Group Medical Insurance
Group Medical Insurance
| Summary | Booklet | Deductibles |
| Plan 1 | 2024 Plan 1 | $500 Ind./$1,000 Family |
| Plan 2 | 2024 Plan 2 | $1,000 Ind./$2,000 Family |
| Plan 3 | 2024 Plan 3 | $1,500 Ind./$3,000 Family |
| Plan 4 | 2024 Plan 4 | $2,000 Ind./$4,000 Family |
| Plan 5 | 2024 Plan 5 | $1,500 Ind./$3,000 Family |
| Plan 6 | 2024 Plan 6 | $2,500 Ind./$5,000 Family |
| Plan 7 | 2024 Plan 7 | $2,500 Ind./$5,000 Family |
| Plan 8 | 2024 Plan 8 | $3,000 Ind./$6,000 Family |
| Plan 9 | 2024 Plan 9 | $2,000 Ind./$4,000 Family |
| Plan 10 | 2024 Plan 10 | $3,500 Ind./$7,000 Family |
| Plan 11 | 2024 Plan 11 | $4,000 Ind./$8,000 Family |
| Plan 12 | 2024 Plan 12 | $2,800 Ind./$5,600 Fam. |
| Plan 13 | 2024 Plan 13 | $3,000 Ind./$6,000 Fam. |
| Plan 14 | 2024 Plan 14 | HSA $4,000 Ind./$8,000 Fam. |
| Plan 15 | 2024 Plan 15 | HSA $4,000 Ind./$8,000 Fam. |
| Plan 16 | 2024 Plan 16 | HSA $6,350 Ind./$12,700 Fam. |
| HIA Plan 1 | 2024 HIA plan 1 | HIA $2,000 Ind./$4,000 Fam. |
| HIA Plan 2 | 2024 HIA plan 2 | HIA $3,500 Ind./$7,000 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
