Summary of Program
Summary of Benefits and Coverage
Summary Plan Description
Temporary ID Cards
Other Forms
Benefits Summary
Compliance
Missed Premium Payment Coupon
Non-Discrimination Notice
User Agreement
Benefits Summary
Compliance
Missed Premium Payment Coupon
Non-Discrimination Notice
User Agreement
Life
Accident
Hospital Indemnity
Critical Illness
Supplemental Short-term Disability
Claims Submission
Legal Plan
Compliance Documents
Medicare Part D
Wrap Summary Plan Description
Privacy
Summary Annual Report
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 on www.99onlybenefits.com. A paper copy is also available, free of charge, by calling 1-323-881-9968.
In the event of any conflict between the content contained herein and
the Summary Plan Description (SPD),
the provisions of the Summary Plan Description (SPD) shall prevail.
© Piper Jordan, LLC. All rights reserved.
Your Benefits
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2022/2023
Benefits Hub
We have developed this Benefits Hub for
you as a one-stop-shop
for all of your year-round benefits needs.
Get access to things like plan documents, contact information, plan information,
helpful compliance notices & more!
To get started, click a Plan Icon or just continue scrolling.
Medical Plans
The Reliance Standard BasicCare Program combines
the BasicAdvantage Total Plan and the Essential Care
Plan to provide you with ACA-compliant Minimum
Essential Coverage.
Your acceptance into this program is guaranteed - you
cannot be turned down as long as you elect coverage
during Open Enrollment and remit premiums.
Reliance Plan 1
Preventive Care:
Free!
Office Visit:
$60/day | 3/year
Deductible:
$0
Hospital Room & Board:
$100/day
Reliance Plan 2
Preventive Care:
Free!
Office Visit:
$60/day | 4/year
Deductible:
$0
Hospital Room & Board:
$300/day
Documents
Contacts
View Plan Detail
Dental Plan
This Dental Plan features a $50 deductible and a $500 annual benefit maximum. You have coverage for Basic & Restorative services as well as Preventive costs.
Dental Plan
Maximum Coverage/Year:
$500
Preventive:
80%
Basic:
60%
Deductible:
$50
Documents
Contacts
View Plan Detail
Vision Plan
We offer a reimbursement program through Aetna that allows you to receive up to $100 per year for your out-of-pocket exam, frames, lens or contact lenses expenses.
Vision Base
Exam:
$100 reimbursements
Frames::
$100 reimbursements
Lenses:
$100 reimbursements
Contact Lenses:
$100 reimbursements
Documents
Contacts
View Weekly Premium
Reliance Standard Term Life
Term Life insurance provides you with $10,000 of guaranteed issue coverage, $2,500 for dependents over 6 months and $500 for children under 6 months.
Documents
Contacts
Employee Assistance Program
Feel Supported. If you’re feeling stressed or worrying about your family or money, connect up to 5 times per issue with a licensed counselor for help. Go to metlifeeap.lifeworks.com, user name: metlifeeap and password: eap.
Documents
Contacts
View Plan Detail
Financial Protection
These are benefits you may choose to enroll in, that you fully pay for out-of-pocket. We offer these benefits to you as a way to allow you to choose additional protections and types of insurance coverage.
Included Benefits
✓ Accident
✓ Hospital Indemnity
✓ Critical Illness
✓ Group Term Life
✓ Supplemental Short-Term Disability
Documents
Contacts
View Plan Detail
Compliance
Your hub for compliance information, forms and contacts you may not have found elsewhere.
Open the box
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 on www.99onlybenefits.com. A paper copy is also available, free of charge, by calling 1-323-881-9968.
The 99 Store permits INSURERS to offer employees of The 99 Store certain voluntary insurance programs. Whether you choose to enroll in any of these programs is completely optional and voluntary. The 99 Store does not make a contribution towards the cost of these programs and employees pay the full cost of premiums on an after-tax basis. The 99 Store does not sponsor, maintain, endorse, recommend, or promote these voluntary programs. The 99 Store'S involvement regarding these voluntary insurance programs is strictly limited to allowing the insurer access to employees to publicize these programs and The 99 Store may perform certain ministerial functions such as payroll deduction and forwarding employee premium payments to the insurer. The 99 Store 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. The 99 Store 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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