::: CRI Employee Benefits Program :::

Benefit Plans

Refer to the CRI Benefits Guide for a summary of the various benefit plans offered by CRI. Additional plan information and enrollment/claim forms are available on the Forms page and through the links provided below.

For information about network providers, visit the plan's website or contact their member services department (refer to Links for contact information).

You must complete the plan specific enrollment forms and any additional forms as required (see chart below):

Health Care Disability Reimbursement Accounts Other Plans

Plan Name	Group #	Required Enrollment Forms
MEDICAL Blue Cross Blue Shield of North Carolina PPO Benefit Highlights PPO Summary of Benefits and Coverage PPO Benefit Booklet PPO Quick Reference Contact List	048396	Blue Cross Blue Shield Enrollment and Change Application Waiver of Group Medical Coverage Form
VISION VSP EOC Out-Of-Network Reimbursement Form	00504044	You are automatically enrolled for vision coverage when you elect medical coverage through CRI.
DENTAL MetLife	05557941	A dental enrollment form is required from everyone, even if you are waiving coverage.
BASIC LIFE/AD&D MetLife Basic Employee Life - (equal to $50,000, subject to age reductions at 65 and 70) Basic AD&D (same amount as life insurance) Benefit Summary Basic Life/AD&D Certificate	KM05557941-G	Enrollment for Group Insurance (one form for basic life/AD&D, optional life/AD&D, STD, LTD) Beneficiary Designation Statement of Health Statement of Health is required for late entrants.
OPTIONAL LIFE/AD&D MetLife Optional Employee Life (Multiples of $10,000 up to $500,000 or 5x annual pay, whichever is less) Optional Dependent Life* Spouse: Multiples of $5,000, up to 50% of employee's life benefits or $100,000, whichever is less. Child: Each child 6 months and over - $1,000, $2,000, $4,000, $5,000, or $10,000. Maximum amount limited to $10,000, but in no case can it exceed the spouse's life amount. Children less than 6 months limited to $100. Optional Employee AD&D (Same as Optional Employee Life amount) Optional Dependent AD&D* (Same as Optional Dependent Life amount) Benefit Summary Optional Life/AD&D Certificate *You must enroll in the optional employee coverage in order to elect dependent coverage.	KM05557941-G	Enrollment for Group Insurance (one form for basic life/AD&D, optional life/AD&D, STD, LTD) Statement of Health Optional Employee Life: Statement of Health is required for any amount over $50,000 or for late entrants. Optional Dependent Life/Spouse: Statement of Health is required for spouse coverage in excess of $25,000 or for late entrants. Beneficiary Designation - You are the beneficiary for dependent coverage.
SHORT TERM DISABILITY MetLife (Benefit equals 55% of predisability gross monthly pay, less income from other sources, up to $1,000 per week) Benefit Summary STD Certificate	KM05557941-G	Enrollment for Group Insurance (one form for basic life/AD&D, optional life/AD&D, STD, LTD) Statement of Health Statement of Health is required for late entrants.
LONG TERM DISABILITY MetLife (Benefit equals 66.67% of predisability gross monthly pay, less income from other sources, up to $7,500 per month) Benefit Summary LTD Certificate	KM05557941-G	Enrollment for Group Insurance (one form for basic life/AD&D, optional life/AD&D, STD, LTD) Statement of Health Statement of Health is required for late entrants.
HEALTH CARE REIMBURSEMENT ACCOUNT (HCRA) Group # CRI (Minimum $200; Maximum $2,500) Benefit Summary	None	Health Care and Dependent Care Reimbursement Accounts Enrollment Form
DEPENDENT CARE REIMBURSEMENT ACCOUNT (DCRA) Group # CRI (Minimum $300; Maximum $5,000 if married filing jointly or $2,500 if married filing separately) Benefit Summary	None	Health Care and Dependent Care Reimbursement Accounts Enrollment Form
OTHER BENEFIT PLANS Travel Assistance (Metlife)	--	You are automatically enrolled when you enroll in Optional Life and AD&D insurance. Metlife TravelAssistance brochure with wallet card Metlife TravelAssistance flyer

Contact the Plan's Member Services for information about network or plan benefits. Refer to the links page for details.

Making Changes During the Year
Generally, after you've made your plan elections, you may change those only during the next annual open enrollment period. However, changes are permitted if you have
a qualifying event
and notify CRI's Human Resources in writing within 31 days of the event.

HCRA & DCRA
The IRS requires that you forfeit any unused money remaining in your reimbursement accounts at the end of the plan year. Please carefully review your elections since your elections are irrevocable, except as described above.

Contact Us

Benefit Plans

Contact the Plan's Member Services for information about network or plan benefits. Refer to the links page for details.

Making Changes During the Year Generally, after you've made your plan elections, you may change those only during the next annual open enrollment period. However, changes are permitted if you have a qualifying event and notify CRI's Human Resources in writing within 31 days of the event.

HCRA & DCRA The IRS requires that you forfeit any unused money remaining in your reimbursement accounts at the end of the plan year. Please carefully review your elections since your elections are irrevocable, except as described above.

Contact Us

Benefit Plans

Making Changes During the Year
Generally, after you've made your plan elections, you may change those only during the next annual open enrollment period. However, changes are permitted if you have
a qualifying event
and notify CRI's Human Resources in writing within 31 days of the event.

HCRA & DCRA
The IRS requires that you forfeit any unused money remaining in your reimbursement accounts at the end of the plan year. Please carefully review your elections since your elections are irrevocable, except as described above.