Red Spot offers 2 medical plans, a PPO and a High Deductible Health Plan (HDHP) with Health Savings Account. Both plans are administered by UMR and include a vast regional/national network of doctors/medical facilities through the United Healthcare Choice Plus Network with Optum RX providing the role of pharmacy benefit manager. Preventive care services are covered at 100% on both plans. For more detailed information, please click on the relevant documents below or login to www.umr.com using your user ID and password.
All full time, active employees, dependents, and eligible spouses may enroll in coverage. Eligible dependent children are covered through the end of the month of their 26th birthday. A spouse is eligible for Red Spot coverage only if they are not eligible for their own employer-sponsored plan.
Red Spot provides an incentive in the form of a discounted premium for completing an annual health screening during an announced time. For 2023 premiums, the timeframe was October 3 through December 12, 2022. Completing a screening during that period will allow employees (and eligible spouses) to pay a discounted medical premium for all of 2023.
With your plan you also have access to:
See resources below for more information.
In our continued efforts to bring innovative solutions to your evolving health care needs, we are excited to share a program called SmartConnect, an exclusive service from SmartMatch Insurance Agency. This program is a free Medicare education and enrollment resource. It is a great for those who are considering retirement and feel overwhelmed by the complexities of Medicare, or for those who are currently Medicare-eligible or will be soon. The only cost an employee will see is when they (or perhaps a spouse) enroll in a plan; there are no hidden fees or extra costs.
We have partnered with SmartConnect to provide all employees year-round access to free Medicare Resources, personalized guidance, and enrollment services. SmartConnect makes the transition to Medicare easier than ever by offering free Medicare resources and one-on-one consultations with licensed insurance agents in all 50 states. This service is beneficial to anyone 64 ½ or older (or otherwise eligible for Medicare), including your family members, neighbors, and friends. Feel free to share this email.
How does it work?
· Explore SmartConnect’s Benefits GPS link shown below to access Medicare resources and compare options to get started or call directly at 855-248-1648.
· Learn more about Medicare from a trust industry professional.
· Understand what affects your health care costs and coverage options.
· Compare your current health coverage through Red Spot coverage or another plan to multiple Medicare options.
· If you find a Medicare plan that meets your needs, SmartConnect helps you enroll immediately.
Click on any of the documents below to find out how SmartConnect might help you. Or, give them a call at 855-248-1648 Monday-Friday from 7:30 am – 5 pm Central Time.
For 2023, Red Spot funds employee Health Savings Accounts (HSAs) at $750 for employee only tier and $1,500 for all other tiers. These amounts are pro-rated for new hires and those changing tiers during the year. Funding for 2024 will be announced in late 2023. Eligible employees can set up their own HSA through their own bank, Fidelity (Red Spot’s 401k administrator) or through First Federal. All HSA accounts must be set up by no later than November 1, 2023, or the company contribution will be forfeited.
Some employees will not be eligible to contribute or receive HSA contributions due to IRS regulations. Such examples include, but are not limited to:
1. Being enrolled in Medicare Part A or B
2. Being enrolled in TriCare
3. Having accessed VA benefits in the last 90 days
4. Having other “first dollar” coverage such as being a covered dependent on a spouse’s PPO plan
5. Being enrolled in an FSA for medical reimbursement
In addition to the company contribution, eligible employees may make pre-tax contributions into their HSA accounts through payroll deduction; please refer to the Red Spot HSA Payroll Deferral Form shown below if you wish to change your deferral amount. It is each employee’s responsibility to ensure they do not contribute more than the 2023 annual IRS HSA contribution limit of $3,850 for self-only coverage and $7,750 for family coverage. (Employee/Child(ren), Employee/Spouse, and Employee/Family would all meet the definition of family coverage). A catch-up contribution of up to $1,000 can be made during the year by HSA-eligible participants who will turn 55 by the end of 2023. Please subtract the Red Spot funding from the annual contribution limit when determining your remaining contribution.
HSA contribution reminders:
· Married couples with HSA-eligible family coverage will share one family HSA contribution limit of $7,750 in 2023. If both spouses have eligible self-only coverage, each spouse may contribute up to $3,850 in separate accounts.
· If both spouses with family coverage are aged 55+, they must have 2 HSA accounts in separate names if they each want to contribute an additional $1,000 catch-up contribution.
· If only one spouse is 55 or older but the younger spouse contributes the full family contribution limit to the HSA in his or her name, the older spouse must open a separate account to make the additional $1,000 catch up contribution.
· Account holders who exceed the contribution limit are subject to an annual 6 percent excise penalty on the excess amount unless it is withdrawn from the HSA before the tax deadline for that year.
· If you have a child who is no longer a tax dependent, you can cover them on your insurance up to age 26 and you may be eligible to receive the family health savings contribution from Red Spot; however, IRS regulations may prevent you from utilizing health savings contributions to pay for their medical expenses. In this instance, the child would need to set up their own HSA to obtain the tax benefits. Refer to your tax advisor if you have questions concerning your personal tax situation.
A Health Savings Account (HSA) is a tax-free savings account owned by you, 100% vested from day one, and let's you build up savings for future needs. The funds may be used to pay for qualifying healthcare expenses not covered by insurance or any other plan for yourself, your spouse, or tax dependents. You decide how much you would like to contribute, when and how to spend the money on eligible expenses, and how to invest the balance.
The FSA Plan is administered through American Benefits Group and allows employees to save money by using pre-tax dollars to pay for certain health care and dependent care expenses. By participating in a Flex Plan, employees will not pay State or Federal income tax or Social Security on their elections, AND if health care expenses are elected the entire annual election is available to the employee on January 1 of the plan year. The downside of an FSA for medical reimbursement is the IRS “use it or lose it rule”, so it is important to try to estimate your expenses carefully. Red Spot’s health FSA includes a 2-month grace period to incur expenses for the prior year if submitted within the appropriate timeframe. For the 2022 plan year, you can incur expenses through the end of February 2023 and be reimbursed if submitted to ABG by March 31, 2023.
The annual health FSA Cap for 2023 increased to $3,050 from $2,850.
The annual Dependent Child Care FSA Cap remains unchanged for 2023 at $2,500 if married and filing separately and $5,000 if married filing jointly or filing as single/head of household.
As a Red Spot Employee, you have access to the following wellness programs regardless of medical plan participation:
All details are linked below.
Employees, dependent children, and spouses can also receive medical care, lab work, and generic prescriptions at no cost at ProCare HealthSpot on-site and near-site medical clinics. Refer to the ProCare Welcome Guide for detailed information on available locations and hours. Enrollment in a Red Spot Medical Plan is not required for care. Children who are living at home and considered to be a dependent, as defined by the IRS, are eligible to use the clinic through the end of the month of their 26th birthday.
The employee assistance program (EAP) is available for employees and their dependents living at the same address. The EAP is provided by Red Spot at no cost to employees and is administered by Deaconess Concern. The EAP can assist with marriage and family issues, childcare and elder care services, stress/anxiety, alcohol or drug abuse, workplace conflict, legal and financial matters, and more.
Dental Coverage is administered by Paramount Dental (HRI). An employee contribution is required via payroll deduction based on selected level of coverage.
Voluntary vision coverage is available to all employees and their spouses/dependents and is administered by Sun Life through the VSP Vision Care Signature Network.
Coverage Levels and Semi-monthly Rates:
Brief plan details are included below.
*If you are covered under the Red Spot Medical Plan (PPO or HDHP administered through UMR) and wish to utilize your annual preventive care eye exam with no copayment, then you should utilize your UMR card. For other vision services, including purchase of materials such as glasses and contacts, you would then utilize your vision coverage through Sun Life/VSP. Please refer to Vision insurance schedule for more detailed information on this benefit.
Sun Life Financial
Life insurance is an important part of your financial security. Life insurance helps protect your family from financial risk and sudden loss of income in the event of your death. AD&D insurance is equal to your Life benefit in the event of your death being a result of an accident, and may also pay benefits for certain injuries sustained.
Company-paid life insurance is available to all full-time employees. Coverage for Bargaining Unit employees is $60,000 while coverage for all other full-time employees is 2 x annual salary. All covered employees receive double indemnity for AD&D. Life insurance is subject to age reduction at age 65 and 70.
Voluntary Life Open Enrollment for 2023.
All full-time employees who work at least 30 hours/week are eligible to enroll in coverage. This insurance protects employees and their families from financial loss by providing lump-sum benefits upon diagnosis of covered conditions. Benefit amounts range from $5,000 to $40,000 in increments of $5,000 for employees. If an employee elects coverage, they can also elect spousal coverage from $5,000 to $40,000 in increments of $5,000. Coverage can also be elected between $2,500 and $20,000 in increments of $2,500 for eligible children from birth to age 26. Final eligibility is subject to Sun Life’s approval. This plan also pays a $50 wellness screening benefit each year once an enrollee provides proof of an eligible health screening. Click on the below information to find out more about this benefit. Click on the below information to find out more about this benefit.
All full-time employees who work at least 30 hours/week are eligible to enroll in coverage, which helps pay for unexpected expenses. Utilize this benefit to help cover related expenses like lost income, childcare, deductibles, and copays. The plan offers hospitalization benefits for you, your spouse, and/or your children. An eligible child is defined as your child from birth to age 26. Benefits are payable for hospital stays due to sickness, accidents, mental/nervous disorders, substance abuse, etc.
RED SPOT 401-K SAVINGS PLAN- EMPLOYEE DEFERRAL/ COMPANY MATCH:
The Red Spot 401(k) Savings Plan provides employees the opportunity to save for retirement. The Plan is administered by Fidelity Investment Company. Employees can elect to defer a percentage, through payroll deduction, from 1% to 60% of weekly wages on a pre-tax basis not to exceed the 2023 IRS maximum of $22,500 (up from $20,500 in 2022) for the year. The amount contributed may be increased or decreased at the beginning of each payroll period. Employees aged 50 or older (or will be turning 50 during 2023) may make an additional “catch-up” contribution of up to $7,500 (up from $6,500 in 2022). Catch up contributions are not eligible for a company matching contribution. Those wishing to take advantage of the catch-up contribution should contact HR so that the catch up contribution can be reflected within the payroll system. It is not assumed that anyone over the age of 50 will wish to participate in the catch-up election. Catch up contributions can be made on a pre-tax or after-tax basis.
All employee contributions to the Plan are fully and immediately vested while the employer contributions follow a vesting schedule. Please refer to the Summary Plan Description for investment funds and complete Plan information. The current company match is $.65 for each $1.00 deferred, to a maximum of 6% of eligible compensation. Once the employer match for 2023 has been determined, it will be announced in a separate communication.
401(k) SAVINGS- NON-ELECTIVE DEFINED CONTRIBUTION PLAN (Formally “Profit Sharing Plan”):
The Non-Elective Employer Contribution Plan is an additional retirement benefit for employees. On an annual basis, Red Spot may elect to make a discretionary non-elective contribution to the Plan. The contributions will be transferred to Fidelity Management Trust Company into employees’ personal accounts. The plan allows employees the ability to direct their own investments for retirement planning purposes. Eligibility requirements include completing six months of service. The eligibility period is then the 1st of the month after 6 months of service. A contribution is based upon the income received from that date of eligibility through the end of that plan year. In subsequent years, an employee must work at least 1,000 hours in each plan year and be actively employed as of the last day of the plan year (December 31st) unless due to death or retirement. Intern employees (part-time/temporary employees) are not eligible for this Plan unless they have worked 1,000 hours in a plan year. If a discretionary contribution is approved for a plan year, it is generally communicated after year-end close is complete. Deposits to employee Fidelity accounts generally occur in the April timeframe for the prior year.
ROTH 401(k) OPTION:
Employees have the option of contributing to a Roth 401(k) through the Red Spot 401(k) Savings Plan. Unlike a traditional pre-tax 401(k), the Roth 401(k) allows employees to contribute after-tax dollars and then withdraw tax-free dollars from their accounts when they retire (if an employee is at least 59 ½ years old and it has been five years since their first Roth 401(k) contribution). Employees have the choice of contributing to a traditional pre-tax 401(k) option, a Roth 401(k), or a combination of the two. Combined contributions to a Roth 401(k) and traditional pre-tax 401(k) cannot exceed the IRS annual limits (for 2023, deferral contribution limit of $22,500 and for those who are at least 50 by 12/31/23, an additional $7,500).
Holidays: Upon hire, Red Spot offers 12 paid holidays to include: New Year’s Day, MLK Day, Good Friday, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, Friday after Thanksgiving, Christmas Eve, Christmas Day, New Year’s Eve, and a floating holiday.
Now is a great time to review your personal contact information within ADP and update as necessary. HR will receive notification that you have changed your information and will then know to update all of your elected benefits. It is recommended that you review the following areas now and at certain intervals throughout 2023.
1. Mailing address
2. Phone number
3. Email address
6. Emergency contacts