Below please find documents that will help you decide on your benefit selections with Androscoggin effective February 1, 2022.
- 2022 Employee Benefits Guide – Androscoggin
- 2022 Payroll Calendar
- 2022 Holiday List
- Earned Benefit Time EBT – Accrual Table per Year, Day, Hour – Regular FT and PT status
- Benefits Waiver Form – Medical, Dental, Vision
- Beneficiary Designation Form – UNUM Group Life and AD&D – Company Paid
- Payroll Deductions – Health, Dental, Vision Benefits
- Principal Log In Instructions
Benefit Summaries
- Benefit Summary Aetna PPO $2000 FSA
- Benefit Summary – Aetna SBC PPO $2000 FSA
- Benefit Summary – Aetna HDHP $3000 HSA
- Benefit Summary – Aetna Concierge Member Flyer
- Benefit Summary – Aetna Dental
- Benefit Summary – Aetna Preventive RX List for HSA Plans
- Benefit Summary – Aetna SBC- HDHP $3000 HSA
- Benefit Summary – UNUM Insurance with Enrollment Forms – Non-Managers, Non-Exempt
- Benefit Summary – UNUM Insurance with Enrollment Forms – Managers, Exempt
- Benefit Summary – UNUM Accident Insurance
- Benefit Summary – UNUM Critical Illness Insurance
- Benefit Summary – UNUM Hospital Insurance
- Benefit Summary – VSP Vision – Choice Plan
- Benefit Summary – VSP Vision Benefits 2022 – Powerpoint includes Employee Contribution
- Benefit Summary – UNUM Pre-Existing Condition Limitations
- Benefit Summary – Aetna Dental – Schedule of Benefits
- Benefit Summary – FSA Plans – Group Dynamic
Enrollment Forms
Note: Enrollment forms for UNUM Term Life and AD&D, LTD, STD, Accident and Hospital Insurance, and Critical Illness are included in the Benefits Summary documents above.
