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Summaries & Notices

Open Enrollment

2026 Open Enrollment Benefits Guide

2026 Plan Year Notice Packet

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Important Information for New and Current Enrollees

Electronic Disclosure Notice – Non-Driving Employees
Electronic Disclosure Notice – Drivers
Benefit Plan Summary - Employee
Benefit Plan Summary - Independent Contractor
Benefits Enrollment Notice
Dependent Verification/Certification Guidelines

• Dependent Verification/Certification Guidelines (Eff. 1/1/2026)
COBRA Notice
HIPAA Privacy Notice

HIPAA Privacy Notice (Eff. 1/1/2026)
HIPAA - Notice of Special Enrollment Rights

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Health Care Plan

• Summary of Benefits and Coverage – Employee & Independent Contractor (2025)

• Summary of Benefits and Coverage – Employee and Independent Contractor (2026)
Summary Plan Description – Employee & Independent Contractor
Affordable Care Act Notice

• Form 1095-C Tax Information
Medicare Part D - Creditable Coverage Notice
Women’s Health and Cancer Rights Act (WHCRA) Notices

• Newborns and Mothers Health Protection Act Notice
Children’s Health Insurance Program (CHIP) Notice

• Mental Health Parity and Addiction Equity Act (MHPAEA) Notice
Your Rights & Protection Against Surprise Medical Bills

Link to Machine Readable Files - Medical  (Instructions to Access Machine Readable Files - Medical)

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Dental Plan

Summary Plan Description - Employee & Independent Contractor

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Vision Plan

Exam & Materials Plan
Summary Plan Description - Employee & Independent Contractor

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Exam Only Plan
Summary Plan Description - Employee & Independent Contractor

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Account Plans

Dependent Care Assistance Plan
Summary Plan Description - Employee

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Flexible Spending Account Plan
Summary Plan Description - Employee

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Disability Plans

Long-Term Disability Insurance Plan
Summary Plan Description - Employee
Summary Plan Description - Employee (Washington Residents)

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Short-Term Disability Insurance Plan
Summary Plan Description - Non-Driver Employee
Summary Plan Description - Non-Driver Employee (Washington Residents)
Summary Plan Description - Driver Employee
Summary Plan Description - Driver Employee (Washington Residents)

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Voluntary Short-Term Disability Insurance Plan
Summary Plan Description - Independent Contractor
Summary Plan Description - Independent Contractor (Washington Residents)

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Life Insurance Plan

Basic Life Insurance Plan
Summary Plan Description - Employee
Summary Plan Description - Employee (Washington Residents)
Summary Plan Description - Independent Contractor
Summary Plan Description - Independent Contractor (Washington Residents)

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Voluntary Life Insurance Plan (Including AD&D)
Summary Plan Description - Employee
Summary Plan Description - Employee (Washington Residents)
Summary Plan Description - Independent Contractor
Summary Plan Description - Independent Contractor (Washington Residents

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Supplemental Plans - Allstate

Accident Insurance Plan
Accident Brochure/Rates
• Summary Plan Description – Employee & Independent Contractor

• Specimen Certificate

Critical Illness Insurance Plan
Critical Illness Brochure/Rates
• Summary Plan Description – Employee & Independent Contractor

• Specimen Certificate – With Cancer Coverage

• Specimen Certificate – Without Cancer Coverage

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Universal Life Insurance Plan
Universal Life Insurance Brochure  |  Rates - $10,000 - $70,000  &  $80,000 - $100,000
• Summary Plan Description – Employee & Independent Contractor
• Specimen Certificate – Policies Issued Prior To October 1, 2020

• Specimen Certificate – Policies Issued As Of October 1, 2020

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Hospital Indemnity Insurance Plan

Fixed Indemnity Notice

Hospital Indemnity Brochure/Rates

• Summary Plan Description – Employee & Independent Contractor

• Specimen Certificate

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Flexible Benefits Plan

Summary Plan Description - Employee

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Welfare Benefits Plan

Summary Plan Description - Employee & Independent Contractor
Summary Annual Report​

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401(k) Profit Sharing

Summary Plan Description – Employee (Crete)

Summary Plan Description – Employee (Hunt)​

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Benefits Call Center

877-340-0369

GoToSMBO.com

211 S. 23rd Street

Plattsmouth, NE

Be in the Know

Your benefits are an important part of your overall compensation. We are pleased to offer a comprehensive array of valuable benefits to protect your health, your family, and your way of life. This website provides information relating to the benefit plans for which you may be eligible. Please read this information carefully.

© 2024 GoToSMBO.com a Keeler & Associates Company

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