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Employee Health Benefits

2019 Oct Delta Dental PPO 2000 Ortho C 100 2000

2019 Oct Delta Dental PPO Incentive 2000 no Ortho

Anthem Dental

CERTIFICATED

Certificated Option 1 – Anthem 40092C — 100-B $0 Rx 3-15

Certificated Option 2 – Anthem 40092G — 100-A $20 Rx 200–10-35

Certificated Option 3 – Anthem 40092H — 90-G $20 Rx 9-35

Certificated Option 4 – Anthem 40300A — 80-G $20 Rx 9-35

Certificated Option 5 – Anthem 40300B — 80-L $30 Rx 9-35

Certificated Option 6 – Kaiser 225543-0884 — $10 OV $10 Rx

Certificated Option 6 – Kaiser Supplement – Chiro and Acupuncture

CLASSIFIED

Classified Option 1 – Anthem 40092D — 100-B $0 Rx 3-15

Classified Option 2 – Anthem 40092L — 100-B $10 Rx 5-20

Classified Option 3 – Anthem 40092M — 100-A $20 Rx 200–10-35

Classified Option 4 – Anthem 40300C — 90-G $20 Rx 200–10-35

Classified Option 5 – Anthem 40300D — 80-L $30 Rx 9-35

Classified Option 6 – Kaiser 225543-0886 — $10 OV $10 Rx

Classified Option 6 – Kaiser Supplement – Chiro and Acupuncture

CONFIDENTIAL

Confidential Option 1 – Anthem 40092F — 100-B $0 Rx 3-15

Confidential Option 2 – Anthem 40092J — 100-A $20 Rx 200–10-35

Confidential Option 3 – Anthem 40092K — 100-B $10 Rx 5-20

Confidential Option 4 – Anthem 40300E — 80-G $20 Rx 9-35

Confidential Option 5 – Anthem 40300F — 80-L $30 Rx 9-35

Confidential Option 6 – Kaiser 225543-0885 — $10 OV $10 Rx

Confidential Option 6 – Kaiser Supplement – Chiro and Acupuncture

ALL EMPLOYEES

VSP Vision Care

 

ANTHEM EXTRAS

Active and Fit

Mobile App

Lab Network Flier

Temporary ID Card Instructions

KAISER EXTRAS

Advice Nurse

Complementary Care

Mobile Apps