| Benefit | Provider/Program | Call | Online |
|---|---|---|---|
| Contacts | |||
| Claims Advocacy | Piper Jordan | Call or text 855-906-3754 (8am - 5pm PST) | niagara@piperjordan.com |
| Enrollment Questions | OneSource Virtual Center | 844-462-2236 | niagarabenefits@onesourcevirtual.com |
| ALEX | Benefits Counselor | N/A | https://www.myalex.com/niagarabottling/2023 |
| Medical & Related Programs | |||
| Medical | Cigna | 800-244-6224 | https://my.cigna.com |
| Medical 2022 | Aetna | 866-603-9954 | https://member.aetna.com/appConfig/login/login.fcc |
| Prescription Drug | Magellan | 855-371-9782 | https://www.magellanrx.com/member/login/ |
| Mental Well-Being | Lyra | 877-782-4724 | https://niagara.lyrahealth.com |
| Wellness | Sharecare | 855-201-7533 | https://niagara.sharecare.com/?cmpid=ng-sc3-en-00-00-00-micrositecontactspage-20230221 |
| Telemedicine | Teladoc | 855-835-2362 | https://www.teladoc.com |
| Dental & Vision | |||
| Dental | Delta Dental | 800-422-4234 | https://www.deltadentalins.com |
| Vision | VSP Vision Care | 800-877-7195 | https://www.vsp.com |
| Financial | |||
| Health Savings Account | Fidelity | 866-402-7610 | https://www.401k.com |
| Flexible Spending Account | Fidelity | 866-402-7610 | https://www.401k.com |
| 401(k) | Fidelity | 800-835-5097 | https://www.401k.com |
| 529 College Savings | Fidelity | 877-208-0098 | https://www.advisor.fidelity.com |
| Life & Disability Benefits & Leave of Absence | |||
| Life and AD&D | Unum | 800-445-0402 | https://www.unum.com |
| Short-Term Disability | Unum | 866-679-3054 | https://www.unum.com |
| Long-Term Disability | Unum | 866-679-3054 | https://www.unum.com |
| Leave of Absence | Unum | 866-679-3054 | https://niagarawater.leavelogic.com |
| Work/Life Benefits | |||
| Accident Plan | Unum | 800-635-5597 | https://www.unum.com |
| Legal/Identity Theft | LegalShield | 800-654-7757 | https://www.legalshield.com |
| Pet Discount | Pet Assure | 888-789-7387 | https://www.petassure.com |
| Employee Discounts | Working Advantage | 800-565-3712 | https://www.workingadvantage.com |
| Critical Illness | Chubb | 833-542-2013 | https://esis-spherical.force.com/eep/cveep__Login |
| Family-Friendly Benefits | |||
| Fertility/Adoption/Surrogacy | Progyny | 888-597-5065 | https://member.progyny.com/ |
| MilkStork | MilkStork | 877-242-1306 | info@milkstork.com |
The ACA requires all businesses with 100 or more full-time equivalent employees (FTEs) to offer health insurance to their full-time workers (working 130 hours of service in a calendar month) or pay a penalty. In addition, the Company must continue to provide access to quality health insurance at an affordable cost.
Included in your W-2 income or subject to income taxes.
Not included in your W-2 income or subject to income taxes.
A person or persons you name – using a form accepted by the plan administrator or insurance carrier – to receive benefits in the event of your death.
A drug that is patented by the FDA and subject to an exclusivity agreement that allows the company to be the sole manufacturer of the drug for a certain number of years.
The percentage that you pay of a covered service.
A fixed dollar amount that you pay for a covered service at the time the service is provided.
The health care services that a plan will cover in part or in full based on plan documents.
The amount you pay for covered services in a plan year before the plan begins to pay benefits.
The day on which you’re eligible to participate in a Your Benefits plan.
Expenses incurred for a covered service.
A statement of proof of a person’s physical condition, occupation, or other factor affecting his or her acceptance for insurance coverage.
A drug that’s considered a “preferred choice” based on its effectiveness and cost.
A prescription drug that has the same active ingredients as a brand-name drug and is subject to the same FDA standards for quality, strength, and purity as its brand-name counterpart, but typically costs less. Not all brandname drugs have generic equivalents.
A Jack in the Box or Qdoba employee or eligible dependent who didn’t enroll in the benefit plan when first eligible to join.
Any licensed doctor, hospital, lab, or other health care provider that has contracted to provide members with comprehensive services at discounted rates.
A brand-name drug that isn’t on a plan’s formulary list.
A brand-name drug that isn’t on a plan’s preferred list.
The maximum amount you pay each plan year for covered services. Once you reach your out-of-pocket maximum, the plan pays 100% for additional covered services.
Any licensed doctor, hospital, lab, or other health care provider that is not part of a provider network.
October 1 through September 30.
A drug that’s considered a “preferred choice” based on its effectiveness and cost.
A doctor within an HMO network whom you’ve selected to coordinate your medical care.
A life event that may allow you to make certain changes to your health plan coverage. This includes marriage, registration of a domestic partnership, legal separation, or divorce; birth, adoption, legal guardianship, or change in custody for a dependent child (or children); the ineligibility or death of a dependent; a move to an area where your current plan isn’t offered; a change in your or your spouse’s employment; or a significant change in health coverage.
The maximum amount the plan will pay for a service, based on what providers in that geographic area charge for similar services or supplies.
A Summary of Benefits and Coverage (SBC) has been designed to assist you with better understanding the coverage being offered to you, and to allow you to compare coverage options. The SBC is available in the forms library. A paper copy is also available, free of charge, by calling 909-230-5000.
Niagara Bottling permits INSURERS to offer employees of Niagara Bottling certain voluntary insurance programs. Whether you choose to enroll in any of these programs is completely optional and voluntary. Niagara Bottling does not make a contribution towards the cost of these programs and employees pay the full cost of premiums on an after-tax basis. Niagara Bottling does not sponsor, maintain, endorse, recommend, or promote these voluntary programs. Niagara Bottling'S involvement regarding these voluntary insurance programs is strictly limited to allowing the insurer access to employees to publicize these programs and Niagara Bottling may perform certain ministerial functions such as payroll deduction and forwarding employee premium payments to the insurer. Niagara Bottling does not receive any consideration in the form of cash or otherwise in connection with the program, other than reasonable compensation, excluding any profit, for administrative services actually rendered in connection with payroll deductions. Accordingly, these voluntary insurance programs are not subject to ERISA and related regulations. All questions or claims regarding these programs should be directed to the insurer.
All benefit plans are governed by master policies, contracts, and plan documents. In the event of any inconsistency between the information contained herein and the applicable plan documents, the provisions of the plan documents shall prevail. Niagara Bottling reserves the right to amend, suspend or terminate any benefit plan, in whole or in part, at any time. The authority to make such changes rests with the Plan Administrator.
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