2024 Plan Year

At-a-Glance Brochure

2024 Middleport At-a-Glance Brochure

BCBS Medical Benefits

Benefits Summary – PPO
Summary of Benefits and Coverage – PPO
2024 ISE PPO SPD

Rx Benefits

CVS Prescription Drugs Benefits Summary—PPO
Preventive Drug List
Advanced Control Specialty Formulary
CVS Formulary
CVS Caremark Participating National Network Retail Pharmacy List

Hospital Indemnity, Accident Insurance and Critical Illness Insurance

Accident Indemnity Insurance Certificate of Coverage
Critical Illness Insurance Certificate of Coverage
Hospital Indemnity Insurance Certificate of Coverage
Accident Insurance Wellness Flyer
Critical Illness Insurance Wellness Flyer
Benefit Summary — Hospital Indemnity
Benefit Summary — Accident Insurance
Benefit Summary — Critical Illness Insurance

Dental Benefits

Benefits Summary – PPO
Benefits Summary – PPO Texas
Certificate – PPO
Certificate – PPO Texas

Vision Benefits

Summary of Benefits

Life and AD&D Insurance

Survivor Support Specialist Flyer
Empathy Support Care Team Flyer
Life & ADD Intake Brochure
Intake Brochure (Disability & FML)
AD&D Certificate
Life Certificate

Short Term Disability

Eligible Employees

Annual Health Notices

Nidec Motor Corporation Health Plan Notice Packet
CHIP Notice
Illinois DOL Notice

Other Documents and Resources

IRS

IRS Publication 502
IRS Publication 503
Child and Dependent Care Credit
IRS Bulletin

Blue Cross Blue Shield of Alabama

Transparency in Coverage Rule

Retirement Benefits

For information on your 401(k) match, contact your local HR Partner.
Middleport Union Qualified Retirement Plan SPD