MMC 2017 Annual Open Enrollment.
Open enrollment for eligible employees begins now through Monday, November 28th.
• REVIEW YOUR BENEFIT OPTIONS
• ENROLL FOR FIRST TIME
• MAKE PLAN CHANGES
• ADD/REMOVE DEPENDENTS
• DECLINE COVERAGE
Open Enrollment Booklet
The purpose of this booklet is to inform you of the types of plans you may be eligible to enroll in, changes you are allowed to make during Open Enrollment and remind you of services and ancillary benefits offered through MMC.
All elections made during this time will be effective January 1, 2017. Enrollments or changes are binding for the entire year, unless you experience a Qualifying Event.
Completed paperwork may be submitted via email firstname.lastname@example.org or fax (310) 360-5100. Please be sure to include your contact information and we will call or email you within 24 hours to confirm receipt.
Questions? Email the Benefits Dept. at email@example.com or call (800) 899-6624.
Blue Shield Access + HMO 30-10% 1500 Facility Deductible Summary 2017
Blue Shield Access + HMO Facility Coinsurance 15-20% Summary 2017
Blue Shield Full PPO Savings Two-Tier Embedded Deductible 2250-2600-4500 Summary 2017
Blue Shield Full PPO Split Deductible 35-1000 80 60 Summary 2017
Blue Shield Employee Application Form 51+ 2017
Kaiser Enrollment Application Form 2017
Kaiser Benefits Summary 2017
FSA & HSA Forms
IRS Plan Limits Forms
KHEO FSA-HSA Enrollment Application
KHEO Waiver Form 2017
KHEO Essential Formulary Flyer
KHEO 2017 Side-by-Side Comparison
KHEO Anthem Provider Locator Instructions Universal 2017
KHEO EOI Form_Supplemental Life Insurance 2017
KHEO Benefit Election Form Employees – ACTIVE & COBRA 2017
KHEO Benefit Election Form Physicians – ACTIVE & COBRA 2017