Benefit Summary

2019 Benefits Summary

Carrier Contact Information

Health Advocate and Health Advocate (Spanish)
Health Advocate One Call for All Things Benefits: 866.799.2731

Anthem BlueCross BlueShield
Customer Service: 866-802-0510
24/7 Nurseline: 800-700-9184

Pharmacy Member Services: 1-833-280-4172

IngenioRx Specialty Pharmacy: 1-833-255-0645

Anthem Prior Authorizations: 1-866-513-6934

Anthem Pre Certifciation: 866-802-0510

Teladoc
Consultations and Customer Service: 800-835-2362

Delta Dental PPO Plus Premier
Customer Service: 800-932-0783

Anthem Blue View Vision
Vision Services: 866-723-0515

Cigna Group Insurance
Disability/FMLA Claims: 888-842-4462 (English) or 866-562-8421 (Espanol)
Voluntary Benefit Customer Care: 800-423-1282

Fidelity Investments - Retirement Services
Customer Service: 1-800-835-5095

Boston Mutual
Customer Service: 800-669-2668

Employee Discounts

GM
gmsupplierdiscount.com
Company Code: 812540

chrysleraffiliates.com
Chrysler, Jeep, Dodge
Company Code: S82059

BMW Corporate Fleet Program
Form or visit bmwgroupfleet.com

Volkswagen Partner Program
Partner Code: 7224JH
Brochure

Emerald Club
Discounted car rentals through National Car Rental & Enterprise Rent-A-Car (Select "Create a username and password," Account #: XZ24SMP)

Liberty Mutual Discounted Home, Auto & Renters Insurance

HP Employee Purchase Program

AT&T Wireless Services

GourmetGiftBaskets.com
Code BD-SMP (for 15% off all products)

Plum Benefits: code ac1226193

Medical Forms

*2019 SMP Wellness Program: Drive Your Health Forward!

Teladoc

2019 SMP Contribution Calculator

Teladoc Registration Instructions

Standard Motor Products HDHP 2019

Standard Motor Products PPO 2019

2019 Enrollment Change Form

Global 2019 Standard Precert List

Medicare Part-D Non Union Notice

ABCBS Medical Claim Form

Anthem BlueCross BlueShield Global

Blue Card Global Core

BCBS Global Core International Claim Form US

Nurseline Flyer

Anthem Future Moms

Special Offers Flyer

Prescription Drugs

Tier 1 - 4 Drug Listings

ABCBS P Rx Expanded DL 4 Q18 Customized 2

SMP Customized HD Complete 002

ABCBS Prior Authorization Edits National Drug List

ABCBS Quantity Limit Drug List

Preferred Generics

Smoking Cessation Products

ABCBS Rx Choice Tiered Network Member Education

Ingenio Rx Claim Form

Ingenio Rx Prescription Form

HSA Forms

Through My.ADP
How to Change your HSA Contribution Amount

Anthem
Reimbursment Claim Form

Anthem
Using Your Health Savings Account (HSA)

Anthem
HSA Qualified Medical Expenses

FSA Forms

Anthem
Reimbursement Claim Form

Anthem
Using Your Flexible Spending Account (FSA)

Anthem
Dependent Care Flexible Spending Account (DC FSA)

Dental Forms

Dental Cost Estimator

Delta Dental Plan Summary

Delta Dental Claim Form

All About Dental Implants

Oral Health for Expectant Mothers

Children's Dental Health

Six Great Reasons to Have Your Teeth Cleaned

The Connection Between your Oral and Overall Health

Vision Forms

Vision Plan Summary

Out of Network Claim Form

Retirement Services

Fidelity - Retirement Investments
401K Welcome Guide

Fidelity
Tools and Resources

NetBenefits.com

FidSafe Brochure

FidSafe Info

FidSafe Solution

Beneficiary Designation Form

401k Plan Highlights

Voluntary Benefits

Paid Family Time Off Policy

How to Report a Short-Term Disability and/or Family Medical Leave Claim

Voluntary Benefits Termination Form (Return to a local HR Representative)

Optional Life Insurance (Cigna): Summary
Evidence Of Insurability Form

Aflac Benefits Avilable: How to Sign Up/Call Center Phone Number

Aflac Service Request Form

Aflac Group Critical Illness Advantage

Aflac Critical Illness Health Screening Form

Aflac Group Accident Advantage Plus Insurance

Aflac Group Hospital Indemnity

Aflac Group Disability

Aflac Disability Form

Aflac Hospitalization Claim Form

Cigna Secure Travel

The following Summaries apply to SMP's employer-paid benefits through Cigna Group Insurance:

Group Life & AD&D Insurance: Summary

Short Term Disability: Summary

Long Term Disability (Hourly): Summary

Long Term Disability (Salary): Summary

Long Term Disability Conversion: Application

Salary Continuation: Summary

Group Life Portability
AD&D Conversion Form
Adult Life Portability Form (Voluntary Coverage)
Life Conversion Form
Life Insurance Portability vs Conversion Comparison Chart

Beneficiary Form

Tuition Reimbursement

Tuition Reimbursement Policy

Tuition Reimbursement Request Form - undergraduate

Tuition Reimbursement Request Form - graduate

Medicare

Medicare & You - 2019 (Handbook)

Medicare & You - 2019 (Handbook) Spanish

Medicare: Getting Started - Presentation

Medicare: Getting Started - Presentation Spanish

MyBenefitAdvisor

MyBenefitAdvisor 2019 Medicare 101

SSA-44

Special Election Period Chart

2019 Four Stages of Part D

2019 Medicare Costs

Part B Enrollment Form

Employer Verification Form

Social Security

How Social Security Can Help You Plan For Retirement - Video

Understanding the Benefits

How to Apply Online for Retirement Benefits

How to Use the Online Retirement Estimator

Retirement Information for Medicare Beneficiaries

Social Security Benefits Factsheet

When should you claim Social Security?

Making the Most of Social Security

Retirement Planning Workbook

Getting More out of Social Security

2018 Social Security Presentation