INTERNATIONAL QUALITY EMPLOYEE BENEFITS:

Benefit Summary

• Benefit Summary 2021

Health Insurance Rates

• 2022 Major Medical, Dental, Vision Rate Sheet
• 2022 Limited Medical, Dental, Vision Rate Sheet

United Healthcare Group Health Plan
                      * Please, see Benefit Summary 2020 for Eligibility

• Creditable Coverage Disclosure Notice 2021
• Employee Application MN Large Group 51+- UnitedHealthcare
• $3000-80% Plan Summary-UnitedHealthcare
• $6350-100% Plan Summary-UnitedHealthcare
• Get To Know Your Benefits- UnitedHealthcare
• MN Network Hospital Map- UnitedHealthcare
• Motion – HSA Member Brochure – UnitedHealthcare
• myuhc.com Registration Flyer- UnitedHealthcare
• Preventive Medications Core Plus List
• Rally Marketplace Flyer- UnitedHealthcare
• Rally Navigation- UnitedHealthcare
• Real Appeal New Year Flyer- UnitedHealthcare
• Virtual Visits Overview Flier- UnitedHealthcare​
• UnitedHealthCare New Member Checklist
• USI Insurance Services (USI) Benefit Plan Supplement- EBSO MEC Plan
• USI Insurance Services (USI) Benefit Plan Supplement- UnitedHealthcare

– HRA:

• Medicharge Enrollment Form
• Medicharge Program Information – HRA
• Medicharge Reimbursement Form

– HSA:

• HSA Enrollment Form
• HSA Participant User Guide
• Associated  Bank HSA Brochure
• HSA Benefits

Minimum Essential Coverage Plan

• Minimum Essential Coverage Enrollment and Waiver Form
• Minimum Essential Coverage Plan Guide
• Minimum Essential Coverage Plan information

Dental/Vision Group Plan

• UnitedHealthcare Vision-Dental Overview

Supplemental Insurance

• AFLAC Enrollment Form
• Accident and Hospital Indemnity Wellness Benefit Claim Form
  • Must be on Aflac policies for over a year to qualify

401(k) Retirement

• 401(k) Online Enrollment, Change, and Cancellation Guide
• 401(k) Workbook
• 401(k) Safe Harbor Notice
• ERISA 404A Participant Notice
• Default Investment Alternative Notice
• Enrollment Instructions