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Plan Description
Colonial Life & Accident > Dependent Care FSA
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Note: This page contains a brief summary of coverage. It does not
state all provisions and limitations of the plan. The terms and provisions of
each plan, as outlined in the plan document, will determine coverage and
eligibility.
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Broker Name:
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Cigna Healthcare
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Policy Number:
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34512435
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Original Plan Effective Date:
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12/11/2002
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Rate Guarantee Expiration Date:
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12/11/2002
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Plan Anniversary Date:
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12/11/2202
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Division:
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All Divisions
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Location:
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California
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Employee Classes:
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Full Time
Manager
Officer
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General Plan Information
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Maximum Annual Contribution
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$5,000.00
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Minimum Annual Contribution
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$1,000.00
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Benefit Attributes
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Contribution Tax Status
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Pre-tax
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Frequency of Disbursements
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Once a Month
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Minimum Reimbursement Amounts
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$25
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Reimbursement Method
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Direct Deposit
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Qualified Expenses
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Nursery Schools
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Yes
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Private Preschool Program
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No
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Home-based Licensed Day Care
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No
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Vision and Hearing Expenses
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Yes
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Providers or Care for Disabled Dependents
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No
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Waiting Period Information
Eligible employees are eligible as of the 1st of the month following the employee's hire date.
Termination of Coverage Information
When a plan participant is terminated from the company, the plan coverage ends on the last day of the month following the employee's termination date.
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Complink
http://www.complink.com
Member Services
John Carpet
P.O. Box 2508
177 S Commons Drive
Aurora, IL 60504
(212) 225-5890
Fax 345-133-4433
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