Resources
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Access forms, lists, and other information to help you choose your benefits effectively:
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Need to continue care or treatment which started under another health plan and need to continue under the Assurant health plan due to being a new enrollee or other reasons noted on the form.

Anthem Transition of Care Form

Need to submit a medical claim.

Anthem Medical Claim Form

Have a disabled dependent who is not otherwise eligible for an Assurant health plan.

Anthem Disabled Dependent Form and Physician Statement

Need HR Services to contact Anthem Blue Cross and Blue Shield to assist you with a claims issue/question.

Anthem BlueCross BlueShield Authorization for Release of Information

Would like to know which medical services are considered preventive (and therefore covered at 100 percent in-network under the Assurant Health Plan).

2020 Preventive Services List
2021 Preventive Services List

Need to know which medical services require precertification and contact information.

2020 Services Requiring Precertification
2021 Services Requiring Precertification

Want more information on the Anthem 24/7 NurseLine.

NurseLine Overview
Call 1-855-285-4212 to reach the NurseLine

Want to refer to a summary of coverage and costs under the Assurant health plans as well as a glossary of medical terms

2020 Summary of Benefits and Coverage (SBC)
2021 Summary of Benefits and Coverage (SBC)


Need full details on the health and welfare plans available to Assurant employees.

Assurant Health and Welfare Benefit Plan Summary Plan Description (SPD)
Need help managing your spine or joint surgery, or interventional pain treatment.

AIM Musculoskeletal Program Flyer

Are enrolled in an Assurant health plan and would like to learn more about the Autism Spectrum Disorders program.

Autism Spectrum Disorder Program

Autism Support Program Video

Can’t get to your doctor’s office, but need some medical advice.

Log onto LiveHealth Online to connect with board certified network doctors 24/7 from home or any personal device. Fees apply, though if you are enrolled in the Assurant Health Plan, costs are applied to your deductible and coinsurance.

Must have a medical procedure, visit or treatment or get a prescription and would like to compare the cost and quality of your choices.

Use Anthem’s Care & Cost Finder before you make an appointment

Are enrolled in an Assurant health plan and would like to know what discounts are available to you through your plan.

Anthem Special Discounts Offers

Are enrolled in an Assurant health plan and are expecting a child.

Future Moms Program Flyer
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Want quick summaries of HRA features.

Anthem HRA Video
Anthem HRA Flyer

Want quick summaries of HSA features.

Anthem HSA Video
Anthem HSA Flyer

Need to compare the various Health Plan Accounts (Health Savings Account, Flexible Spending Account, Health Reimbursement Account).

Health Plan Account Comparison Video
Health Plan Account Comparison Flyer

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Need help estimating the amount you should contribute to a Dependent Day Care Flexible Spending Account.

2021 Dependent Day Care Calculation Worksheet

Are participating in the Blue plan and need help estimating the amount you should contribute to a Health Care Flexible Spending Account.

2021 FSA Worksheet for Blue Plan

Are participating in the Green or Orange plan and need help estimating the amount you should contribute to a Limited Purpose Health Care Flexible Spending Account.

2021 FSA Worksheet for Green and Orange plans

And remember that you are also eligible for a Health Savings Account

Need to submit a Health Care, Limited Purpose Health Care or Dependent Day Care FSA claim.

Visit Wageworks.com for claims incurred in 2020.
Visit Anthem.com for claims incurred in 2021.
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Need to submit a prescription drug claim that wasn’t submitted automatically through your pharmacy.

Caremark Claim Form

Would like to initiate receiving a prescription by mail-order service.

Caremark Mail Order Form

Would like to know which medications are considered preventive (and therefore covered at 100 % under an Assurant health plan).

2021 Preventive Medication List

Need to know which medications require prior authorization.

2021 Medications Requiring Prior Authorization

Want a summary of Prescription Drug Coverage Under Assurant's health plans.

Prescription drugs page

Need HR Services to contact CVS Caremark to assist you with a claims issue/question.

Caremark Authorization for Release of Information
Want to know which medications are included in the Caremark formulary.

Specialty Medication Formulary

Non-Specialty Medication Formulary

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Need to submit a dental claim that wasn’t submitted automatically by your dental provider

Dental Claim Form

Need to find a dentist in the network.

MetLife
If You...
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Want to review a short video about EAP resources or a one-page overview.

EAP Webinar
EAP Flyer
EAP Work/Life Services Flyer

Want more information about all that Assurant offers to support your wellbeing.

Live Well Program
Live Well Flyer
If You...
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Haven’t already reviewed the 2021 Open Enrollment Guide.

2021 Open Enrollment Guide

Want to see steps on how to enroll for 2021 Open Enrollment Workday Open Enrollment Job Aid

Experience a qualified life event and need to make changes to your dependents or benefits during the year

Visit MyHR from the Connect home page

Need to reference the requirements for each eligible dependent

Click here for the definition of an eligible dependent for Health and Dental Plans. Review the Assurant Health and Welfare Benefit Plan Summary Plan Description (SPD) for a full description of dependent eligibility for all plans.
Are enrolling in your new hire benefits or for Open Enrollment Visit MyHR
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Are enrolled in the Assurant Medical Plan and would like to take advantage of vision discounts available to you

Eyewear Special Offers
Are enrolled in the Vision Plan and would like to review plan highlightsVision Plan Summary

Would like to learn more about ARAG group legal coverage (this vendor will be replaced in 2021 with LegalEase).

ARAG Overview

Would like to learn more about the new employee Legal Assistance Plan through LegalEase (This Plan will replace the ARAG group legal plan in 2021).

LegalEase Overview

Are considering retiring in the next 18-24 months

Planning For Your Retirement Guide

Are a new hire and would like to review highlights of your benefits at Assurant

2020 New Hire Guide

Would like to take advantage of a vision discount program that helps you save and stay on top of care

MetLife VisionAccess Program

Need to complete a life insurance Statement of Health form

Statement of Health

Need to complete a long-term disability buy-up Evidence of Insurability form?

EOI Form

If You...
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Need full details on the health and welfare plans available to Assurant employees

Health and Welfare SPD

Need full details on the 401(k) Plan.

2020 401(k) SPD
2021 401(k) SPD
Need full details on the frozen Pension Plan
Pension SPD

Would like a summary of the Stock Purchase Plan

ESPP Brochure

Need the definition of "Plan Pay"

Plan Pay Information
The information provided here and in the additional notices below constitutes a Summary of Material Modification to these Plans. This information should be retained as an update to the latest Assurant Health and Welfare Benefit Plan Summary Plan Description (SPD).

While the company intends to continue these benefits, it reserves the right to change or terminate them at its sole discretion. The terms of the plan cannot be modified or amended by oral statements.


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Health Care Reform Exchange Notificationclick here

Women's Health and Cancer Rights Act of 1998 Notice

The Women's Health and Cancer Rights Act of 1998 mandates that if you are covered under a group or individual health plan that provides medical and surgical benefits with respect to a mastectomy, you also have coverage available for the following procedures and care:
  • Reconstruction of the breast on which the mastectomy has been performed;
  • Surgery and reconstruction of the other breast to produce a symmetrical appearance;
  • and
  • Prostheses and physical complications at all stages of mastectomy, including lymphedema.

Coverage will be subject to your health plan's payment provisions.

Newborns' and Mothers' Health Protection Act

Group health plans and health insurance issuers generally may not, under federal law, restrict benefits for any hospital length of stay in connection with childbirth for the mother of a newborn child to less than 48 hours following a normal vaginal delivery, or less than 96 hours following a cesarean section. However, federal law generally does not prohibit the mother's or newborn's attending physician, after consulting with the mother, from discharging the mother or her newborn earlier than 48 hours (or 96 hours as applicable). In any case, health plan providers may not require that a provider obtain authorization for prescribing a hospital length of stay of less than 48 hours (or 96 hours).

HIPAA Privacy

We take your privacy seriously. Please review our HIPAA Privacy statement located here. If you believe your privacy has been breached, please send your complaints to: Assurant Corporate Benefits, Attn: HIPAA Privacy Official, 28 Liberty Street, 41st Floor, New York, New York 10005.

Creditable coverage

2020 Creditable Coverage Notice

2021 Creditable Coverage Notice

CHIP noticeclick here
Notice Informing Individuals About Nondiscrimination and Accessibility Requirementsclick here
EEOC Notice Regarding Wellbeing Program click here

Forward-Looking Statement Disclaimer Some of the statements on this website may be forward-looking statements under the Private Securities Litigation Reform Act. Actual health care costs may differ from the statements made on this site. For details on the general risk factors that affect Assurant's results, see our Annual Report on Form 10-K and subsequent reports on Form 10-Q and Form 8-K, as filed with the SEC.