Group Medical Insurance

Group Medical Insurance

SummaryDetailsBookletDeductibles
Plan 1
Plan 1
Plan 1
$500 Ind./$1,000 Family
Plan 2
Plan 2
Plan 2
$1,000 Ind./$2,000 Family
Plan 3
Plan 3
Plan 3
$1,500 Ind./$3,000 Family
Plan 4
Plan 4
Plan 4
$2,000 Ind./$4,000 Family
Plan 5
Plan 5
Plan 5
$1,500 Ind./$3,000 Family
Plan 6
Plan 6
Plan 6
$2,500 Ind./$5,000 Family
Plan 7
Plan 7
Plan 7
$2,500 Ind./$5,000 Family
Plan 8
Plan 8
Plan 8
$3,000 Ind./$6,000 Family
Plan 9
Plan 9
Plan 9
$2,000 Ind./$4,000 Family
Plan 10
Plan 10
Plan 10
$3,500 Ind./$7,000 Family
Plan 11
Plan 11
Plan 11
$4,000 Ind./$8,000 Family
Plan 12
Plan 12
Plan 12
HSA $2,800 Ind./$5,600 Fam.
Plan 13
Plan 13
Plan 13
HSA $3,000 Ind./$6,000 Fam.
Plan 14
Plan 14
Plan 14
HSA $4,000 Ind./$8,000 Fam.
Plan 15
Plan 15
Plan 15
HSA $4,000 Ind./$8,000 Fam.
Plan 16
Plan 16
Plan 16
HSA $6,350 Ind./$12,700 Fam.
HIA Plan 1
HIA Plan 1
HIA Plan 1
HIA $2,000 Ind./$4,000 Fam.
HIA Plan 2
HIA Plan 2
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