Benefit FAQs

Welcome to Harris Farms Benefits FAQ.

Below you’ll find some frequently asked questions (FAQs) about the benefit programs available to our employees and their enrolled family members.

The information described on this site is a general overview of the benefit plans at Acme Farms Brand. This is not a promise of benefits.

Login to Healthview for 24/7 access to detailed information about your benefits, eligibility, and claims.

 

Welcome

Message From Leadership

Greetings to our valued employees,

At Harris Farms, we prioritize your well-being. Our comprehensive health benefits reflect our commitment to your health, happiness, and success. From top-tier medical care and wellness programs to mental health resources and family support, we’re dedicated to providing the tools and assistance you need for a fulfilling life. As you explore our health benefits FAQs, remember our HR team is here to help. Your well-being drives our innovation, and we’re proud to stand with you as you thrive at Harris Farms.

Harris Farms Leadership

Find Care

Open Enrollment

Open Enrollment is from August 1st to September 1st This is the time of year when you can enroll in health insurance, make changes to your coverage, or cancel your plan.

Find A Provider

California

In California, your plan has access to a network of doctors, hospitals, and providers from Anthem Blue Cross of California.

 

All Other States

In all other states, your plan has access to a network of doctors, hospitals, and providers from FirstHealth.

Our Programs

Anthem MCS

A robust network exclusively serving California, offering a comprehensive range of medical and support services to ensure high-quality care and effective management of health needs within the state.

First Health

An extensive network when traveling outside of California, providing access to a wide range of healthcare providers and facilities, ensuring high-quality care and broad coverage for members.

Elixir Solutions

Elixir Solutions manages our pharmacy benefits to help you with your prescription needs. For more information or assistance, you can visit their website at www.elixirsolutions.com or call their customer service at 1-800-771-4648.

Telemedicine

We are transitioning to a new telemedicine provider, Doctor on Demand, starting November 2024. Until then, please use Live Health Online for your telehealth visits at www.livehealthonline.com. You will need to create a login and provide a personal credit card to cover the cost of your visit. Be sure to keep your receipt for reimbursement. Claim Reimbursement Forms are available on HealthView at healthview.pinnacletpa.com.

Mom to Be

A specialized program focused on supporting expectant mothers with resources, education, and care coordination throughout pregnancy to ensure a healthy journey for both mother and baby.

Supplemental Case Management

An additional layer of support providing personalized case management services to address complex health needs, coordinate care, and improve health outcomes.

Delta Dental

Our dental plan, Delta Dental, is available to all eligible employees. This comprehensive coverage helps you maintain optimal oral health with access to a wide network of dental care providers, routine check-ups, preventive services, and more. Enjoy peace of mind knowing that your dental care needs are well-managed and supported.

Vision Coverage

Our vision plan is available to all eligible employees, providing essential support for your eye health. This coverage includes access to routine eye exams, prescription glasses, contact lenses, and more, ensuring you maintain clear vision and overall eye well-being. Enjoy the benefits of comprehensive vision care designed to meet your needs.

Basic Life/ AD&D

Harris Farms, Inc. offers a Basic Life Insurance benefit to all active full-time employees, providing crucial financial protection for your loved ones in the event of your passing. Additionally, our Accidental Death & Dismemberment (AD&D) coverage, provided through The Standard, offers extra security if an accident results in the loss of life, limbs, or senses. Both benefits are provided at no cost to you, ensuring that you and your eligible dependents are well-protected.

Voluntary Life/ AD&D

Harris Farms, Inc. offers all active full-time employees the opportunity to purchase additional Life and Accidental Death & Dismemberment (AD&D) insurance for yourself, your spouse, and/or your children through The Standard at affordable group rates. When you choose to enroll in this benefit, you will cover the full cost through post-tax payroll deductions. Please be aware that if you select coverage amounts above the guaranteed issue or if you did not enroll during your initial eligibility period, you may be required to complete an evidence of insurability form.

Long Term Disability Coverage

Harris Farms, Inc. provides you with employer-paid Long-Term Disability coverage through The Standard. For eligible employees who meet certain annual earnings requirements, this benefit offers financial support if you are unable to work for an extended period due to illness or injury.

Employee Assistance Program (EAP)

As an eligible employee, you and your dependents will have access to confidential support, resources, and services to assist with personal or professional issues. The EAP, provided through The Standard, is available at no cost to you, your dependents (including children up to age 26), and all household members. This benefit includes up to three assessment and counseling sessions per issue, which can be conducted in person, by phone, or via video. The EAP is designed to help you and your family manage everyday challenges.
For assistance, contact EAP at (888) 293-6948 or visit workhealthlife.com/Standard3. EAP services are available 24/7 via phone, online, live chat, email, and text.

Resources

Benefit Guide

The Benefit Guide is a document that explains your health insurance plan’s benefits, coverage, and costs. It also includes information on how to use your plan and how to find a provider.

Summary of Benefits Coverage

Access your Summary of Benefits Coverage here.

 

 

Information For Your Provider

Providers can submit claims electronically using Envoy Payer #24735 or to the following address for processing:

Pinnacle Claims Management, Inc.
PO Box 2220
Newport Beach, CA 92658

 

To check eligibility, benefits, and claims status, please contact:

 

Customer Service 833-586-9733
Utilization Review 800-274-7767
Elixir Solutions 800-771-4648

We work with health care providers and give them direct access to patient information via our convenient and proprietary online tool Online Provider Information System (OPIS).

When Do I Need A Referral

You can see an in-network provider of your choice without a referral. Authorization is required for inpatient admissions and may be required for other services, depending on your plan. Refer to your Summary Plan Description (SPD) for a complete list of services requiring authorization. SPDs are available in our secure member portal HealthView, under the “Benefit Materials” tab.

Contact Us

Customer service representatives are available to assist you Monday through Friday, 7 a.m. to 5:30 p.m. P.T.

Phone: 833-586-9733
Email: customerservice@pinnacletpa.com
For 24/7 access to detailed information about your benefits, eligibility, and claims:

Questions? Contact Us Today