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Benefits

Medical

Medical insurance provides essential coverage for a wide range of healthcare needs—from routine checkups and preventive care to major medical services like surgeries and hospital stays. With access to a network of trusted providers, this coverage helps manage healthcare costs, protects against unexpected expenses, and supports overall wellness for individuals and families.

BS&W Silver HMO 80 4250 – SBC 2025-25

BS&W Silver HMO 90 750 – SBC 2025-26

BS&W Silver HMO 100 7300 – SBC 2025-26

BS&W Silver PPO Access 80 4250 – SBC 2025-26

Telemedicine

Telemedicine gives you 24/7 access to licensed doctors and healthcare providers by phone or video—anytime, anywhere. It’s a convenient, affordable way to get care for common conditions like colds, flu, allergies, or skin issues without leaving home. Many services also include mental health support and prescription refills, helping you save time and avoid unnecessary trips to the doctor’s office.

Primary Care

Digital Medical Home

Urgent Care

Behavioral Health

Dental

Dental insurance helps cover the cost of preventive care, basic procedures, and major dental work—keeping your smile healthy and your out-of-pocket costs manageable. Coverage typically includes routine exams, cleanings, x-rays, fillings, and more extensive services like crowns or dentures. Regular dental care not only supports oral health but also contributes to overall well-being.

Benefit Summary – High Plan with Ortho

Benefit Summary – Low Plan

Dental Diabetes

Sensitive Teeth

My Humana Portal Access

High Plan Certificate

Low Plan Certificate

Vision

Vision insurance provides essential coverage for eye care, ensuring that individuals and families can maintain optimal eye health and clear vision. With a vision insurance plan, members gain access to routine eye exams, prescription glasses, contact lenses, and discounts on corrective eye surgeries. This coverage not only helps manage the cost of eye care but also promotes regular check-ups, which can detect early signs of eye conditions and other health issues. Enjoy the benefits of improved vision and overall well-being with comprehensive vision insurance.

Benefit Summary

Vision Annual Exam

Vision Claim Form

My Humana Portal Access

Plan Certificate

FSA

A Flexible Spending Account (FSA) is a pre-tax benefit that allows you to set aside money to pay for eligible out-of-pocket healthcare expenses. Use your FSA for things like copays, prescriptions, medical supplies, dental and vision care. Because contributions are made before taxes, an FSA lowers your taxable income—helping you save money while planning ahead for everyday health expenses.

What is an FSA

What is DCAP

Service Center

Mobile App

Life/AD&D

Life and Accidental Death & Dismemberment (AD&D) insurance provides financial protection for your loved ones in the event of your death or a serious accident. Life insurance pays a benefit to your beneficiaries if you pass away, while AD&D provides additional coverage for accidental death or severe injuries like loss of limbs or eyesight. This coverage helps ensure financial stability during life’s most difficult moments.

Basic Life and AD&D Benefit Summary

Vol Life and AD&D Benefit Summary

How to Submit a Life Claim

Term Life Claim Form

Term Life Conversion Application & Instructions

Term Life Portability Request Form

Disability

Disability insurance helps protect your income if you’re unable to work due to illness, injury, or pregnancy. It replaces a portion of your paycheck—short-term coverage is designed for temporary conditions, while long-term coverage supports extended or permanent disabilities. This benefit provides financial security so you can focus on recovery without worrying about everyday expenses.

14_14 Vol STD Benefit Summary

30_30 Vol STD Benefit Summary

Vol LTD Benefit Summary

Disability Claim Form Instructions

Disability Claim Form

Employee Assistance Program

An Employee Assistance Program (EAP) offers free, confidential support to help you navigate life’s challenges—at work and at home. Services include counseling for emotional well-being, resources for legal and financial concerns, work-life balance tools, and 24/7 access to digital support. Whether you’re facing stress, relationship issues, or financial planning needs, the EAP is here to help you thrive.

Employee Assistance Program

Other Benefits

Accident

Accident insurance provides a financial safety net when unexpected injuries happen. It pays a lump-sum benefit to help cover out-of-pocket costs like emergency care, hospital stays, X-rays, or follow-up treatments after an accident. This coverage helps ease the financial stress so you can focus on recovery—not bills.

Accident Benefit Summary

Accident Claim Form

Health Screening Benefit Claim Form

Health Screening Benefit

Critical Illness

Critical illness insurance offers a lump-sum payment if you’re diagnosed with a covered serious illness, such as cancer, heart attack, or stroke. This benefit can be used for anything you need—medical bills, travel for treatment, or everyday expenses—giving you financial flexibility and peace of mind during a challenging time.

Critical Illness Benefit Summary

Critical Illness Claim Form

Health Screening Benefit Claim Form

Health Screening Benefit

Hospital Indemnity

Hospital indemnity insurance provides a cash benefit when you’re admitted to the hospital due to illness or injury. It helps cover expenses that your medical plan may not—like deductibles, transportation, or lost income. Benefits are paid directly to you, so you can use them however you need during a hospital stay.

Hospital Indemnity Benefit Summary

Hospital Indemnity Claim Form

Health Screening Benefit Claim Form

Health Screening Benefit

Lifetime Benefits

Lifetime Benefit Term (LBT) insurance offers long-term life insurance protection with added living benefits. It provides a guaranteed death benefit and may include access to a portion of funds while you’re still living—often for chronic or terminal illness care. With coverage that can last a lifetime and flexibility to use benefits when needed, LBT combines life insurance and future planning in one.

Benefit Summary

Plan Highlights

Cancer

Cancer insurance provides a lump-sum or benefit-based payout if you’re diagnosed with cancer. This supplemental coverage helps with costs that may not be fully covered by your medical plan—like chemotherapy, radiation, travel, lodging, and lost income—so you can focus on treatment and recovery without financial strain.

Level 3 – Certificate of Coverage

Level 3 – Outline Of Coverage

Level 3 – Policy

Level 4 – Certificate of Coverage

Level 4 – Outline Of Coverage

Level 4 – Policy

Policyholder Portal Guide

Claim Checklist

Claim Form

Transportation Benefit Claim Form

Health & Wellness Screening Benefit

ID Theft Protection

Identity theft protection helps safeguard your personal information and finances. This benefit includes credit monitoring, fraud alerts, identity restoration services, and access to specialists who can help resolve issues quickly. If your identity is compromised, you’ll have expert support to recover and minimize the impact—giving you peace of mind in a digital world.

Allstate ID Theft Protect Pro+Cyber

Medical Transport

Medical transport insurance covers the high cost of emergency medical transportation, including ground or air ambulance services. Whether you’re facing a serious accident or medical crisis, this coverage ensures you get to the nearest appropriate facility without worrying about unexpected bills—often not fully covered by standard health insurance. Peace of mind when every second counts.

Masa Plan Highlights

MASA Emergent Plus Membership Plan

How to Use MASA Benefits

How to Use MASA Benefits Espanol

MASA Mobile App

MASA Mobile App Espanol

Carrier Contacts

FBMC Benefits Management

Service Center
(877) 909-0924
Mon – Fri. 7 a.m. – 6 p.m. CST
www.FBMC.com

MEDICAL

Baylor Scott & White
Group #: 06996
844-633-5325
www.bswhealthplan.com

TELEMEDICINE

Recuro Health
N/A
(855) 673-2876
recurohealth.com

DENTAL / VISION

Humana
Group: #846340
(800) 233-4013
www.humana.com

Flexible Spending Account (FSA)

NBS
Group: #NBS580147
(800) 274-0503
nbsbenefits.com

ACCIDENT | HOSPITAL INDEMNITY | Critical Illness w/Cancer | Basic Life & AD&D | Voluntary Life & AD&D | Short-Term Disability | Long-Term Disability

Mutual of Omaha
Group #: G000CRFJ
800-775-6000 (Customer Service)
800-877-5176 (Disability Claims)
800-775-8805 (All other Claims)
www.mutualofomaha.com

LIFETIME BENEFITS TERM

Chubb
Group #: DNM
888-241-9891
csmail@gotoservice.chubb.com

CANCER INSURANCE

Colonial
Group#: 
– Option 3: G0026772
– Option 4: G0026773
(800) 325-4368
www.coloniallife.com

ID THEFT PROTECTION

Allstate
Group# 9893
(800) 789-2720
allstate.com/AIP

MEDICAL TRANSPORT

MASA 
MKHERML
800-643-9023
www.masaMTS.com