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Resources

Resources

Plan Documents and Legal Notices

Medical Documents

Bronze Plan – Benefit Summary

Silver Plan with HSA – Benefit Summary

Gold Plan – Benefit Summary

Bronze Plan – Medical Certificate

Silver Plan with HSA – Medical Certificate

Gold Plan – Medical Certificate

UHC Hearing Discount Flier

Dental Documents

Gold Plan – Dental Summary

Silver Plan – Dental Summary

Gold Plan – Dental Certificate

Silver Plan – Dental Certificate

Dental PPO Plan New Member Flier

Vision Documents

Vision Summary

Vision Certificate

Vision Plan Out-of-Network Claim Reimbursement Form

LASIK Discount Flier

HSA Documents

2025 Optum HSA Member Flyer

HSA Eligible Expenses

HSA Member FAQ

Supplemental Medical Documents

Accident Summary

Accident Certificate

Life and Disability Documents

Group Life and AD&D Plan Document

STD & LTD Plan Document

Evidence of Insurability Form

Financial Protection Claims Online Access

Retirement Documents

Investment Notice

401(k) Adoption Agreement

Fee Disclosure

401(k) Plan Document

401(k) Plan Summary

Mental Health Documents

Behavioral Health Flyer

Calm Health App

Canopy EAP Summary

UHC Mental Health Visits

Additional Benefit Documents

Pets Best Benefit Flyer

TouchCare Flyer

Compliance Notices

DaBella Exteriors 2025 Required Notices

Important Contacts

Medical/Dental/Vision

UnitedHealthcare
Group # 920259
866-290-5416
https://myuhc.com

Life/Disability

UnitedHealthcare
Policy # 308652
866-290-5416
www.myuhcfp.com

Health Savings Account
Retirement
Employee Assistance Program
DaBella HR
HR System / Enrollment

Paycom
Group Name: DaBella Exteriors LLC
Paycom Group Number: 0FV75
800-580-4505
https://paycom.com

Pet Insurance