2026 Compliance Packet
*If services other than preventive care as outlined by the US Preventative Services Task Force Recommendations are obtained during the visit, a copay, coinsurance, and/or deductible may apply.
can enjoy life more fully with less interruption due to illness.
*Dependent children are covered to the end of the month in which they turn age 26.
** Limited out-of-network benefits available.
• Employee must be enrolled in supplemental life to elect spouse or dependent life coverage.
• Spouse Premiums are based off the employee’s age and terminates when employee turns 70.
• $10,000 Child(ren) benefit = $.85 per pay (regardless of the number of children that you have).
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