Resources
Medical
| If you ... | See this resource ... |
| Request to transition care for coverage under the Assurant Health Plan due to being a new enrollee or other reasons noted on the form | Anthem Transition of Care Form |
| Need to submit a medical claim | Anthem Medical Claim Form |
| Have a disabled dependent who is not otherwise eligible for the Assurant Health Plan | Anthem Disabled Dependent Form and Physician Statement |
| Need HR Services to contact Anthem BlueCross BlueShield to assist you with a claims issue/question | Anthem BlueCross BlueShield Authorization for Release of Information |
| Would like to know which medical services are considered preventive (and therefore covered at 100 percent in-network under the Assurant Health Plan) | 2017 Preventive Services List |
| Need to know which medical services require precertification and contact information | 2017 Services Requiring Precertification |
| Want more information on the Anthem 24/7 NurseLine | NurseLine Overview Call 800.700.9184 to reach the NurseLine |
| Want to refer to a summary of coverage and costs under the Assurant Health Plan as well as a glossary of medical terms | 2017 Summary of Benefits and Coverage (SBC) |
| Need full details on the health and welfare plans available to Assurant employees | Assurant Health and Welfare Benefit Plan Summary Plan Description (SPD) |
| Can’t get to your doctor’s office, but need some medical advice | Log onto LiveHealth Online to connect with board certified network doctors 24/7 from home or any personal device. Fees apply, though if you are enrolled in the Assurant Health Plan, costs are applied to your deductible and coinsurance. |
| Have to have a medical procedure, visit or treatment or get a prescription and would like to compare the cost and quality of your choices | Use the Castlight Health Cost and Quality Transparency Tool before you make an appointment |
| Are enrolled in the Assurant Health Plan and would like to know what discounts are available to you through your Plan | Anthem Discounts Flyer |
| Are expecting a child | Moms Program Flyer |
Health Plan Accounts
| If you ... | See this resource ... |
| Need an electronic copy of the Health Savings Account welcome kit from HealthEquity | HSA Welcome Kit |
| Would like to review a brochure about the HealthEquity HSA | Winning with an HSA Brochure |
| Want quick summaries of HSA features | HSA Rollover Flyer Who Are You? HSA Flyer |
| Need to compare the various Health Plan Accounts (Health Savings Account, Flexible Spending Account, Health Reimbursement Account) | Health Plan Account comparison |
Flexible Spending Accounts
| If you ... | See this resource ... |
| Need help estimating the amount you should contribute to a Dependent Day Care Flexible Spending Account | Dependent Day Care Calculation Worksheet |
| Are participating in the BLUE Plan option and need help estimating the amount you should contribute to a Health Care Flexible Spending Account | FSA Worksheet for BLUE Plan Option |
| Are participating in the GREEN or ORANGE Plan option and need help estimating the amount you should contribute to a Limited Purpose Health Care Flexible Spending Account | FSA Worksheet for GREEN and ORANGE Plan Options And remember that you are also eligible for a Health Savings Account |
| Need to submit a Health Care or Limited Purpose Health Care FSA claim |
2016 Health Care FSA Reimbursement Form 2017 Health Care FSA Reimbursement Form |
| Need to submit a Dependent Day Care FSA claim |
2016 Dependent Day Care FSA Reimbursement Form 2017 Dependent Day Care FSA Reimbursement Form |
| Need to submit a Health Care FSA claim for orthodontia services |
2016 FSA Claim Form For Orthodontia Services 2017 FSA Claim Form For Orthodontia Services |
| Need to learn more about the FSA claim reimbursement process or would like to know how to access your FSA balance | FSA Claim Reimbursement Requirements |
Prescription Drug Coverage
| If you ... | See this resource ... |
| Need to submit a prescription drug claim that wasn’t submitted automatically through your pharmacy | Caremark Claim Form |
| Would like to initiate receiving a prescription by mail-order service | Caremark Mail Order Form |
| Would like to know which medications are considered preventive (and therefore covered at 100 percent under the Assurant Health Plan) | 2017 Preventive Medication List |
| Need to know which medications require prior authorization | 2017 Medications Requiring Prior Authorization |
| Want a summary of Prescription Drug Coverage Under Assurant's Health Plan options | Prescription drugs page |
| Need HR Services to contact CVS Caremark to assist you with a claims issue/question | Caremark Authorization for Release of Information |
Dental
| If you ... | See this resource ... |
| Need to submit a dental claim that wasn’t submitted automatically by your dental provider | Dental Claim Form |
| Are looking for a dentist | Dental Health Alliance website |
| Need to submit a Health Care FSA claim for orthodontia services | FSA Claim Form for Orthodontia Services |
Wellness Programs
| If you ... | See this resource ... |
| Want to review a short video about EAP resources or a one-page overview | EAP Webinar
EAP Flyer |
Eligibility and Enrollment
| If you ... | See this resource ... |
| Haven’t already reviewed the 2017 Annual Enrollment Guide | 2017 Annual Enrollment Guide |
| Want to view a short video about enrolling | 2017 AE Video |
| Experience a qualified life event and need to make changes to your dependents or benefits during the year | Visit MyHR from the Connect home page |
| Need to reference the requirements for each eligible dependent | Click here for the definition of an eligible dependent for Health and Dental Plans. Review the Assurant Health and Welfare Benefit Plan Summary Plan Description (SPD) for a full description of dependent eligibility for all plans. |
| Are enrolling in your new hire benefits or for Annual Enrollment | Visit EPIC |
Other Benefits
| If you ... | See this resource ... |
| Are enrolled in the Assurant Medical Plan and would like to take advantage of vision discounts available to you | Eyewear Special Offers |
| Would like to learn more about ARAG group legal coverage | ARAG Overview |
| Are considering retiring in the next 18-24 months | Planning For Your Retirement Guide |
| Are a new hire and would like to review highlights of your benefits at Assurant |
2017 New Hire Guide 2017 New Hire Video |
Plan Documents
| If you ... | See this resource ... |
| Need full details on the health and welfare plans available to Assurant employees | Health and Welfare SPD |
| Need full details on the 401(k) Plan | 401(k) SPD |
| Would like a summary of the Stock Purchase Plan | ESPP Brochure |
| Need the definition of "Plan Pay" | Plan Pay Information |
Legal Notices
The information provided here and in the additional notices below constitutes a Summary of Material Modification to these Plans. This information should be retained as an update to the latest Assurant Health and Welfare Benefit Plan Summary Plan Description (SPD) .
While the Company intends to continue these benefits, it reserves the right to change or terminate them at its sole discretion. The terms of the plan cannot be modified or amended by oral statements.
| Health Care Reform Exchange Notification | Click here |
| Women's Health and Cancer Rights Act of 1998 Notice | The Women's Health and Cancer Rights Act of 1998 mandates that if you are covered under a group or individual health plan that provides medical and surgical benefits with respect to a mastectomy, you also have coverage available for the following procedures and care: • Reconstruction of the breast on which the mastectomy has been performed; • Surgery and reconstruction of the other breast to produce a symmetrical appearance; and • Prostheses and physical complications at all stages of mastectomy, including lymphedema. Coverage will be subject to your health plan's payment provisions. |
| Newborns' and Mothers' Health Protection Act | Group health plans and health insurance issuers generally may not, under federal law, restrict benefits for any hospital length of stay in connection with childbirth for the mother of a newborn child to less than 48 hours following a normal vaginal delivery, or less than 96 hours following a cesarean section. However, federal law generally does not prohibit the mother's or newborn's attending physician, after consulting with the mother, from discharging the mother or her newborn earlier than 48 hours (or 96 hours as applicable). In any case, health plan providers may not require that a provider obtain authorization for prescribing a hospital length of stay of less than 48 hours (or 96 hours). |
| HIPAA Privacy | We take your privacy seriously. Please review our HIPAA Privacy statement located here. If you believe your privacy has been breached, please send your complaints to: Assurant Corporate Benefits, Attn: HIPAA Privacy Official, 28 Liberty Street, 41st Floor, New York, New York 10005. |
| Creditable coverage | 2016 Creditable Coverage Cover Notice 2016 Creditable Coverage Notice 2017 Creditable Coverage Cover Notice 2017 Creditable Coverage Notice |
| CHIP notice | Click here |
Forward-Looking Statement Disclaimer Some of the statements on this website may be forward-looking statements under the Private Securities Litigation Reform Act. Actual health care costs may differ from the statements made in this Guide. For details on the general risk factors that affect Assurant's results, see our Annual Report on Form 10-K and subsequent reports on Form 10-Q and Form 8-K, as filed with the SEC.
Resources
Medical
| If you ... | See this resource ... |
| Request to transition care for coverage under the Assurant Health Plan due to being a new enrollee or other reasons noted on the form | Anthem Transition of Care Form |
| Need to submit a medical claim | Anthem Medical Claim Form |
| Have a disabled dependent who is not otherwise eligible for the Assurant Health Plan | Anthem Disabled Dependent Form and Physician Statement |
| Need HR Services to contact Anthem BlueCross BlueShield to assist you with a claims issue/question | Anthem BlueCross BlueShield Authorization for Release of Information |
| Would like to know which medical services are considered preventive (and therefore covered at 100 percent in-network under the Assurant Health Plan) | 2017 Preventive Services List |
| Need to know which medical services require precertification and contact information | 2017 Services Requiring Precertification |
| Want more information on the Anthem 24/7 NurseLine | NurseLine Overview Call 800.700.9184 to reach the NurseLine |
| Want to refer to a summary of coverage and costs under the Assurant Health Plan as well as a glossary of medical terms | 2017 Summary of Benefits and Coverage (SBC) |
| Need full details on the health and welfare plans available to Assurant employees | Assurant Health and Welfare Benefit Plan Summary Plan Description (SPD) |
| Can’t get to your doctor’s office, but need some medical advice | Log onto LiveHealth Online to connect with board certified network doctors 24/7 from home or any personal device. Fees apply, though if you are enrolled in the Assurant Health Plan, costs are applied to your deductible and coinsurance. |
| Have to have a medical procedure, visit or treatment or get a prescription and would like to compare the cost and quality of your choices | Use the Castlight Health Cost and Quality Transparency Tool before you make an appointment |
| Are enrolled in the Assurant Health Plan and would like to know what discounts are available to you through your Plan | Anthem Discounts Flyer |
| Are expecting a child | Moms Program Flyer |
Health Plan Accounts
| If you ... | See this resource ... |
| Need an electronic copy of the Health Savings Account welcome kit from HealthEquity | HSA Welcome Kit |
| Would like to review a brochure about the HealthEquity HSA | Winning with an HSA Brochure |
| Want quick summaries of HSA features | HSA Rollover Flyer Who Are You? HSA Flyer |
| Need to compare the various Health Plan Accounts (Health Savings Account, Flexible Spending Account, Health Reimbursement Account) | Health Plan Account comparison |
Flexible Spending Accounts
| If you ... | See this resource ... |
| Need help estimating the amount you should contribute to a Dependent Day Care Flexible Spending Account | Dependent Day Care Calculation Worksheet |
| Are participating in the BLUE Plan option and need help estimating the amount you should contribute to a Health Care Flexible Spending Account | FSA Worksheet for BLUE Plan Option |
| Are participating in the GREEN or ORANGE Plan option and need help estimating the amount you should contribute to a Limited Purpose Health Care Flexible Spending Account | FSA Worksheet for GREEN and ORANGE Plan Options And remember that you are also eligible for a Health Savings Account |
| Need to submit a Health Care or Limited Purpose Health Care FSA claim |
2016 Health Care FSA Reimbursement Form 2017 Health Care FSA Reimbursement Form |
| Need to submit a Dependent Day Care FSA claim | 2016 Dependent Day Care FSA Reimbursement Form 2017 Dependent Day Care FSA Reimbursement Form |
| Need to submit a Health Care FSA claim for orthodontia services |
2016 FSA Claim Form For Orthodontia Services 2017 FSA Claim Form For Orthodontia Services |
| Need to learn more about the FSA claim reimbursement process or would like to know how to access your FSA balance | FSA Claim Reimbursement Requirements |
Prescription Drug Coverage
| If you ... | See this resource ... |
| Need to submit a prescription drug claim that wasn’t submitted automatically through your pharmacy | Caremark Claim Form |
| Would like to initiate receiving a prescription by mail-order service | Caremark Mail Order Form |
| Would like to know which medications are considered preventive (and therefore covered at 100 percent under the Assurant Health Plan) | 2017 Preventive Medication List |
| Need to know which medications require prior authorization | 2017 Medications Requiring Prior Authorization |
| Want a summary of Prescription Drug Coverage Under Assurant's Health Plan options | Prescription drugs page |
| Need HR Services to contact CVS Caremark to assist you with a claims issue/question | Caremark Authorization for Release of Information |
Dental
| If you ... | See this resource ... |
| Need to submit a dental claim that wasn’t submitted automatically by your dental provider | Dental Claim Form |
| Are looking for a dentist | Dental Health Alliance website |
| Need to submit a Health Care FSA claim for orthodontia services | FSA Claim Form For Orthodontia Services |
Wellness Programs
| If you ... | See this resource ... |
| Want to review a short video about EAP resources or a one-page overview | EAP Webinar
EAP Flyer |
Eligibility and Enrollment
| If you ... | See this resource ... |
| Haven’t already reviewed the 2017 Annual Enrollment Guide | 2017 Annual Enrollment Guide |
| Want to view a short video about enrolling | 2017 AE Video |
| Experience a qualified life event and need to make changes to your dependents or benefits during the year | Visit MyHR from the Connect home page |
| Need to reference the requirements for each eligible dependent | Click here for the definition of an eligible dependent for Health and Dental Plans. Review the Assurant Health and Welfare Benefit Plan Summary Plan Description (SPD) for a full description of dependent eligibility for all plans. |
| Are enrolling in your new hire benefits or for Annual Enrollment | Visit EPIC |
Other Benefits
| If you ... | See this resource ... |
| Are enrolled in the Assurant Medical Plan and would like to take advantage of vision discounts available to you | Eyewear Special Offers |
| Would like to learn more about ARAG group legal coverage | ARAG Overview |
| Are considering retiring in the next 18-24 months | Planning For Your Retirement Guide |
| Are a new hire and would like to review highlights of your benefits at Assurant |
2017 New Hire Guide 2017 New Hire Video |
Plan Documents
| If you ... | See this resource ... |
| Need full details on the health and welfare plans available to Assurant employees | Health and Welfare SPD |
| Need full details on the 401(k) Plan | 401(k) SPD |
| Would like a summary of the Stock Purchase Plan | ESPP Brochure |
| Need the definition of "Plan Pay" | Plan Pay Information |
Legal Notices
The information provided here and in the additional notices below constitutes a Summary of Material Modification to these Plans. This information should be retained as an update to the latest Assurant Health and Welfare Benefit Plan Summary Plan Description (SPD) .
While the Company intends to continue these benefits, it reserves the right to change or terminate them at its sole discretion. The terms of the plan cannot be modified or amended by oral statements.
| Health Care Reform Exchange Notification | Click here |
| Women's Health and Cancer Rights Act of 1998 Notice | The Women's Health and Cancer Rights Act of 1998 mandates that if you are covered under a group or individual health plan that provides medical and surgical benefits with respect to a mastectomy, you also have coverage available for the following procedures and care: • Reconstruction of the breast on which the mastectomy has been performed; • Surgery and reconstruction of the other breast to produce a symmetrical appearance; and • Prostheses and physical complications at all stages of mastectomy, including lymphedema. Coverage will be subject to your health plan's payment provisions. |
| Newborns' and Mothers' Health Protection Act | Group health plans and health insurance issuers generally may not, under federal law, restrict benefits for any hospital length of stay in connection with childbirth for the mother of a newborn child to less than 48 hours following a normal vaginal delivery, or less than 96 hours following a cesarean section. However, federal law generally does not prohibit the mother's or newborn's attending physician, after consulting with the mother, from discharging the mother or her newborn earlier than 48 hours (or 96 hours as applicable). In any case, health plan providers may not require that a provider obtain authorization for prescribing a hospital length of stay of less than 48 hours (or 96 hours). |
| HIPAA Privacy | We take your privacy seriously. Please review our HIPAA Privacy statement located here. If you believe your privacy has been breached, please send your complaints to: Assurant Corporate Benefits, Attn: HIPAA Privacy Official, 28 Liberty Street, 41st Floor, New York, New York 10005. |
| Creditable coverage | 2016 Creditable Coverage Cover Notice 2016 Creditable Coverage Notice 2017 Creditable Coverage Cover Notice 2017 Creditable Coverage Notice |
| CHIP notice | Click here |
Forward-Looking Statement Disclaimer Some of the statements on this website may be forward-looking statements under the Private Securities Litigation Reform Act. Actual health care costs may differ from the statements made in this Guide. For details on the general risk factors that affect Assurant's results, see our Annual Report on Form 10-K and subsequent reports on Form 10-Q and Form 8-K, as filed with the SEC.