Plans
Status
Change Product Order
Medical |
||||||
|---|---|---|---|---|---|---|
| Plan Name | Carrier | Effective Date | Eligible / Enrolled |
Status
|
||
| ANTHEM PPO GOLD $1000 | Anthem Blue Cross |
01/01/2022 - 12/31/2022
|
2178 / - | Active |
 |
|
| Anthem HSA Plus | Anthem Blue Cross |
12/01/2019 - 11/30/2022
|
2178 / 20 | Active |
|
|
| Anthem Gold $1000 PPO | Anthem Blue Cross |
12/01/2019 - 11/30/2023
|
2176 / 6 | Active |
|
|
| KP Gold PPO 90/70 | Kaiser Permanente |
01/01/2022 - 12/31/2022
|
2117 / - | Active |
|
|
| Anthem Gold $1000 PPO - 2020 - Copy | Anthem Blue Cross |
01/01/2021 - 12/31/2021
|
- | Expired |
|
|
| Anthem Gold $1000 PPO. | Anthem Blue Cross |
01/01/2019 - 12/31/2019
|
- | Expired |
|
|
| Anthem PPO 4000 HSA. | Anthem Blue Cross |
01/01/2019 - 12/31/2019
|
- | Expired |
|
|
| Anthem PPO Gold $1000. | Anthem Blue Cross |
12/01/2019 - 11/30/2020
|
- | Expired |
|
|
| Anthem Gold $1000 PPO | Anthem Blue Cross Blue Shield of California |
01/01/2022 - 12/31/2022
|
- | Inactive |
|
|
| Active Choice 500 80/50 | Blue Shield of California |
01/01/2019 - 12/31/2019
|
- | Expired |
|
|
| Demo Medical Plan | Blue Shield of California |
01/01/2022 - 12/31/2022
|
- | Inactive |
|
|
| Gold Access+ HMO 0/30 OffEx INF (Region 4) | Blue Shield of California |
01/01/2021 - 12/31/2021
|
- | Expired |
|
|
| KP Silver $1000 | Kaiser Permanente |
01/01/2022 - 12/31/2022
|
2178 / 1 | Active |
|
|
| Medical Plan - 2022 | ADP Retirement Services |
04/01/2022 - 03/31/2023
|
- | Inactive |
|
|
Dental |
||||||
|---|---|---|---|---|---|---|
| Plan Name | Carrier | Effective Date | Eligible / Enrolled |
Status
|
||
| Cigna Dental PPO | Cigna |
01/01/2020 - 12/31/2022
|
2178 / 7 | Active |
|
|
| Dental PPO | Delta Dental Insurance Company |
01/01/2022 - 12/31/2022
|
2178 / - | Active |
|
|
| Dental | ARC Administrators |
11/01/2020 - 10/31/2021
|
- | Expired |
|
|
| Cigna Dental DHMO | Cigna |
05/01/2021 - 04/30/2022
|
- | Expired |
|
|
| Delta Dental PPO | Delta Dental of Massachusetts |
01/01/2019 - 12/31/2019
|
- | Expired |
|
|
Vision |
||||||
|---|---|---|---|---|---|---|
| Plan Name | Carrier | Effective Date | Eligible / Enrolled |
Status
|
||
| Basic Vision | VSP |
01/01/2022 - 12/31/2022
|
2178 / 3 | Active |
|
|
| EyeMed Vision | EyeMed |
01/01/2019 - 12/31/2019
|
- | Expired |
|
|
Health Savings Account (HSA) |
||||||
|---|---|---|---|---|---|---|
| Plan Name | Carrier | Effective Date | Eligible / Enrolled |
Status
|
||
| HSA Plan | Optum Bank |
01/01/2022 - 12/31/2022
|
2178 / - | Active |
|
|
| $125 |
01/01/2022 - 12/31/2022
|
- | Inactive |
|
||
| $250 |
03/01/2022 - 02/28/2023
|
- | Inactive |
|
||
| $375 |
03/01/2022 - 02/28/2023
|
- | Inactive |
|
||
| $500 |
03/01/2022 - 02/28/2023
|
- | Inactive |
|
||
| HSA | HSA Bank |
01/01/2019 - 12/31/2019
|
- | Expired |
|
|
| HSA 2020 | HSA Bank |
12/01/2019 - 11/30/2020
|
- | Expired |
|
|
Group Long Term Disability |
||||||
|---|---|---|---|---|---|---|
| Plan Name | Carrier | Effective Date | Eligible / Enrolled |
Status
|
||
| Guardian Group LTD | Guardian |
01/01/2019 - 12/31/2023
|
2178 / 45 | Active | ||
Voluntary Life |
||||||
|---|---|---|---|---|---|---|
| Plan Name | Carrier | Effective Date | Eligible / Enrolled |
Status
|
||
| Voluntary Life | Mutual of Omaha |
01/01/2020 - 12/31/2024
|
2178 / 11 | Active |
|
|
| Test Plan for Training | Admin America |
01/01/2022 - 12/31/2022
|
- | Inactive |
|
|
Voluntary Short Term Disability |
||||||
|---|---|---|---|---|---|---|
| Plan Name | Carrier | Effective Date | Eligible / Enrolled |
Status
|
||
| Aflac STD | Aflac |
06/01/2021 - 05/31/2026
|
2178 / - | Active | ||
Group Life/AD&D |
||||||
|---|---|---|---|---|---|---|
| Plan Name | Carrier | Effective Date | Eligible / Enrolled |
Status
|
||
| Group Life/AD&D | Aflac |
01/01/2022 - 12/31/2022
|
2178 / 6 | Active |
|
|
| Colonial Group Life/AD&D | Colonial Life |
01/01/2022 - 12/31/2022
|
2178 / 1 | Active |
|
|
| Group Life & Dep Life | Guardian |
01/01/2022 - 12/31/2022
|
- | Inactive |
|
|