Open Enrollment Materials

Benefits Brochure Upper Crust 2017 (English)

Benefits Brochure Upper Crust 2017 (Spanish)

Upper Crust Required Notices CA Employer 2017 (English)

Health - California Choice Medical

Anthem Blue Cross

• Upper Crust Cal Choice Anthem Blue Cross Silver PPO A SBC 2017 (English)

Health Net

• Upper Crust HN California Choice WholeCare HMO Gold B SBC 2017 (English)

Kaiser Permanente

• Upper Crust KP California Choice Gold HMO A SBC 2017 (English)
• Upper Crust KP California Choice Silver HMO B SBC 2017 (English)

Forms

• Upper Crust Cal Choice Enrollment 2017 (English)

Dental - Metlife

Upper Crust DHMO Enrollment Form 2017 (English)

Upper Crust DHMO Schedule of Benefits 2017 (English)

Upper Crust DPPO Enrollment Form 2017 (English)

Upper Crust DPPO Summary of Benefits 2017 (English)

Voluntary Vision

Upper Crust CalChoice VSP Voluntary Vision 2017 (English)

Life and LTD - Lincoln Life

Life and AD&D

• Upper Crust Lincoln Life Benefits Summary All Full Time Hourly Employees 2017 (English)
• Upper Crust Lincoln Life Benefits Summary All Full Time Managment 2017 (English)
• Upper Crust Lincoln Life Benefits Summary All Full Time Salaried Employees 2017 (English)
• Upper Crust Lincoln Life Benefits Summary Officers 2017 (English)

LTD

• Upper Crust Lincoln LTD Benefit Summary 2017 (English)

Forms

• Upper Crust Lincoln Group Life Claim Form 2017 (English)
• Upper Crust Lincoln Group LTD Claim Form 2017 (English)
• Upper Crust Lincoln Life Beneficiary Designation Form 2017 (English)
• Upper Crust Lincoln Life Conversion Checklist 2017 (English)
• Upper Crust Lincoln Life Conversion Form 2017 (English)
• Upper Crust Lincoln Life Enrollment Form 2017 (English)

Your Service Representatives

• Similia Zavala / Benefits Client Manager

213-627-5304 x 11

similia@sk-insurance.com

• Joanne Carranza / Benefits Client Manager

213-627-5304 x 9

joanne@sk-insurance.com