Medical

Your Medical Benefits

Carrier Information

Community Health Options

Benefits Election Form

Clear Choice Silver $3,500 HMO Tiered NE Plan

Clear Choice Bronze $7,500 HMO Tiered NE Plan

Medical Flyers

Eligibility

All employees who work 30 hours or more are eligible for coverage the first of the month after 30 days from their date of hire.

Contributions

Bi-Weekly Rates

Clear Choice Silver $3,500 HMO Tiered NE PlanClear Choice Bronze $7,500 HMO Tiered NE Plan
Employee Only$176.26$156.16
Employee + Spouse$352.52$312.32
Employee + Children$326.08$288.90
Employee + Family$546.40$484.10

Dental

Your Dental Benefits

Carrier Information

Northeast Delta Dental
Website: www.nedelta.com
Directory:  https://dentistsearch.nedelta.com/
1-800-832-5700

Plan Documents

Plan Flyers

Eligibility

All employees who work 30 hours or more are eligible for coverage the first of the month after 30 days from their date of hire.

Contribution Schedule

Bi-Weekly Rates

NE Delta Dental Plan Cost
Employee Only$11.58
Employee + Spouse$21.71
Employee + Child(ren)$23.20
Family$38.39

Vision

Your Vision Benefits

Carrier Information

Delta Vision
Member Services: 866-723-0513
Locate a participating EyeMed Access Network Provider: www.member.eyemedvisioncare.com/nedd

Plan Documents

Eligibility

All employees who work 30 hours or more are eligible for coverage the first of the month after 30 days from their date of hire.

Contributions

Bi-Weekly Rates:

Vision Contribution Schedule

Northeast Delta Vision Plan Cost
Employee$1.41
Employee + Spouse$2.74
Employee + Child(ren)$2.66
Family$4.15

Group Life/AD&D, LTD, Voluntary STD, Voluntary Critical Illness

Your Group Life/AD&D, Long-Term Disability, Voluntary Short-Term Disability and Voluntary Critical Illness

Carrier Information

Unum

Plan Details

* If you are enrolled in the Voluntary STD plan, you will be automatically enrolled in the employer-paid LTD plan.

Enrollment Forms

Eligibility

All employees who work 30 hours or more are eligible for coverage the first of the month after 30 days from their date of hire.

Note:

  • Life/AD&D (employer paid)
  • Voluntary Short-Term Disability (employee paid)
  • Long-Term Disability (employer paid) employees enrolled in the voluntary STD plan will be automatically enrolled in the LTD plan
  • Voluntary Critical Illness (employee paid)

Claims Filing Process