SPMI Plus Benefits. Open Enrollment 2018! Online Self-Enrollment!

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1 SPMI Plus Benefits Open Enrollment 2018! Online Self-Enrollment!

2 Enroll at spmiplusbenefits.com beginning April 2nd. Open Enrollment for 2018 will end April 14th so don t miss your chance to enroll in this valuable coverage for you and your family. Remember all you need to log in and enroll is your date of birth and the last four digits of your Social Security Number! Enrollment begins April 2 and end April 14 Scan with your mobile device QR Code Scanner to visit the enrollment site 2

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23 HIPAA Special Enrollment Rights Notice If you are declining enrollment for yourself or your dependents (including your spouse) because of other health insurance coverage or group health plan coverage, you may be able to enroll yourself and your dependents in this plan if you or your dependents lose eligibility for that other coverage (or if the employer stops contributing towards you or your dependent s other coverage). However, you must request enrollment within 30 days after you or your dependent s other coverage ends (or after the employer stops contributing toward the other coverage). In addition, if you have a new dependent as a result of marriage, birth, adoption or placement for adoption, you may be able to enroll yourself and your dependents. However, you must request enrollment within 30 days after the marriage, birth, adoption or placement for adoption. Effective April 1, 2009, group health plans will recognize the following as additional special enrollment opportunities for employees and dependents: * Termination of Medicaid or Children s Health Insurance Program (CHIP) due to loss of eligibility. * Eligibility for state premium assistance under Medicaid or CHIP. However, you must request enrollment within 60 days after the date of termination of Medicaid or CHIP; or the date the employee or dependent is determined eligible for premium assistance under Medicaid or CHIP. To request special enrollment or obtain more information contact: Plan Contact Information: SPMI Benefits Department, P.O. BOX 6040, Van Buren, AR Phone: (479) or (800) Fax: (479) benefits@myhrprofessionals.com Website: Summary Annual Report for SPMI: MyHRProfessionals This is a summary of the annual report of the SPMI: MyHRProfessionals-EIN# for Dental, Vision, AFLAC supplemental products and AD&D for June 1st May 31st The annual report has been filed with the Employee Benefits Security Administration, as required under the Employee Retirement Income Security Act of 1974 (ERISA). Insurance Information The plan has contracted with Metropolitan Life Insurance Company and AFLAC Insurance Company to pay all claims incurred under the terms of the plan. The total premiums paid for the plan year ending May 31st 2017 were $460,047. Your Rights to Additional Information You have the right to receive a copy of the full annual report, or any part thereof, on request. The items listed below are included in that report: 1. Insurance information including sales commissions paid by insurance carriers To obtain a copy of the full annual report, or any part thereof, write or call the office of SPMI: MyHRProfessionals who is the plan administrator, at P.O. Box 6040 Van Buren, AR 72956, phone The charge to cover copying costs will be $10.00 for the full annual report, or $5.00 per page for any part thereof. You also have the right to receive from the plan administrator, on request and at no charge, a statement of the assets and liabilities of the plan and accompanying notes, or a statement of income and expenses of the plan and accompanying notes, or both. If you request a copy of the full annual report from the plan administrator, these two statements and accompanying notes will be included as part of that report. The charge to cover copying costs given above does not include a charge for the copying of these portions of the report because these portions are furnished without charge. You also have the legally protected right to examine the annual report at the main office of the plan 1701 Main St., Van Buren, AR and at the U.S. Department of Labor in Washington, D.C. or to obtain a copy from the U.S. Department of Labor upon payment of copying costs. Requests to the Department should be addressed to: Public Disclosure Room, Room N-1513, Employee Benefits Security Administration, U.S. Department of Labor, 200 Constitution Avenue, N.W., Washington, D.C

24 Enroll at your own pace when you are ready. All you have to do to enroll in any SPMI Plus Benefits plan is visit our self-enroll website on your computer, tablet or smartphone. Log in with your date of birth and the last four digits of your Social Security Number and click to Enroll Now! Open Enrollment begins April 2nd and ends April 14th. All plans have a June 1st, 2018 effective date and deductions will begin with your first payroll in May.

Re: Open Enrollment for 2011 Health Insurance Benefits November 1 through November 21

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