Table of Content
- Header
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Welcome
- OPEN ENROLLMENT REMINDER!
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Eligibility & Enrollment
- Eligibility
- How to Enroll in Benefits
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Medical & Rx
- Medical/Rx Plans Overview
- Rx Information
- Providers & Networks
- Virtual Visits
- Carrier Resources & Education
- Wellness
- ONE DROP - Health Management Program
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Accounts
- Health Savings Account (HSA)
- Flexible Spending Accounts (FSA)
- Dependent Care Reimbursement Account (DCRA)
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Dental
- Dental Plans Overview
- Providers & Networks
- Carrier Resources & Education
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Vision
- Network & Resources
- Hearing Aid Discount Program
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Financial Protection
- Life/AD&D
- Disability
- Voluntary Benefits
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Personal Support & Assistance
- Employee Assistance Plan (EAP)
- Mental Health Resources
- 24/7 Travel Assistance
- 401K
- LegalShield
- Guaranteed Rate Mortgage Program - Q4
- Additional Educational Videos
- Have Questions?
- Footer
Eligibility
How to Enroll in Benefits
The Benefit choices you made during your open enrollment remain in effect for the entire 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 31 days of the event.
Please contact Human Resources if you have questions about Qualifying Events.
Medical/Rx Plans Overview
Below is a high-level overview of your plan options and in-network benefit information:
You can view more details of these plans by accessing the benefit summaries provided below.
Virtual Visits
Belle Tire provides those employees who are covered by one of the BCBSM medical plans access to virtual care with Teledoc Health (formerly known as BCBSM Online Visits). Teledoc Health provides members the opportunity to receive medical and mental health care from the comfort of your own home.
All eligible members will need to download the Teladoc Health app and create a new account with Teladoc Health. The Blue Cross Online Visits app will no longer be available as of 1/1/24.
HOW MUCH DOES IT COST?
Medical Visits:
- Standard, Non-HSA Plans: Equal to your office visit copay
Mental Health: For both non-HSA and HSA plans, the costs of these services are Subject to your plans normal cost sharing for mental health services, often, deductible & coinsurance. The charges applicable for the type of services, which will apply towards your deductible, are as follows:
- Therapy Visits: $85 (Masters Level) or $99 (Doctorates Level) – Once your deductible is satisfied, coinsurance will apply if applicable
- Psychiatry Visits: $199 for initial visit and $95 for follow up visits –Once your deductible is satisfied, coinsurance will apply if applicable
Prescriptions: If prescribed during a virtual visit, applicable Rx cost sharing will apply based on which medical plan you are enrolled in.
ONE DROP - Health Management Program
Flexible Spending Accounts (FSA)
Plan Details are as follows:
- You can contribute up to $3,050 annually.
- At the end of the 2023 plan year, if you have not used all of your FSA funds, a maximum of $610 will carry over into next year's FSA plan (should you elect an FSA for the 2024 plan year).
- You have 90 days after the end of the plan year to submit for expenses that occurred on or before 12/31/2023.
- Any amount over $610 will not rollover into the next plan year.
- Unused funds will be forfeited.
For a full list of eligible expenses call (800) 688-2611 or visit www.padmin.com
Dependent Care Reimbursement Account (DCRA)
Plan Details are as follows:
- You can contribute up to $5,000 annually or limited to $2,500 if you are married and file separate tax returns.
- The plan includes a Grace Period which allows you to incur and submit expenses using your 2023 funds until March 15, 2024.
- You have 90 days after the end of the plan year to submit for expenses that occurred on or before 12/31/2023.
- You only have access to the funds of which you have paid into the account.
- Any unused funds are forfeited.
Dental Plans Overview
Belle Tire offers two options to enroll in a Preferred Provider Organization (PPO) dental plan through Blue Cross Blue Shield of Michigan (BCBSM) utilizing the Blue Dental PPO network. You may utilize dentists who belong to the Blue Dental PPO network, as well as dentists who are not part of the Blue Dental PPO network. However, you save money when you visit in-network dentists. When visiting a non-BCBSM provider, you will be responsible for the higher amount.
Below is a high-level overview of your plan options and benefit information:
*NEW FOR 2023: Premium Plan out-of-network coverage enhancements, and Standard Plan now covers bi-annual cleanings at 100% of the approved cost.
What are Preventive Services? Routine oral exams and cleanings, x-rays, sealants & fluoride treatments
What are Basic Services? Periodontics, endodontics (root canals), oral surgery, fillings, prosthetic maintenance
What are Major Services? Prosthodontics, crowns, dentures, implants & bridges
You can view more details of these plans by accessing the benefit summaries provided below.
Vision
Group #1234 | 800.672.7723 | www.e-nva.com
Belle Tire offers vision coverage through NVA to help pay for eye exams, prescription glasses and contact lenses. Belle Tire also offers you the ability to elect Safety Glasses benefits administered by NVA.
If you are already enrolled in one of the Belle Tire's NVA vision plan today and have not already done so, please be sure to register through the NVA member portal where you can access important information pertaining to your vision plan with NVA including participating providers, coverage information, and explanation of benefits/claims. If you are not currently covered, you will be able to register in the NVA portal as of your effective date of coverage.
Below is a high-level overview of your plan and in-network benefits:
Hearing Aid Discount Program
When you enroll in the NVA Vision plan, you and your family members will have access to NationsHearing, which is a full-service hearing aid discount program. NationsHearing makes the process of selecting hearing aids as convenient and affordable as possible by scheduling a no-cost hearing test and offering up to 60% savings on the most comfortable and effective hearing aids.
Life/AD&D
888.482.7342 | www.guardianlife.com
A sudden accident or death can leave you or your loved ones in a vulnerable position. Belle Tire provides all eligible employees Basic Life and Accidental Death & Dismemberment (AD&D) coverage at no cost to you.
- For Officers, executives, managers, clerical, and office employees: 2X salary to $300,000.
- For all other employees: $50,000.
Employees have the opportunity to enroll in additional 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.
- Evidence of Insurability (EOI) is required for increases in excess of 1 increment during open enrollment and for those electing voluntary life for the first time after initially waiving the 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.
- *Guarantee Issue only applies to new hires or newly eligible spouses (due to marriage) electing benefits for the first time; or, when increasing benefits during open enrollment. You are eligible to increase your benefits by 1 increment, not to exceed the guarantee issue amount, during the 2023 open enrollment period with no evidence of insurability.
- Please note: The imputed cost of employer-paid Life/AD&D coverage in excess of $50,000 must be included in income. This is calculated using an IRS imputed income table and then reported on your W-2 tax form. It will also appear on your paystubs as "Group Term Life".
Disability
888.482.7342 | www.guardianlife.com
Belle Tire offers both Voluntary Short & Long Term Disability benefits.
Everyday illnesses or injuries can interfere with your ability to work, more serious issues can impact your ability to work indefinitely. Even a few weeks away from work can make it difficult to manage household costs. Disability coverage provides financial protection for you by paying a portion of your income, so you can focus on getting better and worry less about keeping up with your bills.
Voluntary Benefits
Belle Tire provides a competitive benefits package for all employees as part of our total compensation package. We realize you make benefit choices based on what’s important to you and the needs of your changing lifestyle. Therefore, along with our core benefits, we offer these additional benefits which help to provide financial support to you. These benefits are paid for through payroll deduction on a post-tax basis so that the benefits are tax free.
Accident & Critical Illness is offered through Guardian. Hopefully you are never in the position to use it, but if you were to experience an accident, illness, or hospitalization, it could end up costing you a lot of money. With these plans, you will be paid money for qualifying situations/services to cover your of pocket expenses or you may use the funds for whatever you like.
Identity Protection and Legal Services are offered through ID Shield/Legal Shield. These benefits are offered in an effort to protect and assist with the expenses and services needed in the event you are faced with compromises to your identity or legal matters.
See plan summaries below for additional details.
Employee Assistance Plan (EAP)
Mental Health Resources
24/7 Travel Assistance
401K
Belle Tire is committed to ensuring our team is ready for retirement when that time comes. To help ensure this, employees will be automatically enrolled in a pre-tax 401K at 5% payroll deductions upon eligibility. Contributions to the plan will be automatically increased by 1.00% each year and will cap at 10.00%.
When can I start contributing to my 401K?
Employees who are at least 21 years of age are eligible to participate in the 401K plan on the first of the month following three full months (90 days) of employment.
How do I see my account or make changes?
If you would like to view more information regarding the Belle Tire 401K plan please visit www.netbenefits.com or call 800-924-4015 to speak to a representative at Fidelity Investments. You will be able to view plan documents and make any changes to your contributions, including opting to not participate in the plan, via the NetBenefits website shown above. Should you choose to make no changes you will be automatically enrolled in a pre-tax 401k upon your date of eligibility.
Did you know the more you contribute to your 401K the more Belle Tire will contribute?
The money you save today will grow in value as it accumulates compound interest. Compound interest is the addition of interest to the principal sum of a deposit (which means interest on interest). That is why the more time your money has to accumulate compound interest, the better!
Using an example of an employer match of $1,400, and an assumed interest rate of 7% your $1,400 could grow to:
- After 5 years- $1,963.57
- After 10 years- $2,754.01
- After 15 years- $3,862.64
- After 20 years- $5,417.56
Beneficiary Information
Please be sure to designate at least one person, trust, or estate as a beneficiary for your 401K Plan at www.netbenefits.com > “Accounts & Benefits” > “Update your beneficiaries”. If you wish to elect a beneficiary other than your legal spouse, your spouse must complete a Spousal Consent Form in the presence of a notary public and mail the form to Fidelity.
Remember all of this interest is on money contributed by BELLE TIRE at NO COST to you!
LegalShield
Guaranteed Rate Mortgage Program - Q4
