Assistance
- Open Enrollment - 2026
- Benefits Guide - 2025
- Medical/HSA
- Flex Spending Account (FSA)
- Vision
- Life & Disability
- Dental
- Identity Protection
- Pet Insurance
- Plan Documents - 2025
- Plan Documents - 2026
Coming Soon – 2026 Open Enrollment
Stay Tuned for 2026 Benefits Info!
We’re putting the finishing touches on next year’s benefits details. Keep an eye on this space. Updates and enrollment information will be posted soon.
Click here to view the Open Enrollment Meeting Schedule.
Questions? Contact TMR@schupan.com
Benefits Guide
2025 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)
Benefits at a Glance – HDHP
- 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
- HSA GUIDE
- HSA RESOURCES, TOOLS, and EDUCATION | UMB HEALTHCARE SERVICES
- VIDEO: HOW TO USE YOUR HSA
- SPECIAL CONTRIBUTION/REPLACEMENT FUNDS FORM
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.
UMB HSA 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 Coverage Vision Plan
Core Coverage Vision Plan Group #9942152-1001
Buy-Up Coverage Vision Plan
Buy-Up Coverage Vision Plan Group #9942152-1002
EyeMed Forms
Life and Disability
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
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 Annual Report
- Summary of Material Modifications to the Schupan Welfare Benefit Plan – 2025
- Summary of Material Modifications to the Schupan Welfare Benefit Plan – 2024
- 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)
- 401(k) Summary Plan Description
- Unum Group Disibility Plan – STD/LTD
- Unum Group Life and AD&D Plan
- FSA – Summary Plan Document
All Plan Documents
All Plan Documents
Please note: Not all 2026 plan documents are represented. This page will continue to be updated as more documents become available. Check back regularly for the latest information.
- 401(k) Summary Plan Description
- Annual Notices
- Allstate Pro and Pro+ Cyber Plan Document
- Annual Notices – Spanish
- Delta Dental Summary of Dental Plan
- Eye Med – Summary Plan Document
- FSA – Summary Plan Document
- Illinois Employee Health Benefit Notice
- Marketplace Notice
- Marketplace Notice – Spanish
- Pet Insurance Employee Resource Kit
- Pet Insurance Plan Summary Sheet
- Pet Insurance Plan Summary Sheet – Spanish
- Schupan Welfare Benefit Plan (SPD)
- Unum Group Disibility Plan – STD/LTD
- Unum Group Life and AD&D Plan