Virtual Image Technology Model Notices & Employee Documents

 

 

 

 

 

VIT Model Notices and Employee Documents

This web page houses all of the VIT model notices along with your Employee Benefits Summary Plan Description for the 2013 benefit year that starts on January 1, 2013.  Also, on this page are each carriers certificate of coverage for your benefit. 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 Kari Bryant in HR, or your Clarke & Company Benefits representative below.

 

  • Wellpath

Traditional Plan Summary of Benefits

HDHP Summary of Benefits

Coventry Enrollment Guide

Enrollment or Change Form

Claim Form

HCR No Cost Contraceptive List

Medco Mail Order Form

Prescription Drug List

Preventive Care Flyer

Wellpath Provider Directory

Wellpath-Step-Therapy Drugs

Click here to visit the Wellpath website

 

 

  • Health Care Reform Notices

Chipra Notice

WHCRA Notice

Health Care Reform Model Notice

Summary Plan Description Wrap Around 2012

 

 

  • Colonial

Voluntary Benefits

Click here to visit the Colonial website

 

 

  • Standard

Amendment Rider

Dental & Vision Policy

Dental Claim Form

Enrollment or Change Form

HIPAA Notice of Privacy Practices

Out of Network Claim Form

Vision Claim Form

Click here to visit the Standard website

 

 

  • Unum

Change Form

Enrollment Form

Evidence of Insurability

Life and AD&D Certificate

Life and AD&D Certificate- Associate Attorneys and Admin Managers

Life and AD&D Certificate-Shareholders

LTD Certificate

LTD Certificate- Associate Attorneys & Admin Managers

LTD Certificate- Shareholders

Term Life and AD&D Certificate of Coverage

Travel Assistance Program

Unum Voluntary Life Information

Work Life Balance Program

Click here to visit the Unum website

 

 

  • FSA & Dependent Care

Changes to FSA Accounts

FSA Claim Form

FSA Summary Plan Description

List of Eligible and Ineligible Expenses

Participant Guide

SHDR Direct Deposit Form

Click here to visit the SHDR website

 

 

  • HSA

Application & Eligibility Form

Contribution & Withdraw Form

Department of Treasury Information Flyer

IRS Publication 969

 

 

  • Medicare

Medicare & You

Medicare Information Booklet

Understanding Medicare Enrollment Periods

Click here to visit the CMS website

 

 

  • Miscellaneous

2012 Rate Table

 

 

  • Web Tools For Managing Your Health

C&C University

C & C University is the password protected area of our website that is a virtual library of health & wellness materials. Your password is vit01 (case sensitive). Our LiveWell 24/7 Informed@home series of disease management seminars are hosted here with information on common health conditions, questions to ask the physician during your visit, plus recommendations for lower cost drug therapies including generics used to treat these conditions. Topics that are addressed in our Informed@home series include high cholesterol, diabetes management, heart disease, stress management, children’s health and nutrition, weight management, heart disease, and many more. Our Informed@home series was developed in house by our wellness staff and will continue to be updated.

The C&C University site also offers podcasts on various health and wellness topics, videos of health presentations, and print materials that can be downloaded. Each podcast was designed to help your employees become better health care consumers by including money-saving tips for prescriptions and supplies.site also offers podcasts on various health and wellness topics, videos of health presentations, and print materials that can be downloaded. Each podcast was designed to help your employees become better health care consumers by including money-saving tips for prescriptions and supplies.

Click to log into C&C University

 

  • Questions About Your Robinson McFadden Law Firm 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 Kari Bryant in Human Resources, or our benefit team at Clarke & Company Benefits. Our contact information is below.

Edwin Croft

Laura Howell-Account Manager

Toll Free-888-540-9403

Columbia: 803-253-6997

To email click on name above.

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