TBA Group Health Plan Document Center
Health Coverage | BlueCross BlueShield of Tennessee
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- Health Plan Option 1 Evidence of Coverage
- Health Plan Option 2 Evidence of Coverage
- Health Plan Option 3 Evidence of Coverage
- Health Plan Option 4 Evidence of Coverage
Dental Coverage | BlueCross BlueShield of Tennessee
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Vision Coverage | BlueCross BlueShield of Tennessee
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Basic Life Coverage | Companion Life Insurance Company
All employees enrolled as the primary subscriber in any of the health plans have automatically been enrolled in $15,000 of basic life insurance for $3.00 per month. This coverage is not optional.
Voluntary Life Coverage | Companion Life Insurance Company
All eligible employees can annually choose to purchase voluntary coverage for themselves, their spouses, and/or their children at open enrollment.
Basic & Voluntary Life Beneficiary Election | Companion Life Insurance Company
This form should be completed by all employees participating in the basic or voluntary life insurance plans and should be kept on file by the employer. The Group Policy Number is 550-25-S6251-000. Please leave the Employee ID Number field blank.
Questions?
Please contact Autumn Chandler at Autumn@assoc-admin.com or 800.347.1109, ext. 264. Or, utilize the webform below.