Assistance
- Open Enrollment - 2025
- Benefits Guide - 2024
- Medical
- Flex Spending Account (FSA)
- Vision
- Life & Disability
- Dental
- Identity Protection
- Pet Insurance
- Plan Documents - 2025
- Plan Documents - 2024
Open Enrollment 2025 Plan Year – Enrollment Checklist (English)
Open Enrollment 2025 Plan Year -Enrollment Checklist (Spanish)
Welcome to Open Enrollment!
11/7/2024 – 11/25/2024
Tips to help you get the most out of Open Enrollment:
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- We will be holding both group meetings (informational) and individual meetings (enrollment assistance). Click here to view the schedule.
- You must complete open enrollment in Paycom. Don’t want to make any changes? You are still required to go into the system and “Final Approve” the rollover of your current benefits for 2025.
- If you are adding any dependents, you will need their Social Security Number and their Date of Birth
-
View the complete 2025 Benefit Guide (English)
-
View the complete 2025 Benefit Guide (Spanish)
Keep reading for detailed benefit information!
Medical (Blue Cross Blue Shield of Michigan)
Signature HSA Compatible Plan
(HDHP)
- Summary of Benefits & Coverage
- Benefits-at-a-Glance
- Free preventive drug coverage included with the Signature Plan (more information coming soon)
Health Savings Account (HSA)
- Single Coverage: $4,300
- Double and Family: $8,550
- Employer Funding Annual Amount: Single – $750; Double and Family – $1,500
- Limits are a combination of both employee and employer contributions
- HSA GUIDE
- VIDEO: HOW TO USE YOUR HSA
- HOW TO OPEN YOUR HSA
- CLICK TO OPEN YOUR HSA ACCOUNT!
- Use enrollment verification number: THA0001-161045
Traditional Health Plan
Simply Blue PPO ASC
Annual Notices for Group Health Plans – 2025 (English)
Annual Notices for Group Health Plans – 2025 (Spanish)
Dental (Delta Dental)
Coverage Plan Details
-
- Delta Dental Group #5266 Premier Plan
- Dental Plan Details
Customer Service: 1-800-524-0149
Vision (EyeMed)
Coverage Plan Details
Core Plan Details
Core Plan Group #9942152-1001
Buy-Up Plan Group #9942152-1002
Medical & Dependent Flex Spending Account (FSA)
Life and Disability (Unum)
Unum
Please see the benefit guide for voluntary term life options & pricing.
If you are required to complete an Evidence of Insurability (EOI), Unum will reach out to you via email.
UNUM – INSURANCE AT A GLANCE
Trustmark
Trustmark benefits can only be added or changed from 11/7/2024 – 12/2/2024. Coverage can be dropped anytime during the year.
Trustmark Plan Benefits
- Critical HealthEvents® Insurance
- Hospital StayPay® Insurance
- Universal Life/LifeEvents®
- Accident Insurance
- Click here to enroll or make changes to your existing enrollment
- For Self-Enroll, use your Social Security Number (SSN). The PIN is the last 4 digits of your SSN + the last 2 digits of your birth year
- Questions? Call Trustmark Customer Care: 800-918-8877
Optional Coverage Options
The following benefits are available anytime throughout the year and can be canceled at any time:
Allstate Identity Protection
Customer Service: 1-800-789-2720
Group #3013
*If you opt in to Allstate Identity Protection, you will receive an email from Allstate to assist you with completing your enrollment.
Nationwide Pet Insurance
Customer Service: 1-877-738-4874
Click the link below to enroll with Nationwide. Schupan will be notified once your enrollment is complete.
Wellness Forms
Below are the Wellness Forms (Deadline 11/30/24):
Kalamazoo Health Centered
3520 Covington Rd, Kalamazoo, MI 49001
Phone: 269.924.0500
HOURS:
Monday: 7am – 3:30pm
Wednesday: 7am – 5:30pm
Thursday: 7am – 1:00pm
Benefits Guide
2024 Benefits Guide
Schupan is committed to providing a comprehensive employee benefits program that helps our employees stay healthy, feel secure, and maintain a work/life balance. The Benefits Guide provides an overview of benefits provided to employees.
High Deductible Health Plan (HDHP)
Schupan Signature HDHP Plan Details
Customer Service: 1-800-972-9797
High Deductible Health Plan (HDHP) Group #007014730-0005
RXBIN # – 610011 (THIS CHANGED IN 2022)
COVERAGE AT A GLANCE
- HDHP Preventive Drug Coverage
- Coordination of Benefits Questionnaire — BCBS
- MDHHS – Opioid Directive
WEBSITE: Blue Cross Blue Shield
Health Savings Account (HSA)
2024 HSA Contribution Limits
- Single Coverage: $4,150
- Double and Family: $8,300
- Employer Funding Annual Amount: Single – $750; Double and Family – $1,500
- Limits are a combination of both employee and employer contributions
HSA RESOURCES
CLICK TO OPEN YOUR HSA ACCOUNT!
Enrollment Verification Number: THA0001-161045
*Make sure to have your SSN, DOB & E-mail
Only use this link if you don’t have an open HSA account with Schupan.
GAIN ACCESS TO YOUR HSA ONLINE PORTAL
Traditional Plan Coverage Details
Simply Blue PPO ASC
Customer Service: 1-800-972-9797
Traditional Plan Group #007014730-0004
RXBIN # – 610011 (THIS CHANGED IN 2022)
WEBSITE: Blue Cross Blue Shield
Flex Spending Account (FSA)
FSA Resources
FSA Forms
Vision
EyeMed
Customer Service: 1-866-600-1600
Core Vision Plan Details
Core Plan Group #9942152-1001
Buy-Up Plan Details
Buy-Up Plan Group #9942152-1002
EyeMed Forms
Life and Disability
Mutual of Omaha
Customer Service: 1-800-228-7104
Group #G000BYVY
MUTUAL OF OMAHA – INSURANCE AT A GLANCE
Dental
Delta Dental
Customer Service: 1-800-524-0149
Coverage Plan Details
Delta Dental Group #5266
Premier Plan
VIDEO RESOURCES
Dental Claim Form
Identity Protection
Pet Insurance
Nationwide
Customer Service: 1-877-738-4874
All Plan Documents
All Plan Documents
Please note: Not all 2025 plan documents are currently available. This page will be updated as new documents are uploaded. Check back regularly for the latest information.
- Annual Notices – English
- Annual Notices – Spanish
- Delta Dental Summary of Dental Plan
- Eye Med – Summary Plan Document
- Schupan Welfare Benefit Plan (SPD)
- Summary of Benefits & Coverage (Signature HSA Compatible Plan – HDHP)
- Benefits-at-a-Glance (Signature HSA Compatible Plan – HDHP)
- Summary of Benefits & Coverage (Traditional Health Plan – Simply Blue PPO)
- Benefits-at-a-Glance (Traditional Health Plan – Simply Blue PPO)
All Plan Documents
All Plan Documents
- Schupan Welfare Benefit Plan (SPD)
- Annual Notices – Spanish 2024
- Annual Notices – English 2024
- Signature HDHP Plan Summary of Benefits 2024
- Signature HDHP Plan Coverage-at-a-Glance 2024 (English)
- Signature HDHP Plan Coverage-at-a-Glance 2024 (Spanish)
- HDHP Preventive Drug Coverage
- Traditional Plan Summary of Benefits 2024
- Traditional Plan Coverage-at-a-Glance 2024 (English)
- Traditional Plan Coverage-at-a-Glance 2024 (Spanish)
- Delta Dental Summary of Dental Plan
- Mutual of Omaha – Company Paid Life Benefit Summary
- Mutual of Omaha – Benefit Summary for L.T.D.
- Mutual of Omaha – Benefit Summary for S.T.D.
- Mutual of Omaha – Benefit Summary for Voluntary Life
- Summary Annual Report
- FSA – Summary Plan Document
- Eye Med – Summary Plan Document
- 401(k) Summary Material Modifications (SMM)
- Flex Plan Amendment Memo
WARNING: Do not open link at work due to the size of the file and the length of time it may take to download the information.
This link is being provided in accordance to the Federal Government’s Transparency in Coverage rule.
- The information contained in this Machine-Readable File may be difficult to access without certain technology.
- These files may be large and require a computer that can download at least up to 1TB (terabyte) of data. Most modern hard drives store half of this amount of data. Based on your computer’s storage and hard drive, attempting to open or download large files may cause instabilities in Windows, cause performance issues resulting in downloads that could take hours, days or weeks depending on the file size and hard drive combination. For reference: 1TB = 243 high-definition streaming movies (average 2 hours per movie).
- This mandate is a building block for future customer-facing mandates, including the Price Transparency Tool and the Advanced Explanation of Benefits.
- The data in the files may not be useful for the average consumer. For example, facilities that are paid based on a percent of charge will not have a dollar amount representing the amount paid for a service.
- The machine-readable file can be found here. WARNING: clicking on the link could cause severe technological issues as it is 1 Terabyte, larger than most computers can handle.
DO NOT CLICK ON THE LINK WHILE USING A SCHUPAN-OWNED DEVICE OR NETWORK.