Group Medical Insurance

SummaryBookletDeductibles
Plan 1
Plan 1 SBC$500 Ind./$1,000 Family
Plan 2
Plan 2 SBC$1,000 Ind./$2,000 Family
Plan 3
Plan 3 SBC$1,500 Ind./$3,000 Family
Plan 4
Plan 4 SBC$2,000 Ind./$4,000 Family
Plan 5
Plan 5 SBC$1,500 Ind./$3,000 Family
Plan 6
Plan 6 SBC$2,500 Ind./$5,000 Family
Plan 7
Plan 7 SBC$2,500 Ind./$5,000 Family
Plan 8
Plan 8 SBC$3,000 Ind./$6,000 Family
Plan 9
Plan 9 SBC$2,000 Ind./$4,000 Family
Plan 10
Plan 10 SBC$3,500 Ind./$7,000 Family
Plan 11Plan 11 SBC$4,000 Ind./$8,000 Family
Plan 12
Plan 12 SBC$2,800 Ind./$5,600 Family
Plan 13
Plan 13 SBC$3,000 Ind./$6,000 Family
Plan 14Plan 14 SBC$4,000 Ind./$8,000 Family
Plan 15
Plan 15 SBC$4,000 Ind./$8,000 Family
Plan 16
Plan 16 SBC$6,350 Ind./$12,700 Family
Plan 17
Plan 17 SBC$8,300 Ind./$16,600 Family
Plan 18
Plan 18 SBC$6,000 Ind./$12,000 Family

Dental and Vision Benefits

Important Notices and Claim Forms

Notice of Privacy Practices
Summary Plan Description
My Health Toolkit
Claim Form - Columbia Service Center
Claim Form - Greenville Service Center
Minimum Essential Coverage Notice
Medicare Creditable Coverage Notice

Fax completed Medical Change Form to Capstone Administrators at 317-222-3003

Mr. Mark Brown, CAE, Associate Executive Director, 803-750-2277 or 800-327-2598 in SC