UHC Participants
Summary
Telehealth Information
UHC Members - FAQ
UHC Members - Informational Video


Kaiser Participants:
For all Kaiser Permanente plans, cost sharing (deductibles, copayments and coinsurance) will be reduced to zero dollars ($0.00) for medically necessary screening and testing for COVID-19 including the visit, associated lab testing, and radiology services in a plan hospital, emergency or urgent care setting, or medical office. This cost sharing reduction will apply to all Kaiser Permanente and other plan (participating) providers. If a member is diagnosed with COVID-19, all treatment including but not limited to hospital, transportation and pharmacy services will be covered in accordance with the terms and conditions set forth in the coverage document for the member’s health plan.
Base Pay
Stock Awards
Document Vendor Internal Contact
RSUs FAQ etrade.com | 800-838-0908 compensation@jackinthebox.com
Allowances & Reimbursements
Rewards & Recognition
Document Vendor Internal Contact
RAVE Program FAQs Achievers: 888-801-6714 totalrewards@jackinthebox.com
General
UHC Bronze Plan
Document Vendor Internal Contact
Summary of Benefits & Coverage UnitedHealthCare | myuhc.com
877-468-0979 | Group: 704025
benefits@jackinthebox.com
OOA Summary of Benefits & Coverage See above See above
Summary Plan Description See above See above
OOA Summary Plan Description See above See above
UHC Silver Plan
Document Vendor Internal Contact
Summary of Benefits & Coverage See above See above
OOA Summary of Benefits & Coverage See above See above
Summary Plan Description See above See above
OOA Summary Plan Description See above See above
UHC Gold Plan
Document Vendor Internal Contact
Summary of Benefits & Coverage See above See above
OOA Summary of Benefits & Coverage See above See above
Summary Plan Description See above See above
OOA Summary Plan Description See above See above
UHC General
Document Vendor Internal Contact
Preventive Medications UnitedHealthCare | myuhc.com
877-468-0979 | Group: 704025
benefits@jackinthebox.com
UHC Virtual Visits Information See above See above
UHC Health4Me App See above See above
Kaiser Plan
Document Vendor Internal Contact
Kaiser SBC Kaiser SBC (Spanish) Evidence of Coverage Kaiser Summary Kaiser Summary (Spanish) Kaiser SBC (Spanish) Kaiser | kp.org
800-464-4000 | Group: 704104971-01
benefits@jackinthebox.com
Kaiser Wellness Resources Kaiser | kp.org
800-464-4000 | Group: 704104971-01
benefits@jackinthebox.com
Dental
Document Vendor Internal Contact
Dental Plan Summary Dental Plan Summary (Spanish) Ameritas | Ameritas.com
800-300-9566 | Group: 304081
benefits@jackinthebox.com
Vision
Document Vendor Internal Contact
Vision Plan Summary VSP | vsp.com
800-877-7195 | Group: 00103013
benefits@jackinthebox.com
Wellness
Document Vendor Internal Contact
Kaiser Wellness Resources Kaiser | kp.org
800-464-4000 | Group: 704104971-01
benefits@jackinthebox.com
Compliance Documents
401(k)
*EDCP
Document Vendor Internal Contact
EDCP Plan Highlights Newport Group | newportgroup.com
800-230-3950
retirement.team@jackinthebox.com
Income Protection Plans
Document Vendor Internal Contact
Basic Life Insurance Reliance Standard | reliancestandard.com
800-351-7500 | Group: 157804 GL
benefits@jackinthebox.com
Supplemental Life Insurance See above See above
Evidence of Insurability Form See above See above
AD&D Plan See above See above
Short-Term Disability See above | Policy # VPS327500 See above
Long-Term Disability
(Admin not in other classes)
See above | Policy #129068 See above
Long-Term Disability (Over $100K) See above | Policy #129068 See above
Long-Term Disability (Over $300K) See above | Policy #129068 See above
Flexible Spending Account
Document Vendor Internal Contact
Flexible Spending User Guide UnitedHealthCare | myuhc.com
877-468-0979 | Group: 908484
benefits@jackinthebox.com
Flexible Spending
Limited Purpose Care User Account
See above See above
Flexible Spending
Dependent Care User Account
See above See above
FSA Eligible Expenses See above See above
*Health Savings Account
Document Vendor Internal Contact
Health Savings Account User Guide Optum Bank | optumbank.com
866-234-8913, Option 1 | Policy: 704025
benefits@jackinthebox.com
HSA Qualified Expenses See above See above
HSA Schedule of Fees See above See above
MetLaw Legal Plans
Document Vendor Internal Contact
MetLaw Legal Plans Brochure MetLaw Legal Plans | legalplans.com
800-821-6400 | Low Code: 9902525, High Code: 9902523
benefits@jackinthebox.com
Pension
In the event of any conflict between the content contained herein and the Summary Plan Description (SPD), the provisions of the Summary Plan Description (SPD) shall prevail.
© Piper Jordan, LLC. All rights reserved.