2 0 1 7 B E N E F I T S G U I D E

CONSULTANTS

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TABLE OF CONTENTS

Welcome………………………………………………………………………………………... 3

Eligibility………………………………………………………………………………………… 4

Employee Contributions……………………………………………………………...... 5

Medical & Prescription Drug Benefits................................................. 6

Dental Benefits.................................................................................... 7

Vision Benefits……………………………………………………………………………..... 8

Voluntary Life & AD&D……………………………………………………………………. 9

Worksite Benefits……………………………………………………………………………. 10 - 12

Key Contacts…………………………………………………………………………………… 13

Important Notice Optomi has made every attempt to ensure the accuracy of the information described in this enrollment guide. Any discrepancy between this guide and the insurance contracts or other legal documents that govern the plans of benefits described in this enrollment guide will be resolved according to the insurance contracts and legal documents. Optomi reserves the right to amend or discontinue the benefits described in this enrollment guide in the future, as well as change how eligible employees and Optomi share plan costs at any time. This enrollment guide creates neither an employment agreement of any kind nor a guarantee of continued employment with Optomi.

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WELCOME

At Optomi, we truly value the dedication that goes into your work every day. We’re proud of our talented employees and understand that our success is because of you. That’s why, as an Optomi employee, you have access to a comprehensive, quality benefits package that offers flexibility and security. As a newly-eligible employee, this is the perfect time to evaluate the best benefit options for you and your family. Be sure to consider factors like plan costs and what type of services you anticipate needing for the upcoming year. You must affirmatively enroll if you wish to make elections for yourself or dependents in the medical, dental, or vision, voluntary life or worksite benefits. Please note that all elections are considered final and will be in effect until the end of the calendar year. You may not make changes throughout the plan year until the next Open Enrollment period unless you experience a Qualifying Event, such as marriage, divorce, legal separation, birth, adoption, custody, death or involuntary loss of coverage. Please take the time to read and understand this guide so you can gain a better understanding of your options.

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ELIGIBILITY Full-time employees (working a minimum of 30 hours per week) and their eligible dependents can participate in Optomi benefits. Eligible dependents include:

• Your Legal Spouse • Children up to age 26 • Children of any age if fully supported by you and incapable of self-support due to a qualifying disability

PROOF OF DEPENDENT ELIGIBILITY You may be required to provide proof of eligibility for your dependents. If your dependent becomes ineligible for coverage during the year, you must contact Human Resources within 30 days of the Qualifying Event.

ENROLLMENT Optomi provides a “paperless enrollment.” Enrollment elections are made using EmployDrive’s Self Service Portal. Please contact Human Resources for questions regarding how to access the system. To enroll in any of the benefits offered by Colonial Life, call the Colonial Life Call Center at 1-800-451-7195, M-F, 8:30am-5pm.

COMMON BENEFIT TERMS Before reviewing your benefit choices for this year, here’s a refresher on some key health insurance vocabulary that will help you better understand your options:

Premium The amount of money that’s paid for your health insurance every month.

Deductible The amount of money you need to pay out of pocket before your insurance begins contributing money toward your health care costs.

Network

A group of doctors, hospitals, labs, and other providers that your health insurance contracts with so you can make visits at a pre-negotiated, discounted rate. You generally save money by visiting an in-network provider. To find a list of in-network providers, visit the insurance carrier’s website.

Copayment (Copay) A predetermined dollar amount you pay for visits to the doctor, prescriptions, and other health care (as specified by your plan).

Coinsurance

The percentage you pay for the cost of covered health care services after you’ve met your

deductible. For example, if the coinsurance under your plan is 40%, you would pay 40%

of the cost of the service and your insurance would pay the remaining 60%.

Out-of-Pocket Maximum The cap on your out-of-pocket costs for the plan year. Once you’ve reached this amount, your plan will cover 100% of your qualified medical expenses for the plan year.

Maximum Allowable Charge

The contracted fees for which a dental carrier will reimburse the dental provider for services rendered. If your out-of-network dental provider’s fees are more than the plan’s maximum allowed amount, you may be required to pay the difference.

Balance Billing

When a provider bills you for the difference between the provider’s charge and the maximum allowable charge. For example, if the provider’s charge is $100 and the maximum allowable amount is $70, the provider may bill you for the remaining $30. A preferred in-network provider will not balance bill you for covered services.

Social Security Normal Retirement Age (SSNRA)

The age at which a person can receive full Social Security retirement benefits (“primary insurance amount”) upon leaving the workforce. This age varies from age 65 to age 67 based on year of birth.

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EMPLOYEE CONTRIBUTIONS Semi-monthly payroll deduction amounts for each of the benefits being offered are listed below. The deductions for Medical, Dental & Vision are considered pre-tax benefits and will be taken from your paycheck accordingly. All other benefits will be taken on a post-tax basis. All rates are semi-monthly unless otherwise indicated in the chart.

CONTRIBUTION SUMMARY

Benefit Employee

Only

Employee + Spouse

Employee + Children

Employee + Family

Base Plan - OAP2H 5K/30 6.6 RxH $146.83 $293.66 $278.98 $455.18

Buy-Up Plan 1 - OAP5 3K/0 $213.77 $427.53 $406.16 $662.68

Buy-Up Plan 2 - OAP5 1K/20 3K A $236.46 $472.92 $449.28 $733.03

Dental Plan $15.23 $30.60 $36.81 $52.17

Vision Plan $2.84 $5.73 $5.44 $8.55

Voluntary Life & AD&D See page 9 for rate details

Medical Bridge: 1st Day Hospital Confinement (Monthly) See page 10 for monthly rate details

Critical Illness: Non-Tobacco (Monthly) See page 11 for monthly rate details

Accident Plan: Off-the-job (Monthly) $14.19 $22.97 $25.70 $34.48

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MEDICAL & PRESCRIPTION DRUG BENEFITS You and your dependents have the choice of two quality and comprehensive medical plans that include prescription drug coverage. When choosing your plan, consider your budget, your preferences, your health and your covered dependents’ health. The information below is a summary of coverage only.

MEDICAL BENEFITS – BLUE CROSS BLUE SHIELD OF GEORGIA

Key Features

Base Plan

OAP2H 5K/30 6.6 RxH

Buy-Up Plan 1

OAP5 3K/0

Buy-Up Plan 2

OAP5 1K/20 3K A

In-Network Out-of-

Network In-Network

Out-of-Network

In-Network Out-of-

Network

Annual Calendar Year Deductible

Individual $5,000 $10,000 $3,000 $9,000 $1,000 $3,000

Family $10,000 $20,000 $6,000 $18,000 $2,000 $6,000 Out-of-Pocket Maximum copays, coinsurance and deductibles (medical & pharmacy) apply towards the annual out-of-pocket maximum .

Individual (includes deductible) $6,600 $19,800 $4,000 $12,000 $3,000 $9,000

Family (includes deductible) $13,200 $39,600 $8,000 $24,000 $6,000 $18,000

Coinsurance (Plan Pays) 70% 60% 100% 70% 80% 60%

Coinsurance (You Pay) 30% 40% 0% 30% 20% 40%

Physician Services

**Office visits limited to a combined 3-visit copay

max for Primary Care, Specialists and Telemedicine. For all visits after the 3rd visit, the member pays 30% after deductible.

Office Visit **$35 40%* $25 30%* $25 40%*

Specialist Visit **$35 40%* $50 30%* $50 40%*

Preventive Care Plan Pays 100% 30%* Plan Pays 100% 30%* Plan Pays 100% 40%*

Diagnostic Lab and X-Ray Services 30%* 40%* Plan Pays 100% 30%* 20% 40%*

Maternity Physicians Services Global Care (prenatal, delivery & postpartum)

30%* 40%* Plan Pays

100%* 30%* 20%* 40%*

Hospital Services

Inpatient & Physician Services $500 + 30%* 40%* Plan Pays100%* 30%* 20%* 40%*

Outpatient & Physician Services $250 + 30%* 40%* Plan Pays100%* 30%* 20%* 40%*

Emergency Treatment

Urgent Care Copay 30%* 40%* $75 30%* $75 40%* Emergency Room Copay (waived if admitted) $250 Co-Pay + 30%* $250 Co-Pay $250 Co-Pay

Retail Prescriptions (30-day supply) *$750 Individual/$1,500 Family Deductible (Does not apply to tier 1 or tier 1 mail order)

No Deductible No Deductible

Tier 1 - Generic $15 $10 $10

Tier 2 - Preferred Brand *$50 $45 $40

Tier 3 - Non-preferred Brand *30% up to $500 max $90 $70

Tier 4 - Specialty Not Available 25% up to $500 max 25% up to $500 max Mail-Order Prescriptions (90-day supply)

Generic, Preferred, Non-Preferred 2.5x Retail 2x Retail 2x Retail

* Indicates what you will pay for those services after the Medical Deductible has been met.

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Key Features Dental Complete In-Network

Participating Providers Out-of-Network

Non-Participating Providers

Annual Maximum Benefit $1,000 $1,000

Annual Deductible (Restorative & Major Services Only)

Individual $50 $50

Family $150 $150

Dental Plan Benefits (You Pay)

Diagnostic & Preventive Exams, Cleanings, X-Rays, Fluoride & Sealants

Plan Pays 100% Plan Pays 100%

Restorative (Basic)**

Filling, Extractions, Endodontics, Periodontics 20% 20%

Major**

Implants, Crowns & Bridges 50% 50%

DENTAL BENEFITS

You and your dependents may enroll in the dental plan that features a network of dental care providers whose services you can access at a discounted rate. When you visit a participating in-network provider, you’ll save money. If you choose to see a non-participating dentist, be aware that they are able to balance bill you for the difference between the total amount that the insurance carrier allows to be paid for the service (the “maximum allowable charge”) and the amount the non-participating provider usually charges for the service.

DENTAL BENEFITS – BLUE CROSS BLUE SHIELD OF GEORGIA

Participating Providers are dentists who have contracted with Blue Cross Blue Shield of Georgia to provide dental care to members at a negotiated rate. Participating dentists have agreed to accept a negotiated rate as payment in full for covered services. The negotiated rate is usually lower than the participating dentist’s normal charge. By choosing a participating dentist, you will be responsible for any applicable deductible and coinsurance amounts, but you will not be responsible for amounts in excess of the negotiated rate for covered services.

Non-Participating Providers are dentists who have not contracted with Blue Cross Blue Shield of Georgia and therefore may charge their usual fee for services they provide to you. When you receive services from a non-participating provider, you will be responsible for any applicable deductible and coinsurance amounts, plus any charges in excess of the allowable charge. This means that if the non-participating dentist charges more than the allowable charge, the non-participating dentist may bill you for the difference.

**There is a 12-month benefit waiting period for Major Restorative and Prosthodontic Services. This includes the replacement of congenitally missing teeth or teeth extracted prior to coverage under this plan.

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VISION BENEFITS

You and your dependents have access to vision coverage through Blue Cross Blue Shield of Georgia. Blue Cross Blue Shield of Georgia has a large network of local providers, as well as major national providers, such as LensCrafters, Pearle Vision, Target Optical, JC Penny, and Sears Optical. In addition to the benefits detailed below, this plan offers discounts on LASIK surgery.

Key Features In-Network Out-of-Network

Examination & Co-Pays

Exam Co-Pay $10 Copay $30 Allowance

Materials Co-Pay (Lenses) $10 Copay

Frames

Any frame available at provider location $130 Allowance + 20% off balance $40 Allowance

Lenses (Standard uncoated plastic)

Single Vision 100% After Copay $25 Allowance

Bifocal 100% After Copay $40 Allowance

Trifocal 100% After Copay $55 Allowance

Additional savings are available to members who want to add additional lens options such as transitional lenses, tinting, UV Coating, progressive lenses and Anti-Reflective Coating. See the Benefit Summary for detailed pricing.

Contact Lenses (In lieu of eyeglasses)

Elective Disposable Lenses $130 Allowance $105 Allowance

Elective Conventional Lenses $130 allowance

15% off remaining balance $105 Allowance

Medically Necessary 100% $210 Allowance

Frequency

Examinations Once every 12 Months

Frames Once every 24 months

Lenses Once every 12 Months

Contact Lenses Once every 12 Months

VISION BENEFITS – BLUE CROSS BLUE SHIELD OF GEORGIA

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VOLUNTARY LIFE & AD&D - GREATER GEORGIA LIFE You can purchase additional Voluntary Life and AD&D coverage for yourself and your dependents. If you choose to increase your existing coverage amounts for you and/or your dependents, or if it has been more than 31 days since first becoming eligible for coverage, evidence of insurability is required and must be submitted to Greater Georgia Life for review prior to the approval of your coverage election. Evidence of insurability is a confidential health questionnaire required for coverage approval. These forms are available from your Human Resources department.

GUARANTEED ISSUE: During your initial enrollment period you may elect amounts up to the guarantee issue amount listed in the chart below for you and/or your dependents without having to submit evidence of insurability. For all amounts elected above the guarantee issue, evidence of insurability must be submitted to and approved by Greater Georgia Life. CALCULATING YOUR PREMIUMS: To calculate your monthly premiums, multiply the number of units of $1,000 of coverage elected by the rate for your age. Age-banded rates are detailed in the table below. Spouse rates are based on the employee’s age, not the spouse’s age. Example: A 35-year-old employee chooses to elect $100,000 in coverage (which is 100 units of $1,000 in coverage). At 35-years-old, his rate is $0.126 per $1,000 in coverage. His monthly premium will be 100 x $0.126, which equals $12.60.

Employee (Available in $10,000 increments)

Maximum Benefit 5x annual salary up to $500K

Guarantee Issue $100,000

Portability Option Included

Age Reduction Schedule 35% at age 65; 50% at age 70

Spouse (Available in $5,000 increments)

Maximum Benefit 50% of employee amount up to $250K

Guarantee Issue $25,000

Portability Option Included

Age Reduction Schedule In accordance with employee age schedule

Child (Available in $5,000 increments)

Maximum Benefit Up to $10,000

Guarantee Issue $10,000

Eligibility Coverage available up to age 26

Plan Features

Conversion Option Included

Portability Option

Included. This feature allows employees to keep group term life insurance for themselves and their families in force under a group trust after leaving Optomi, until they turn age 70. Rates for coverage for employees who elect to port their coverage are based on coverage for all individuals covered by the group trust.

Age Reduction Benefit reduces by 35% at age 65, 50% at age 70. All coverage terminates at retirement.

Voluntary Life & AD&D Monthly Rates per $1,000 in Coverage

Age Band Employee & Spouse

Spouse rates based on EE age

Under 25 $0.100

25-29 $0.091

30-34 $0.100

35-39 $0.126

40-44 $0.192

45-49 $0.282

50-54 $0.433

55-59 $0.682

60-64 $0.977

65-69 $1.663

70-74 $7.903

Child Life Rates per $1,000

$0.228

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Medical Bridge Coverage offsets potential financial gaps created by co-payments and deductibles in your major medical plan. The plan is available with either a $500 or $1,500 benefit for a covered hospital confinement. The plan also includes an outpatient surgery benefit, a diagnostic benefit and a Health Screening Benefit. Each of these benefits is a calendar-year benefit, per covered insured. If the member is confined to the hospital due to an accident or sickness, he or she will need to submit claim information to Colonial Life. Colonial Life pays the member directly, and the member can use this payment to help pay for out-of-pocket expenses.

Key Features Benefit Amount

Hospital Confinement $500 or $1,500

Diagnostic Procedure $250

Outpatient Surgical Procedure $500 or $1,500

($1,500 annual maximum)

Health Screening Benefit $50

1st Day Hospital Confinement: $500 Monthly Premiums

Issue Age Employee EE &

Spouse 1-Parent Family

2-Parent Family

17-49 $6.92 $11.84 $8.94 $13.86

50-59 $8.31 $15.55 $10.32 $17.57

60-64 $10.78 $21.27 $12.80 $23.29

65-99 $14.32 $28.56 $16.34 $30.57

1st Day Hospital Confinement: $1,500 Monthly Premiums

Issue Age Employee EE &

Spouse 1-Parent Family

2-Parent Family

17-49 $16.47 $28.92 $22.52 $34.97

50-59 $20.62 $40.05 $26.67 $46.10

60-64 $28.05 $57.22 $34.10 $63.27

65-99 $38.67 $79.07 $44.72 $85.12

Optomi provides you with the opportunity to purchase additional coverage that will pay you a lump sum benefit in the event of a hospitalization, critical illness diagnosis, or accident. The following benefits are offered through Colonial Life.

WORKSITE BENEFITS

MEDICAL BRIDGE COVERAGE – COLONIAL LIFE

HOW TO ENROLL

To sign up for any of the Colonial Life benefits, please contact Colonial Life directly at 1-800-451-7195. A benefits advisor will assist you to complete your enrollment.

HEALTH SCREENING BENEFIT

Upon enrolling yourself and any of your dependents in any of the three Colonial plans being offered, you automatically become eligible to receive a $50 Health Screening Benefit per member per plan. To be eligible for reimbursement, you must have at least (1) preventive medical test performed within the calendar year. Preventive tests include, but are not limited to, Blood test for triglycerides, Pap smear, Chest x-ray, and Skin cancer biopsy. You should review the plan document for a complete list of tests that qualify. Once the test is performed, simply notify Colonial, and they will process your payment. The benefit provides a maximum of 1 Health Screening Benefit per covered person per calendar year. A family of four enrolled in all three plans could potentially receive $600 in annual Health Screening Benefits.

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BENEFITS SUMMARY

Covered Specific Critical Illness Amount

Heart Attack 100%

Cancer 100%

Stroke 100%

Renal Failure (End Stage) 100%

Major Organ Transplant 100%

Carcinoma In Situ 25%

Coronary Artery Bypass Surgery 25%

Permanent Paralysis (due to covered accident) 100%

Coma 100%

Blindness 100%

Occupational Infectious Hepatitis B,C or D 100%

Occupational Infectious HIV 100%

Cancer Benefit Amount

Initial Skin Cancer Diagnosis $500

Cancer Vaccine $50

Cancer Care and Treatment (Per month for 12 months) $500

Pre-Existing Condition Exclusion 12 month / 12 month

Waiting Period No waiting period

Spouse & Children Coverage 50% of employee

Portability Option Yes

Additional Provisions

Additional Occurrence Benefit Yes

Re-Occurrence Benefit 25%

Health Screening Benefit $50 per insured

Purchase Increments

Employee Coverage $10K, $15K, $20K

Critical Illness Coverage helps provide a financial cushion with a lump-sum benefit if you are diagnosed with a covered critical illness. You can elect to receive a lump-sum benefit equal to either $10,000, $15,000, or $20,000, and rates vary depending on the benefit amount you select. The types of critical illnesses that are covered by the plan and the percentage of benefit you will receive upon diagnosis are listed in the chart to the right. If you are diagnosed with cancer and continue to receive care, you’ll receive an additional Cancer Treatment & Care Benefit that pays each month for 12 months. This plan includes an annual Health Screening Benefit and a one-time Skin Cancer Diagnosis Benefit. Payment for subsequent diagnosis of each specified critical illness is also included. Claims for the Health Screening Benefit can be filed by calling 1-800-325-4368 or going online, www.coloniallife.com. To file the claim, you will need to provide the type of test, date of test, doctor’s name and telephone number.

Critical Illness Monthly Non Tobacco-Rates

$10,000

Age Band EE EE+SP EE-CH EE+Family

>25 $6.50 $9.90 $7.00 $10.40

25-29 $6.50 $9.90 $7.00 $10.40

30-34 $10.00 $15.10 $10.50 $15.60

35-39 $10.00 $15.10 $10.50 $15.60

40-44 $17.60 $26.50 $18.20 $27.10

45-49 $17.60 $26.50 $18.20 $27.10

50-54 $29.80 $45.50 $30.40 $46.10

55-59 $29.80 $45.50 $30.40 $46.10

60-74 $46.20 $70.50 $46.80 $71.10

Critical Illness Monthly Non Tobacco-Rates

$15,000

Age Band EE EE+SP EE-CH EE+Family

>25 $8.30 $12.60 $9.05 $13.35

25-29 $8.30 $12.60 $9.05 $13.35

30-34 $13.55 $20.40 $14.30 $21.15

35-39 $13.55 $20.40 $14.30 $21.15

40-44 $24.95 $37.50 $25.85 $38.40

45-49 $24.95 $37.50 $25.85 $38.40

50-54 $43.25 $66.00 $44.15 $66.90

55-59 $43.25 $66.00 $44.15 $66.90

60-74 $67.85 $103.50 $68.75 $104.40

Critical Illness Monthly Non Tobacco-Rates

$20,000

Age Band EE EE+SP EE-CH EE+Family

>25 $10.10 $15.30 $11.10 $16.30

25-29 $10.10 $15.30 $11.10 $16.30

30-34 $17.10 $25.70 $18.10 $26.70

35-39 $17.10 $25.70 $18.10 $26.70

40-44 $32.30 $48.50 $33.50 $49.70

45-49 $32.30 $48.50 $33.50 $49.70

50-54 $56.70 $86.50 $57.90 $87.70

55-59 $56.70 $86.50 $57.90 $87.70

60-74 $89.50 $136.50 $90.70 $137.70

CRITICAL ILLNESS COVERAGE – COLONIAL LIFE

*You must contact Colonial Life directly to receive monthly tobacco user rates for the amounts listed above.

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BENEFITS SUMMARY

Dislocation (Separated Joint) Non-Surgical Surgical Hip $3,000 $6,000

Knee $1,500 $3,000

Ankle-Bone or Bones of Foot $1,200 $2,400

Collarbone (sternoclavicular) $750 $1,500

Lower Jaw, Shoulder, Elbow, Wrist $450 $900

Bone or Bones of the Hand $450 $900

Collarbone (acromioclavicular and separation) $150 $300

One Toe or Finger $150 $300

Fracture (Broken Bone) Non-Surgical Surgical Depressed Skull $3,750 $7,500

Non-Depressed Skull $1,500 $3,000

Hip, Thigh $2,250 $4,500

Body of Vertebrae, Pelvis Leg $1,125 $2,250

Bones of Face or Nose $525 $1,050

Upper Jaw, Maxilla $525 $1,050

Upper Arm between Elbow and Shoulder $525 $1,050

Lower Jaw, Mandible; Kneecap, Ankle, Foot $450 $900

Shoulder Blade, Collarbone, Vertebral Process $450 $900

Forearm, Wrist, Hand $450 $900

Rib $375 $750

Coccyx $300 $600

Finger, Toe $150 $300

Other Benefits Burns (based on size and degree) $1,000 to $12,000

Burn – Skin Graft for 2nd or 3rd degree burns 50% of Burn benefit

Coma $10,000

Concussion $150

Emergency Dental Work $100 Extraction, $300 Crown, Implant or Denture

Lacerations (based on size) $25 to $600

Eye Injury $300

Ruptured Disc $500

Tendon/Ligament/Rotator Cuff $500 – one, $750 – two or more

Torn Knee Cartilage $500

Blood/Plasma/Platelets $300

Surgery (arthroscopic or exploratory) $150

Surgery (cranial, open abdominal or thoracic) $1,500

Surgery (hernia) $200

Lodging (family member or companion) $150 per night up to 30 days for a hotel/motel

Transportation $500 per round trip up to 3 round trips

Hospital Admission $1,000 per accident

Hospital ICU Admission $1,500 per accident

Hospital Confinement $200 per day up to 365 days per accident

Hospital ICU Confinement $400 per day up to 15 days per accident

Follow-Up Doctor Visit $50 (up to 3 visits per accident)

Appliances $100 (such as wheelchair, crutches)

Occupational or Physical Therapy $25 per day up to 10 days

Pain Management (Epidural Anesthesia) $100 (limit 1 per covered accident)

Prosthetic Devices/Artificial Limb $500 – one, $1,000 – two or more

Accidental Death Accidental Death Common Carrier Name Insured $25,000 $100,000

Spouse $25,000 $100,000

Child(ren) $5,000 $20,000

Accident insurance helps offset unexpected medical expenses, which can result from a fracture, dislocation, burn or other covered accidental injury. Only those accidents that occur off the job are covered. In addition, it helps fill some of the gaps that may result from increasing deductibles, co-payments and out-of-pocket costs. Surgical care, lodging assistance, hospitalization, and transport assistance are among the benefits covered. This plan includes an annual Health Screening Benefit and a hospitalization benefit if you’re hospitalized due to sickness. Claims for the Health Screening Benefit can be filed by calling 1-800-325-4368 or going online, www.coloniallife.com. To file the claim, you will need to provide the type of test, date of test, doctor’s name and telephone number.

ACCIDENT COVERAGE – COLONIAL LIFE

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KEY CONTACTS

Benefit Carrier Contact

• Medical • Retail Pharmacy

Blue Cross Blue Shield of Georgia

Network: Open Access POS www.bcbsga.com

Ph. 1-855-397-9269

Mail Order Rx Express Scripts

www.bcbsga.com Ph. 1-866-281-4654

• Dental Blue Cross Blue Shield

of Georgia

Network: Dental Complete www.bcbsga.com

Ph. 1-877-604-2158

• Vision Blue Cross Blue Shield

of Georgia

Network: Blue View Vision www.bcbsga.com

Ph. 1-866-723-0515

• Voluntary Life & AD&D Greater Georgia Life

a division of Blue Cross Blue Shield of Georgia

www.ggl.com Ph. 1-800-851-8544

• Medical Bridge • Critical Illness • Accident

Colonial Life www.coloniallife.com Ph. 1-800-325-4368

Benefit Enrollment Hotline: 1-800-451-7195

For further clarification regarding an insurance matter, or additional help regarding a claim or invoice, please reach out to your dedicated EPIC Benefits Support Team for assistance.

When calling an insurance company or the Benefits Support Team, please be prepared to provide the following information to expedite the resolution:

• Member ID or Social Security Number • Home address and Date of Birth • If calling regarding a claim, the date of service, the doctor’s

name, and the provider group information, if applicable.

EPIC Benefits Support Team Telephone: (678) 205-1470 Email: optomi@epicbrokers.com

Linda Hughes – Account Executive Telephone: (678) 205-1626 Email: linda.hughes@epicbrokers.com

Jennifer Main – Account Manager Telephone: (678) 205-5956 Email:jennifer.main@epicbrokers.com

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