Cross High Option Benefit Summary
• Blue Cross Standard Option Benefit Summary
• Blue Cross Preventive Care Guide
• Blue Cross Blue365 Login
• Dental Plan Benefit Summary
• Physicians Eye Care Plan Benefit Summary
• Long Term Disability Benefit Summary
• Short Term Disability Benefit Summary
• Basic Life Insurance Benefit Summary
• Blue Cross of Georgia Provider Search

Summary Plan Description & Certificates of Coverage*

Below is the First Community Bank Summary Plan Description that govern all of our benefit plans and each carriers certificate of coverage for that plan. Please consult the certificate of coverage for the benefits offered by each carrier.

• First Community Bank Cafeteria Plan Summary Plan Description
• First Community Bank FSA Summary Plan Description
• First Community Bank Blue Cross High Plan Certificate of Coverage
• First Community Bank Blue Cross Standard Plan Certificate of Coverage
• First Community Bank Group Dental Certificate of Coverage
• First Community Bank Physicians Eyecare Plan Vision Certificate of Coverage
• First Community Bank  AUL Long Term Disability Certificate of Coverage
  
• First Community Bank AUL Short Term Disability Certificate of Coverage
  
• First Community Bank Life Insurance Certificate of Coverage
  
• First Community Bank Voluntary Life Insurance Certificate of Coverage
  
• First Community Summary of Benefits & Coverage High Plan (SBC)
• First Community Summary of Benefits & Coverage Standard Plan (SBC)

Important Employee Benefits Notifications

Below you will find all of your required notifications for the First Community Bank employee benefit plans. If you have any questions regarding these notices please contact your First Community Bank Human Resources or your Clarke & Company Benefits representative regarding any notice. Click here to link to the Blue Cross website.

• First Community Bank Company Chipra Notice
• First Community Bank WHCRA Notice
• First Community Bank Health Care Reform Model Notices
• Medicare Part D Creditable Coverage Notice
• Summary of Benefits & Coverage High Option (SBC)
• Summary of Benefits & Coverage Standard Option (SBC)
• AUL Portability Information
• FSA & Dental Privacy Policy
• Blue Cross Privacy Policy
• First Community Private Policy
• Business Associate Agreement

Blue Cross Blue Shield Prescription Drug List

We have provided for you the 2018 Member Prescription Drug List (this is not the full drug list) and a like to the full prescription drug list by tier. If you have any questions on this contact your Clarke & Company Benefit representative.

• 2018 Preferred Drug List
• 2018 Prior Authorization Drug List
• 2018 Quantity Management Drug List
• 2018 Step Therapy Drug List
• 2018 Specialty Drug List
• 2018 Excluded Drug List
• Opioid Management Program
• Try Generics July 2018

Health Care Reform

Clarke & Company Benefits has prepared a Health Care Reform Website for the employees of First Community Bank to help you learn more about what the law means to you and how it will affect you and/or your dependents. If you have any other questions on reform that the site doesn’t answer, email us at Clarke & Company with any reform questions by clicking here.

Click here to go to the Health Care Reform Website

 

Web Tools For Managing Your Health

 

Blue Cross My Health Toolkit

As an employee of First Community Bank take charge of your health and start using the My Health Toolkit from Blue Cross. Watch a short video on how you can check your Explanation of Benefits, take a Personal Health Assessment, check claim status, find a doctor, see what has been applied to your deductible and much more. In the video, you will learn everything in the new toolkit and how you access it.

To view a video on the My Health Toolkit web tool click below.

My Health Toolkit Video

Click here to log in to My Health Toolkit

Questions About Your First Community Bank Benefits

If you have any questions concerning your current benefit package, any future benefits, or any other benefit information that you may need, please contact our benefit team at Clarke & Company Benefits. Our contact information is below.

Norman Clarke

Laura Howell – Account Manager

Toll Free: 888-540-9403

Columbia: 803-253-6997

To email click on name above.

The information on this webpage is presented for illustrative purposes and is based on information provided by the employer. The text contained on this website was taken from various summary plan descriptions and benefit information. While every effort was taken to accurately report your benefits, discrepancies, or errors are always possible. In case of discrepancy between this page and the actual plan documents, the actual plan documents will prevail. The plan documents will govern all plans covered on this page. This page is not a contract or a guarantee of your eligibility or benefit. All information is confidential, pursuant to the Health Insurance Portability and Accountability Act of 1996. If you have any questions about this page, contact Human Resources. If you sign up for coverage that requires evidence of insurability, even though deductions may start, you are not considered enrolled in the plans until confirmed by the carrier. If declined, you will be reimbursed.