CONTACT INFO Kelly Rector email Barb Goode email ..................................... DENNY & ASSOCIATES 636.887.4700 / phone 866.858.0920 / toll free 636.887.3081 / fax 1022 Peruque Crossing Court, Ste. B O'Fallon, MO 63366	WELCOME to St. Louis Crisis Nursery Benefits Directory Denny & Associates, Inc. has provided our valued customers with easy access to all benefits and downloadable insurance forms. Please feel free to contact your representative or Denny & Associates with any questions. We hope that this helpful tool will make your insurance needs easier. Thank You! Benefits Cover Page Employee Benefits Election Form PDF Medical with UHC UHC Plan A - 5000 80% $35/75 Summary of Benefits PDF UHC Plan B - 3000 100% $15/50/100 Summary of Benefits PDF UHC Plan C - 5000 80% $35/75 Summary of Benefits PDF UHC Plan D - 3000 100% $15/50/100 Summary of Benefits PDF UHC Dental Plan A - P0204 MAC Summary of Benefits PDF UHC Dental Plan B - P0079 PPO Summary of Benefits PDF UHC Vision Plan - S108V Summary of Benefits PDF UHC Employee Enrollment and Change Form PDF UHC Website website UHC Provider Directory website Base Life, Voluntary Life and Dependent Voluntary Life with The Hartford Hartford Base Life and AD&D Benefit Summary PDF Hartford Voluntary Life and AD&D Benefit Summary PDF Hartford Additional Services Information PDF Hartford Voluntary Life Premium Worksheet PDF Hartford Enrollment Form PDF Hartford EOI Form PDF Hartford Website website Compliance UHC Plan A - 5000 80% $35/75 SBC PDF UHC Plan B - 3000 100% $15/50/100 SBC PDF UHC Plan C - 5000 80% $35/75 SBC PDF UHC Plan D - 3000 100% $15/50/100 SBC PDF UHC Plan A - 5000 80% $35/75 Certificate of Coverage PDF UHC Plan B - 3000 100% $15/50/100 Certificate of Coverage PDF UHC Plan C - 5000 80% $35/75 Certificate of Coverage PDF UHC Plan D - 3000 100% $15/50/100 Certificate of Coverage PDF UHC Dental Plan A - P0204 MAC Certificate of Coverage PDF UHC Dental Plan B - P0079 PPO Certificate of Coverage PDF UHC Vision S108V Certificate of Coverage PDF Hartford Base Life Full Certificate PDF Hartford Vol. Life Full Certificate PDF ERISA Plan Document and Summary Plan Description PDF Annual Standard Notice WHCRA, CHIPRA, Patient Protection Choice of Providers & HIPAA PDF Healthcare Exchange Notification PDF CMS Creditable Prescription Drug Coverage Notice PDF COBRA Initial Notice Word Doc
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