1775 Old 6 Road
PO Box 535
Brooklyn, IA 52211
Phone: 641-522-9206
fax: 641-522-5594

Frank Heinen

Beginning in January 2003, the company contribution for health insurance will change from 80% to 75% of the premium cost. Information on how an additional 5% discount for health insurance premiums can be earned is explained under the wellness section of this article.

Prescriptions, doctor bills, etc., for the year 2002 must be submitted prior to one year from date of service. Eligible expenses incurred during October, November and December, which are applied toward this year’s deductible, will also be applied toward next year’s deductible. Co-insurance and maximum out-of- pocket expenses do not carry forward. The co-pay for office visits DOES NOT apply toward deductible or co-insurance.

Planned inpatient admissions must be reported to First Administrators (800-344-5822) prior to the actual admission. Emergency admissions must be reported within 24 hours following the date of admission. Failure to call will result in reduced benefits. Most hospitals will do this for you but you are responsible for any penalty for failure to pre-certify.

Certain services require prior approval from First Administrators before the service is provided. Failure to obtain a prior approval will result in reduced benefits. Some services requiring prior approval include hospice services, home health care, private duty nursing, home infusion therapy, and organ transplants. A complete list of these services and applicable penalties are listed in the benefit summary of the Group Health Benefit Booklet.

Pay the full cost of the prescription drug and submit the receipt to First Administrators for reimbursement.

Prescriptions are first subject to the calendar year deductible.

After calendar year deductible is satisfied, prescriptions are covered at 80%.

On page 13 of your Health Benefit Booklet you will find the criteria for COBRA. It is your responsibility to notify Frank Heinen or Diane Kilmer within sixty (60) days if you become divorced, legally separated, or a dependent child ceases to be an eligible dependent as defined by this Plan.

You can earn an additional 5% company contribution, or 80% total, towards your health insurance premiums by participating in the wellness screening.

You must participate in Wellness during 2002 to qualify for the 80% company contribution during 2003.

If your spouse is covered under Manatts Group Health Plan, both you and your spouse must participate in Wellness to qualify for the additional 5%.

Contact Diane Kilmer if you have not participated in Wellness during 2002 but would like to set up an appointment prior to January 1, 2003, for a screening. This will allow you to be eligible for the discount in 2003.

 

All unreimbursed medical claims and dependent care claims (when applicable) for the year 2002 must be submitted to Bev Vaverka within 60 days from the end of the year or prior to February 28, 2003.

Flex claim forms are available from your local office. Complete the claim form and attach an eligible receipt. Cash receipts, cash register tapes, cancelled checks or credit card receipts are NOT eligible receipts.

Flex checks are written on the 15th of each month. You must have your claims submitted to Bev at least 3 business days prior to the 15th.

A request for a PIN# replacement must be done via telephone.

Dial the 800 phone number (1-800-258-2715).

Enter your social security number.

Listen to the instructions on what to do if you do not know your PIN#.

A request will be made for you to enter a couple of numbers.

A new PIN# will be sent to your home address within 2 working days.

You will not be able to access your account until you receive your PIN#.

Contact Diane Kilmer with any address or dependent status changes. It is very important to keep our files correct for all mail correspondence, processing of forms, and claim information.

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WEB ACCESS!

You can view all the benefit information and SPD's online!  To access these documents you must sign into the corporate intranet on the homepage of this website.  If you do not have a valid username and/or password or for more information on viewing these documents, contact Jamie Kriegel in Brooklyn.