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Health Coverage
BlueCross BlueShield of Tennessee
Please note that pages 1, 3, 5 and 7 have been left blank intentionally.

 

Vision Coverage
BlueCross BlueShield of Tennessee
Please note that pages 1, 3, 5 and 7 have been left blank intentionally.

 

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-S6252-000. Please leave the Employee ID Number field blank.

 

Questions?
Please contact Mike Harmon at MichaelH@assoc-admin.com or 423.648.0247. Or, utilize the webform below.
 

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