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EmployeeEmployeeEmployee BenefitBenefitBenefit InformationInformationInformation 
For the 2009 Plan Year For the 2009 Plan Year For the 2009 Plan Year  
ABCABCABCCompanyCompanyCompany
 
 
Employee Benefit News 
 If you wish to continue your dentalcoverage, you must complete a ABCElection Form.
 If you wish to continue or enroll for the firsttime in the vision, you must complete anAlwaysCare Vision Enrollment Form and aABC Election Form
1.
.
 The medical plan you select is the plan inwhich you will remain until the next openenrollment period with an effective date ofJanuary 1, 2010.
Please submit all forms to HumanResources no later than November 7, 2008
toavoid delays in the effective date of yourcoverage.
 
Plan Year January 1, 2009—December 31, 2009
This description of the benefits and options that are available for this plan year provides a generaloverview of the benefits. Actual provisions contained in the insurance contracts and plandocuments will be relied upon solely, in administration and interpretations of the plans.
R
ising healthcare costs affect almosteveryone. Factors impacting theseincreases include technology, cost shifting,prescription drug costs, lifestyle choices, and anaging population. As health plan premiumscontinue to rise, we maintain a commitment toyou and your family by offering an excellentbenefit package.The ABC Company (ABC) is pleased to giveyou the opportunity to participate in one of thefollowing medical plans effective January 1,2009:
Your medical plan options are:
Blue Cross Blue Shield (“BCBS”)Community Blue PPO 3 Plan;
Blue Care Network (“BCN”) Healthy BlueLiving HMO.
During the open enrollment period you may:
 Enroll in the medical plan of your choice
(
if you have previously waived coverage, you may only enroll in coverage during open enrollment 
)
.
 Enroll eligible dependents previously notenrolled.
Some things to remember…
 You and your eligible dependents must eachenroll in the same plan.
 You must complete a ABC Election Form
and 
a BCBSM / BCN Enrollment-Change ofStatus Form if you would like to participatein one of the medical plans.
 You must complete the ABC Election Formif you wish to waive any coverage.
 
Page 3
ABC Employee Benefits Plan 2009
IN THIS ISSUE:
BCN Healthy Blue Living HMO ............... 4BCBS Community Blue PPO ................... 7Member Services Contact Info ................. 7Prescription Drugs .................................... 8Medical Benefits Comparison .................. 11Delta Dental ............................................. 13AlwaysCare Vision ................................... 15Life and Disability ..................................... 16Premium Contribution Schedule .............. 18Eligibility and Waiving Coverage .............. 19Plan Status ............................................... 20BCBS and BCN Discounts ....................... 20Women’s and Children’s Rights ............... 21Emergencies ............................................ 22Definitions ................................................ 23
ABCABCABCCompanyCompanyCompany
 
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