2023 -2024 Benefit Information

$500 Deductible Plan

Key Advantage 500 Benefit Summary              Summary of Benefits and Coverage     Pharmacy Plan Overview       Vision Plan Overview

$1000 Deductible Plan

Key Advantage 1000 Benefit Summary              Summary of Benefits and Coverage     Pharmacy Plan Overview      Vision Plan Overview

High Deductible Plan

High Deductible Benefit Summary             Summary of Benefits and Coverage     Pharmacy Plan Overview       Vision Plan Overview         HSA Investment Guide     HSA Video     HSA Snapshot

Additional Health Plan Information

Comparison of Medical Plans    TLC Plan Comparison Brochure   Enrollment Form    Open Enrollment Guide     Anthem/Local Choice Website    Home Prescription Delivery Order Form - English     Home Prescription Delivery Order Form - Spanish

Dental Information

Benefit Overview                   Delta Dental Website

Employee Assistance Program

EAP Website                         EAP Snapshot        

Plan/Membership Changes

Qualifying Mid-Year Events      Personal Data Change Form    Download a Temporary ID Card

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Compliance Notices 2023

The above file contains the following:

• Health Insurance Exchange Notice
• No Surprise Billing
• Notice of Special Enrollment Rights
• Women's Health and Cancer Rights Act (WHCRA) Notices
• Mental Health Parity and Addiction Equity Act (MHPAEA) Disclosure
• Premium Assistance Children's Health Insurance Program (CHIP) Notice
• Notice of Patient Protections
• Newborns' and Mothers' Health Protection Act Notice
• Medicare Part D Creditable Coverage Notice
• Genetic Information Non-discrimination Act (GINA) Disclosures
• General Notice of COBRA Rights
• General FMLA Notice
• USERRA Notice

Notice to Employees who have Dependent Children who are 26 in 2023

Virginia Children’s Health Insurance Program (CHIP) - Family Access to Medical Insurance Security Plan

FAMIS, or Family Access to Medical Insurance Security Plan, is Virginia's health insurance program for children. It makes health care affordable for children of families who qualify. FAMIS covers all the medical care that growing children need to stay healthy. It also covers medical care if they get sick or hurt.  To learn more go to https://www.coverva.org/en/famis

FAMIS Brochure - English          FAMIS Brochure - Spanish          FAMIS Flyer (English/Spanish)

Transparency in Coverage Machine Readable File Information