11/19/23, 7:22 PM HFIM Partner - Asurion

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11/19/23, 7:22 PM HFIM Partner - Asurion

Congratulations! Your enrollment steps are complete.

Note - The plan below is not available to Part time employees or those enrolled and/or eligible for COBRA.

Attention! Are you or your covered dependent a Diabetic?

Asurion provides a completely free diabetic support program through Livongo. The program combines the latest technology
with coaching and unlimited monitoring supplies to help you stay on track and is FREE to you and your covered dependents
enrolled in an Asurion medical plan. Click here to enroll!
https://welcome.livongo.com/

Confirmation number: 7034432 Use the print icon in the top right corner of this section to print a paper copy of this screen for your records.

There’s a better health care experience ahead with UnitedHealthcare

Get the most out of your health plan with benefits that are so much easier to use. Find a network doctor, manage claims, learn about costs and more at
myuhc.com®. Use our 800 number and speak to a caring advocate who’s ready to help address any of your health needs. Video chat or talk with a doctor
on your mobile device or computer—from home, work, wherever. Connect with your health plan anytime, anywhere with the UnitedHealthcare® mobile
app. And that’s just the beginning.

Learn More

Missing Beneficiary Designations

Manage Beneficiaries

Future Year

Coverage Effective Beginning January 1, 2024 Pay Period Annual

UnitedHealthcare Medical Bronze Plus UnitedHealthcare Medical Bronze Plus Your Pay Period Cost

Employee Only $17.19

 Cost Details

Health Savings Account No Coverage Your Pay Period Cost

Not eligible for update based on Medical enrollment $0.00

Critical Illness No Coverage Your Pay Period Cost

$0.00

Hospital Indemnity No Coverage Your Pay Period Cost

$0.00

Accident Insurance No Coverage Your Pay Period Cost

$0.00

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UnitedHealthcare Dental Silver UnitedHealthcare Dental Silver Your Pay Period Cost

Employee Only $14.12

 Cost Details

Health - Vision No Coverage Your Pay Period Cost

$0.00

FSA - Medical No Coverage Your Pay Period Cost

$0.00

Dependent DayCare FSA No Coverage Your Pay Period Cost

$0.00

Long Term Care - Life No Coverage Your Pay Period Cost

$0.00

Spouse Long Term Care - Life No Coverage Your Pay Period Cost

$0.00

Basic Employee Life Basic Employee Life Your Pay Period Cost

1X Annual Salary $39,000 $0.00

You did not elect beneficiaries for this plan.

Add Beneficiaries

 Cost Details

Basic Employee AD&D Your Pay Period Cost

Basic Employee AD&D
1X Annual Salary $39,000 $0.00
You did not elect beneficiaries for this plan.

Add Beneficiaries

 Cost Details

No Coverage Your Pay Period Cost

Supplemental EE Life
$0.00

No Coverage Your Pay Period Cost

Supplemental Group Life (Spouse)
$0.00

No Coverage Your Pay Period Cost

Supplemental Group Life (Child(ren))
$0.00

No Coverage Your Pay Period Cost

Supplemental AD&D for Employee or Family
$0.00

Dental and Vision Only FSA No Coverage Your Pay Period Cost

Not eligible for update based on Medical enrollment $0.00

Basic Short Term Disability Your Pay Period Cost

Basic Short Term Disability
50% of Salary up to $5,000 per week $0.00

 Cost Details

Buy-Up Short Term Disability No Coverage Your Pay Period Cost

$0.00

Basic Long Term Disability Basic Long Term Disability Your Pay Period Cost

$ $0 00
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g y
50% of Salary up to $20,000 per month $0.00

 Cost Details

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