TEAM SRC EMPLOYEE INSURANCE
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​TEAM MEMBERS

If you're a Pizza Hut Team Member, you're in the right place!
We offer two health plans to choose from. As a Team Member, you are not yet eligible for supplemental insurances.

You are required to click on the Required Notices button below and follow the instructions on the page.
REQUIRED NOTICES

MEDICAL SUMMARY for Southeast Restaurants Corporation for January 1, 2020

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Health Insurance Option 1:

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This is our basic plan.
If choosing this coverage, choose “Base Plan” on the
Employee Deduction Authorization sheet.
​​Children can be covered through age 25 if
you choose Employee/Children coverage.
Review Base Plan

Health Insurance Option 2:

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This is our buy up plan. 
​If choosing this coverage, choose “BCBS - Buy Up
Option Secure 2 Plan” on the Employee Deduction
Authorization sheet.
Children can be covered through age 25 if
you choose Employee/Children coverage.
review buy up plan

If you wish to waive or refuse coverage:

You are required to complete the Employee Deduction Authorization form below:
  • Check "Refuse/Waive"
  • Check the reason you are declining
  • Sign & Date
  • Fax to HR at 1.888.462.2749
If you are refusing coverage, you will not be eligible to enroll for insurance until the next open enrollment period, and only if you are qualified at that time. The only exception to this rule is if you have a qualifying event. Contact HR for a list of qualifying status events, such as marriage, divorce, birth, adoption, change in your job, spouse changes jobs, etc.
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 Employee Deduction Sheet
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