Benefit Documents for Imlay City Community Schools

Medical

Effective Date	Description
01/01/2022	Imlay City Community Schools BCBSM $2,000 -0% BAAG Eff. 1-1-22
01/01/2022	Imlay City Community Schools BCBSM $2,000-0% SBC Eff. 1-1-22
01/01/2022	Imlay City Community Schools BCBSM $2,000-20% BAAG Eff. 1-1-22
01/01/2022	Imlay City Community Schools BCBSM $2,000-20% SBC Eff. 1-1-22

Dental

Effective Date	Description
07/01/2021	SET SF i70%/i70%/50%/50% - $1,200/$1,200

Vision

Effective Date	Description
07/01/2021	EyeMed SF $0/$0 Copays - $150 Contacts/$150 Frame

Life

Effective Date	Description
-	Imlay City Community Schools RSLI Group Life Policy

LTD

Effective Date	Description
-	Imlay City Community Schools RSLI LTD Policy

Options

Effective Date	Description
11/05/2015	Imlay City Community Schools RSLI Vol Grp Life Policy