Group Medical Insurance

Group Medical Insurance

SummaryBookletDeductibles
Plan 1

$500 Ind./$1,000 Family
Plan 2

$1,000 Ind./$2,000 Family
Plan 3

$1,500 Ind./$3,000 Family
Plan 4

$2,000 Ind./$4,000 Family
Plan 5

$1,500 Ind./$3,000 Family
Plan 6

$2,500 Ind./$5,000 Family
Plan 7

$2,500 Ind./$5,000 Family
Plan 8
 $3,000 Ind./$6,000 Family
Plan 9

$2,000 Ind./$4,000 Family
Plan 10

$3,500 Ind./$7,000 Family
Plan 11

$4,000 Ind./$8,000 Family
Plan 12

$2,800 Ind./$5,600 Fam.
Plan 13

$3,000 Ind./$6,000 Fam.
Plan 14

$4,000 Ind./$8,000 Fam.
Plan 15

$4,000 Ind./$8,000 Fam.
Plan 16

$6,350 Ind./$12,700 Fam.
Plan 17

$8,300 Ind./$16,600 Fam.
Plan 18
 $6,000 Ind./$12,000 Fam

Dental and Vision Benefits

Important Notices and Claim Forms

Notice of Privacy Practices
Summary Plan Description
My Health Toolkit
Claim Form - Columbia Service Center
Claim Form - Greenville Service Center
Minimum Essential Coverage Notice
Medicare Creditable Coverage Notice

Fax completed Medical Change Form to Capstone Administrators at 317-222-3003

Mr. Mark Brown, CAE, Associate Executive Director, 803-750-2277 or 800-327-2598 in SC