TEAM SRC EMPLOYEE INSURANCE
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SUPPLEMENTAL INSURANCES


​Guardian Enrollment Instructions

You are not required to purchase any of the supplemental insurances. Regardless of whether or not you enroll in the supplemental insurances, you are entitled to receive a guaranteed $10,000 in life insurance paid for by Southeast Restaurants Corp. 

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Children are only eligible for coverage up to the age of 20 unless they are full-time students.
 These are instructions for Guardian only. The coverages included are for:
  • Dental
  • Vision
  • Life
  • Short-Term Disability
  • Long-Term Disability
  • Cancer 

Even if you do not want any coverage, you still need to:
  • Fill out the Guardian Application below. Select yes or no on the coverages.
  • Only fill out the “About Your Family” section on page 1 of the Guardian application “if” you are covering dependents. If not covering a spouse or children, leave this blank.
    • Children are only eligible for coverage up the age of 20 unless they are a full-time student.
  • Fill out the beneficiary info on the Guardian application for the company paid $10,000 life insurance regardless if you are taking any coverage.
  • Sign and date the Guardian application.
  • Fill out the Employee Deduction Authorization form – enter the amount of deduction on the right (or zero if not selecting coverage); sign and date at the bottom.

If you have questions about the type of coverage, please call Guardian at 800.541.7846. Our Group Number is 00498548. If you need help with how to fill out the application, please call your Area Coach.

Most supplemental coverages are payroll deducted pre-tax, which means that you can only make changes or drop coverage once per year during open enrollment. Make your choices carefully. If you wish to have after-tax payroll deductions, please contact Tami Ashley in Human Resources at tashley@srcorp.org or 843.448.2646. 
Click on the link below to review plan details.
2020 Guardian Coverage Information
Click on the link below to open and complete. Once complete, download to your desktop, print, sign and fax to HR at 1.888.462.2749.​
2020 Guardian Application

GAP Enrollment

​What is GAP Insurance?
GAP health insurance covers portions of out-of-pocket medical expenses. For example, a few of the benefits this plan offers are:
  • $25 payment for each physician visit (up to five visits per year)*
  • $200 payment for an outpatient surgery*
  • $200 for an emergency room visit*
​Whether taking coverage or not, fill out the application, initial that you received the brochure and sign and date at the bottom.
*Please review the enrollment packet for details and disclaimers.
Click on the link below to review plan details.
2021 GAP Coverage Information
Click on the link below to open and complete. Once complete, download to your desktop, print, sign and fax to HR at 1.888.462.2749.​
​2021 GAP Application

Payroll Deduction

Click on the link below to open and complete. Once complete, download to your desktop, print, sign and fax to HR at 1.888.462.2749. This form is required for enrollment.
2021 Guardian Payroll Deduction Sheet​
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