Netcare Corporation

 

Summary of Benefits, Forms and Contact Information

Overview


All completed forms should be sent to:
Netcare Corporation
Attn: Nate Kortokrax
199 S. Central Avenue
Columbus, OH 43223

Medical Insurance

 Summaries of Benefits and Coverage (SBC), Benefit Summaries, Certificates of Coverage and Uniform Glossary of Terms

Anthem Benefits Booklet – Overview of Anthem’s programs, services, resources and “Benefit Summaries”.

Netcare is contracting wih an outside vendor to handle the administration and notification of your rights under COBRA and ability to continue the insurance if a qualifying event occurs. While Netcare is aware of events such as terminations of employment, it is YOUR responsibility to notify Nate Kortokrax of any qualifying events so they can in turn notify the Insurance Company.

Anthem Enrollment Application – ALL new employees are required to complete this form even if you are waiving coverage. (The same application is used for medical, dental and vision.)

Anthem’s network providers are responsible for submitting any claim forms to Anthem on your behalf. However, if you have services provided by a non-network provider, you will need to pay that provider directly and complete the claim forms below for any reimbursements.

Anthem Website: www.anthem.com

Questions: 833.639.1634
Hours: 8:30am to 6:00pm, EST

 

 

Dental Insurance (Delta Dental- Group #0007387)

Benefit Summary – Detailed information about your dental benefits including coverages, exclusions and limitations.

Certificates of Coverage – Detailed descriptions of your benefit coverage, limitations and exclusions for both plan options

Netcare is contracting with an outside vendor to handle the administration and notification of your rights under COBRA and ability to continue the insurance if a qualifying event occurs. While Netcare is aware of events such as terminations of employment, it is YOUR responsibility to notify Nate Kortokrax of any qualifying events so they can in turn notify the Insurance Company.

Enrollment Application – ALL new employees are required to complete this form even if you are waiving coverage. (The same application is used for medical, dental and vision.)

Non-Network Dental Claim Form – Complete and mail this form along with a copy of your bill to Delta Dental if your dentist isn’t willing to do it for you.

Delta Dental Website: www.deltadentaloh.com

Customer Service Phone: 800-524-0149

Member Portal – Online access to your claims, online ID cards, Explanation of Benefits (EOB’s), deductibles, usage levels and more.  See Flyer for more details.

Online Provider Lookup – Be sure to select either the “Delta Dental PPO” or “Delta Dental Premier” network.

How To – Instructions on how to create your account on Delta Dental online, print your ID card and find a dentist.

 

Reference ID cards – Delta Dental does not provide personalized ID cards but these can be printed and given to your dentist when you visit them.

Other helpful information and flyers:

Vision Insurance (VSP – Group #12251820)

Benefit Summary – High level summary of the in and out of network benefits for the exam, frames and lenses.

Evidence of Coverage – Detailed information about your vision benefits including appeals, exclusions, etc.

Netcare is contracting with an outside vendor to handle the administration and notification of your rights under COBRA and ability to continue the insurance if a qualifying event occurs. While Netcare is aware of events such as terminations of employment, it is YOUR responsibility to notify Nate Kortokrax of any qualifying events so they can in turn notify the Insurance Company.

Non-network Vision Claim Form – Complete and mail this form along with a detailed copy of your bill to VSP for reimbursement.
Web: www.vsp.com

VSP Customer Service Phone: 800.877.7195

Online Provider Lookup – Online lookup of VSP’s Signature Plan providers.

Miscellaneous Information:

– Primary EyeCare Benefit
– Frequently Asked Questions (FAQ) 
– Informative and Convenient from VSP

Group Life, AD&D, STD, LTD, and Voluntary Life Insurance (Mutual of Omaha)

Employee Application and Beneficiary Form: For newly eligible employees, or for any employees to update beneficiary information.

Conversion and Portability – When you leave Netcare you can convert (Conversion Application) the group or supplemental term life insurance to an individual whole life plan.  You can also “Port” (Portability Application) your supplemental term life insurance.  This allows you to maintain the coverage as a term life benefit which is typically less expensive but increases in cost over time.

Other Forms and Information:

Evidence of Insurability – For late enrollees or those electing coverage amounts in excess of the Guarantee Issue levels.
Free Will Prep Service
Beneficiary Election and Change Form
Life Accident Claim Form
Accelerated Death Benefit Form
Waiver of Premium Claim Form

Claim Forms:

  • Short-Term Disability Claim Form – Human Resources must complete Section 2 before you can send the completed form to Mutual of Omaha.
  • Long-Term Disability Claim Form – Human Resources must complete Section 2 before you can send the completed form to Mutual of Omaha.
  • Accelerated Death Benefit Form – Allows you to take a portion of your life insurance before your death under certain circumstances.
  • Waiver of Premium Claim Form – In the event you have a total disability, this is the form you need to complete and submit.  If approved, Mutual of Omaha will then pay your premiums until your Social Security Normal Retirement Age (SSNRA).
  • Life Claim Form – Human Resources must complete Section 1 and then the beneficiary/claimant will complete the remaining portion of the form and submit it to Mutual of Omaha.

Employee Assistance Program (EAP) – The unlimited telephonic and six face to face visits (including Travel Assistance) are available for all benefit eligible employees (those working 20+ hours per week) and their dependents.  For those working less than 20 hours, only the telephonic services are available.

In the event of a death, please the notify Human Resources office immediately so the appropriate claim forms and other paperwork can be forwarded to the appropriate individual(s) for completion.

Worksite (Aflac)

If you’re interested in enrolling or  need to make changes to your current coverages, you can contact Amber Stein at Aflac.
If you’re interested in enrolling or  need to make changes to your current coverages, you can contact Amber Stein at Aflac.

Phone: (740) 815-8440
E-mail: amber_stein@us.aflac.com
Claims: 614-839-6096

Pet Insurance (Nationwide)

Nationwide Pet Insurance – Click on the customized link to learn more and enroll anytime.  The rates are discounted for Netcare employees and the bill is sent directly to your home.

Questions?  Call Nationwide directly at 877-738-7874

Long-Term Care (UNUM)

Plan Highlights – See page 1 through 16 for the high level summary

Certificate of Coverage – Detailed information about the plan and coverages

Plan Enrollment Materials – See pages 17 through 50 for the forms and materials you need to complete

Note: Rates included in this document increased on 1/1/17 and are subject to future increases.

Contact Netcare’s Human Resources for questions and assistance.

Insurance Benefits Specialist (Agent)

Milestone Benefits Agency, Inc.
521 Village Park Drive
PO Box 2038
Powell, OH 43065

Local Phone: 614-431-9540
Fax: 614-844-5364

Milestone Benefits Agency: www.milestonebenefits.com

Contact information signs – Content information about this website and how to contact your representatives at Milestone Benefits Agency, Inc.

Stacy Green
Direct: (614) 318-3163
Extension: 9105
E-mail: Stacy@milestonebenefits.com

Kent Bermingham Jr.
Direct: (614) 318-5485
Extension: 9103
E-mail: kentjr@milestonebenefits.com

Disclaimer: The information contained on this site serves as a resource for the employees and administrators of your employer and in some instances only contains an overview of the benefits, provisions, limitations and exclusions of these programs. Information can sometimes change and may not be current on this site. In all instances, if the information contained on this site conflicts with the applicable plan documents or carrier administration of these programs, the plan documents and their administrative policies will prevail. Each company reserves the right to change these benefits at any time without prior notice and at their own discretion.

Our Location:

521 Village Park Drive
PO Box 2038 
Powell, Ohio 43065

Contact Info:

614.431.9540 (Phone)
614.844.5364 (Fax)
info@milestonebenefits.com

Hours of Operation:

M-F: 8:00 - 5:00 Eastern