Benefit Summaries

2021 Employee Benefit Insurance Premiums
2020-2021 Benefit Summary Plan Description

Full-Time Employees

• Full-Time Faculty
• Full-Time 52-Week Faculty
• Full-Time Police
• Full-Time Support
• Full-Time Administrative
• Full-Time Maintenance
• Full-Time Executive Contract Employees

Part-Time Employees

• Part-Time Faculty
• Part-Time Support
• Part-Time Salaried Administrators

Retirees Benefit Summary

• Retirees Benefit Summary

Dependent Coverage Eligibility and Documentation

• Dependent Eligibility for LCC Benefits
• Affidavit of Dependency Form
• Healthcare Coverage for Additional Eligible Adults

Health (Medical/Dental/Vision) Insurance - College Sponsored Plans

• Affordable Care Act Exchange Notice
• Pre-Tax Payment Plan Election Form
• Qualifying Event Rules

Western Michigan Health Insurance Pool (WMHIP) Medical Insurance

• WMHIP Enrollment/Change Form
• Blue Cross Blue Shield (BCBS) Website
• Blue Cross Online Visits
• Massage Therapy - Provider Billing Info
• 2nd.MD Summary
• 2nd.MD Website
• Omada Summary - Chronic Illness Prevention Program
• Omada FAQ
• Livongo Summary - Diabetes Support Program
• BCBSM Fitness Your Way Program
• Blue Cross Flexible Blue 2 High Deductible Health Plan
  • Summary of Flexible Blue
  • Member Handbook Flexible Blue
  • ACA Summary of Benefits and Coverage - Flexible Blue
  • Instructions for Updating HSA Contributions
  • Winning with an HSA
• Blue Cross PPO Select $500/$1,000 Health Plan
  (available to FT employees only)
  • Summary of PPO Select
  • Member Handbook PPO Select
  • ACA Summary of Benefits and Coverage - PPO Select
• Blue Cross PPO Versatile $250/$500 Health Plan
  • Summary of PPO Versatile
  • Member Handbook PPO Versatile
  • ACA Summary of Benefits and Coverage - PPO Versatile
• Blue Cross PPO Plan 3 $1000/$2000 Health Plan
  (available to FT employees only)
  • Summary of PPO Plan 3
  • Member Handbook PPO Plan 3
  • ACA Summary of Benefits and Coverage - PPO 3
• Blue Cross Essential HDHP $3000/$6000 Health Plan
  • Summary of Essential HDHP
  • Member Handbook Essential HDHP
  • ACA Summary of Benefits and Coverage - Essential HDHP
  • Instructions for Updating HSA Contributions
  • Winning with an HSA

ADN Dental Insurance

• Dental Benefit Summary - Basic Plan
• Dental Benefit Summary - Premium Plan
• Dental Enrollment/Change Form
• ADN Dental Website

Superior Vision Insurance

• Vision Benefit Summary
• Vision Enrollment/Change Form
• Superior Vision Website
• Superior Vision Provider Locator
• Create Your Member Account
• Superior Vision Mobile App
• Superior Vision Online In-Network Retailers
• Out-of-Network Reimbursement Claim Form
• Superior Vision Certificate of Insurance
• Superior Vision HIPAA Notice
• Superior Vision Privacy Notice

Resources for Prescription Drug Coverage

• Blue Cross Blue Shield (BCBS) Covered Prescriptions
• Instructions for Using Express Scripts
• GoodRx Prescription Price Comparison Tool
• BCBS Ways to Save Money on Prescriptions

Education Benefits

• Explore the LCC Tuition Waiver Benefit
• Siena Heights University - Partner Tuition Discount Application
• Public Service Loan Forgiveness

Supplemental Insurances

• Full Time Employee NIS Life/AD&D Insurance Plan Summary
• Full Time Employee NIS LTD Insurance Plan Summary
  • NIS Enrollment Form
  • NIS (Madison National Life) Claim Instructions
  • NIS Identity Theft Services
• Full-Time Employee Hartford Accident Insurance Plan Summary
• Full-Time Employee Hartford Critical Illness Insurance Plan Summary
  • Hartford Accident/Critical Illness Enrollment Form
  • Hartford Accident Insurance Coverage
  • Hartford Critical Illness Insurance Coverage
  • Hartford Accident/Critical Illness Claim Instructions
  • Hartford Critical Illness Health Screening Benefit Form
• Supplemental AFLAC Coverage-Contact AFLAC Rep Ed Walter at edward_walteriii@us.aflac.com for more info about enrollment, click HERE.
  • AFLAC Accident Insurance
  • AFLAC Hospital Insurance
  • AFLAC Cancer Insurance
  • AFLAC Life Insurance
  • AFLAC Critical Care Insurance
  • AFLAC Critical Care Rider Insurance

Flexible Spending Accounts (General Agency Company)

• 2021 Flexible Spending Account (FSA) Overview
• 2021 FSA Enrollment/Change Form
• FSA Account Information
• General Agency FSA Resources Website
• General Agency Online Portal
• FSA Frequently Asked Questions
• Authorization for Direct Deposit Form
• Request for Reimbursement Form

Retirement

• Retirement Plan Overview
• Ready to Retire Guide
• Department of Labor Retirement Planning Guide
• Office of Retirement Services Website (MPSERS)
• Optional Retirement Plan for FT Faculty & Administrators Website (TIAA)
• Tax Sheltered Annuity Program Summary

Employee Discounts

• Employee Perks

HMSA Employee Assistance Program

• EAP Services Overview
• EAP Brochure
• EAP Quick Fact Sheet
• EAP Online Resources Overview
• EAP Work/Life Online Resources
• EAP Counseling Services
• EAP Management Consultations
• HMSA November 9 Presentation (requires LCC login credentials)

Employee Wellness Program

• Wellness Event Calendar
• Massage Clinic
• Dental Hygiene Clinic
• Fitness Center

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