Table of Content
- Header
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Page
- XX-WELCOME
- WELCOME
- ENROLLMENT
- MEDICAL/RX
- HSA
- VIRTUAL VISITS
- DENTAL
- VISION
- LIFE AND AD&D
- HOSPITAL INDEMNITY
- VALUE ADDED BENEFITS - EAP
- ADDITIONAL EDUCATION
- Carrier Contacts
- Contact Us
- Footer
WELCOME
Helping you and your family reach and maintain good health is very important to St. James Nursing. St. James Nursing is pleased to offer a selection of benefits designed with your health and financial wellbeing in mind. We review our benefit programs each year to ensure we consider the best combination of benefit coverage, network access and affordability for employees.
St. James Nursing remains committed to providing a competitive, cost-effective benefit program. Each year we take great care and detail in the benefit programs offered to employees. Below are highlights of the new changes that will be effective September 1, 2022:
- Medical Plan HMO 1500 Plan
- Dental insurance will now be provided with Sun Life
- Hospital Indemnity will now be an available option through Unum
Please review your 2022-2023 St. James Nursing Open Enrollment materials for more information regarding your plans offerings for the 2022-2023 plan year.
ENROLLMENT
You are eligible to participate if you are full-time and work a minimum of 30 hours per week for Medical or 32 hours per week for dental, vision, core life, voluntary life, or hospital indemnity. When you enroll in the benefits program, you may also cover your eligible dependents. Dependents include your legal spouse and children. Children eligibility is as follows -
- Medical: End of the calendar year the child turns 26
- Dental & Vision: End of the month the child turns 26
- Voluntary Life or Hospital Indemnity:
Action Required: All elections must be submitted by Friday, August 12!
ENROLLMENT INSTRUCTIONS:
- Review the information surrounding the 2022-2023 plan year
- You MUST complete and sign an enrollment form, even if you are waiving coverage
- Submit the form to HR
The Benefit choices you make during your open enrollment remain in effect for the entire plan year. You can, however, modify your elections under certain circumstances, called "Qualifying Events" These are events such as marriage, divorce, birth or adoption of a child, loss of eligibility under another plan. If you experience a qualifying event, you may make changes to your benefits within 30 days of the event or 60 days if the event is due to birth or adoption of a child.
Contact Human Resources if you have questions about qualifying events.
MEDICAL/RX
Priority Health Medical/Rx (Group #796482) | 800.942.0954 | www.priorityhealth.com
Priority Health will continue to be the medical and prescription carrier this year. The plans that will be offered effective September 1, 2022 are as follows:
- PH HMO 1500 - New!
- PH HMO HSA 3300
Both the HMO 1500 and the HMO HSA 3300 utilize the Southeast Michigan Partners (SEMP) network. The SEMP network is a tired network that can help employees save on deductibles, out-of-pocket limits and cost sharing—all by utilizing the selected Tier 1 provider network. For more information or to find a hospital listing by tier, please click on the link below.
Medical Plan - HMO
Medical Plan - HMO
HDHP with an HSA
HDHP with an HSA
HSA
HSA
How to Optimize your HSA
How to Optimize your HSA
HSA
Health Equity HSA | 866.382.3510 | www.healthequity.com
The Health Savings Account (HSA) allow you to set aside pre-tax dollars to pay for eligible expenses. By contributing to a HSA you reduce your taxable income, so you pay less in taxes — which saves you money.
To be eligible to contribute towards an HSA tax-free, you must meet the requirements below:
- Covered by a Qualified High Deductible Health Plan
- You cannot be covered by another health plan (including if your spouse has a Flexible Spending Account)
- You cannot be covered by Medicare or Medicaid
- You cannot be eligible to be claimed as a tax dependent
- You have not received VA benefits in the past 90 days
HSA IRS Maximums are as follows:
$3,650 for a single contract
$7,300 for a two person or family
$1,000 "Catch Up" contribution for those age 55+
VIRTUAL VISITS
- 
Priority Health Medical/Rx (Group #796482) | 800.942.0954 | www.priorityhealth.com
St. James provides those employees who are covered by one of the Priority Health medical plans access to virtual visits with Priority Health Online Visits. Priority Health Online Visits provide members the opportunity to receive medical and mental health care from the comfort of your own home. With Priority Health Online Visits, eligible employees and dependents have access to board certified doctors, psychiatrists and licensed therapists 24 hours a day, 7 days a week, 365 days per year.
How Much Does it Cost?
- HMO 1500 Covered in Full!
- HDHP/HSA Plan: Covered in Full!
To get access to these convenient services, visit www.priorityhealth.com - OR - you may call 844.322.7374.
Priority Health Online Visits
Priority Health Online Visits
Virtual Visits
Virtual Visits
DENTAL
Sun Life: Dental (Group # 955081) | 800.442.7742 | www.sunlife.com
Eligible employees may pick between the Basic or Enhanced plans. The Enhanced plan will provide richer benefits and a higher annual maximum, where the Basic plan is designed to promote good dental hygiene through preventive care and to provide you with the dental care you need at a lower cost.
To find out if your provider is in-network, please click the button below and choose the Sun Life Dental Network.
Dental Insurance Overview Video
Dental Insurance Overview Video
VISION
NVA: Vision (Group #8742) | 800.672.7723 | www.e-nva.com
St James Nursing offers vision coverage through National Vision Administrators (NVA) to help pay for eye exams, prescription glasses and contact lenses. You receive a higher level of benefits when you see a provider in network, however, out-of-network coverage is provided but may only be handled as reimbursements in some situations. Review your coverage details in your Benefit Guide.
To find out if your provider is in-network, please click the button below.

Vision Insurance Overview Video
Vision Insurance Overview Video
LIFE AND AD&D
Unum: Basic & Voluntary Life | 866.679.3054 | www.unum.com
Basic Life/AD&D
St James Nursing provides you with financial protection options for life and accidental death & dismemberment with Unum. All eligible Employees are enrolled in a basic life and AD&D program paid for by St James Nursing. The benefit amount is a flat $10,000
Voluntary Life/AD&D
A sudden accident or death can leave you or your loved ones in a vulnerable position. Employees have the opportunity to enroll in Term Life and Accidental Death & Dismemberment insurance which will supplement lost income in the event of an accident or death. If you choose to enroll in employee coverage, this will be in addition to your employer provided Basic Life coverage.
Who's Your Beneficiary? Naming a beneficiary is a crucial part of electing life insurance. Also, don't forget to update your primary or secondary beneficiary if you experience a life event, such as a divorce or birth of a child.
Please consult your Employee Benefits Guide and review the benefit summaries for additional details.
Life Insurance Overview Video
Life Insurance Overview Video
HOSPITAL INDEMNITY
Unum: Hospital Indemnity | 866.679.3054 | www.unum.com
Hospital insurance helps covered Employees and their families cope with the financial impacts of a hospitalization. You can receive benefits when you're admitted tot he hospital for a covered accident, illness or childbirth.
Hospital Indemnity Overview Video
Hospital Indemnity Overview Video