Resume Guided Tour

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

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