2024 Documents 8 Return to Coverage Certificates & Documents Documents 2024 Prime In-House OE Benefits Guide 2024 Prime Company Drivers OE Benefits Guide 2024 In-House New Hire Benefits Guide 2024 Company Driver New Hire Benefits Guide 2024 Low Option PPO Plan SBC 2024 Low Option PPO Plan Booklet 2024 High Option PPO Plan SBC 2024 High Option PPO Plan Booklet 2024 HDHP High Deductible Health Plan SBC 2024 HSA HDHP Plan Booklet 2024 POS Point of Service Plan SBC 2024 POS Plan Booklet Dental High SBC Dental Low SBC 2024 VSP Vision Summary 2024 VSP Vision Certificate of Coverage HDHP IL DOL Employer EHB List High PPO IL DOL Employer EHB List Low PPO IL DOL Employer EHB List Prime Participant Notices CHIP Notices In-House Group Voluntary Basic Life Cert 00621679 Driver Group Voluntary Basic Life Cert 00621679 In-House Voluntary Term Life Cert 00621679 Driver Voluntary Term Life Cert 00621679 In-House Short Term Disability Cert 00621679 Driver Short Term Disability Cert 00621679 In-House Long Term Disability Cert 00621679 Driver Long Term Disability Cert 00621679 One Lump Sum Disability 00621679 Forms OneAmerica Port or Conversion letter for Disability or Life Insurance OneAmerica Portability and Conversion Process Authorization - PRIME OneAmerica Group Insurance Conversion Guide OneAmerica Application to Convert Group Insurance OneAmerica Group Insurance Portability Guide OneAmerica Application to Continue-Port Group Insurance Trustmark How to use the Wellness Benefit or Health Screening Rider Medicare Part D Creditable Coverage Notice