INTRO

Feldmann Imports offers you and your eligible family members a comprehensive and valuable benefits program. We encourage you to take the time to educate yourself about your options and choose the best coverage for you and your family.


Please review our 2022 Benefit Guide and watch a recording of the open enrollment education session to learn more about the benefit offerings for the plan year May 1, 2022 - April 30, 2023.

Open Enrollment Presentation

Open Enrollment Presentation

OVERVIEW

What's New for 2022


Medical

  • There is a modest increase in premiums, please reference the benefit materials for more details.
  • The $3,500-75% HDHP is changing to a $3,650-75% HDHP. Enrollments in this plan will be mapped to the new plan.


Dental

  • The annual maximum is increasing to $2,000 under Benefit Level 1
  • You will notice a 3.6% premium increase


Health Savings Account - 2022 IRS limits for Health Savings Accounts Contributions

  • Single: $3,650
  • Single + 1 and Family: $7,300


Health Care and Limited FSA

  • The IRS contribution limits increased to $2,850
  • The roll-over limit increased to $570


Your Employee Benefit Guide and this Landing Page provides general information as an overview. If there is any discrepancy between the insurance carrier's certificate of coverage or summary plan description and this landing page or Benefit Guide, the insurance plan documents will prevail. If you have any questions, contact Human Resources.

2022 Benefit Guide

2022 Benefit Guide

2022-2023 Benefit Enrollment Recap Form

2022-2023 Benefit Enrollment Recap Form

ENROLLMENT

How To Enroll In Benefits


  1. If you are not making changes, you current coverage and network will carry over to the new plan year.
  2. If you are making changes, you must complete the corresponding change forms.
  3. If you are enrolling in a benefit you weren't enrolled in last year, you must also complete the necessary carrier enrollment forms.


REMINDER: if you wish to participate in a Flexible Spending Account in 2022, you MUST make an active election each year. Prior elections do not carry over.



SPECIAL REMINDER


  • The medical plan offers a choice of two networks
  • If you are completing a change form, be sure to select either the Complete (Open Access 200) Network or the Preferred Health Network.
PreferredOne Change Form

PreferredOne Change Form

PreferredOne Enrollment Form

PreferredOne Enrollment Form

HealthPartners Dental Change Form

HealthPartners Dental Change Form

HealthPartners Dental Enrollment Form

HealthPartners Dental Enrollment Form

EyeMed Enrollment & Change Form

EyeMed Enrollment & Change Form

Cigna Voluntary Life/AD&D and Voluntary STD Enrollment Form

Cigna Voluntary Life/AD&D and Voluntary STD Enrollment Form

Cigna Beneficiary Form

Cigna Beneficiary Form

Cigna STD Evidence of Insurability Form (EOI)

Cigna STD Evidence of Insurability Form (EOI)

Cigna Voluntary Life Evidence of Insurability Form (EOI)

Cigna Voluntary Life Evidence of Insurability Form (EOI)

Associated HSA Enrollment Form

Associated HSA Enrollment Form

Associated HSA Beneficiary Change Spousal Consent Form

Associated HSA Beneficiary Change Spousal Consent Form

Associated HSA Election Form

Associated HSA Election Form

Associated HSA Participant User Guide

Associated HSA Participant User Guide

Flyte (FSA) Enrollment Form

Flyte (FSA) Enrollment Form

ELECTION CHANGES

The Benefit choices you make during your initial enrollment or annual 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 30 days of the event or 60 days if the event is due to birth or adoption of a child.


Refer to your Employee Benefits Guide or contact Human Resources if you have questions about qualifying events.

MEDICAL

PreferredOne


Feldmann Imports offers three medical plan options. All options provide high-quality, affordable medical care, including preventive care, doctor's visits, hospitalization, and emergency care. However, each plan has unique characteristics and advantages. The plans are offered through PreferredOne.


PLAN CHOICES

  • Plan 1: $3,650-75% High Deductible Health Plan
  • Plan 2: $2,000-$45-75%
  • Plan 3: $500-$25-75%


NETWORK CHOICES

  • Complete (Open Access 200) Network: This is PreferredOne’s largest open access network with clinics and hospitals throughout Minnesota and the Midwest. This network offers access to all of the contracted providers with PreferredOne, including the Mayo clinic/ hospital in Rochester, Minnesota. 



  • Preferred Health Network: The Achieve network includes Park Nicollet and HealthPartners doctors, You can choose from more than 4,400 doctors, 960 clinics, and 13 hospitals across the 13-county metro area.The network includes the M Health Fairview System and the North Memorial Health System. This network does not include access to the Mayo clinic/ hospital in Rochester, Minnesota.


Refer to your Employee Benefits Guide or to the PreferredOne Plan Summaries for additional coverage information.

PreferredOne Open Enrollment Guide

PreferredOne Open Enrollment Guide

$3,650-75% HDHP Plan

$3,650-75% HDHP Plan

$2,000-$45-75% Deductible/Copay Plan

$2,000-$45-75% Deductible/Copay Plan

$500-$25-75% Deductible/Copay Plan

$500-$25-75% Deductible/Copay Plan

MD Live - Virtual Care

MD Live - Virtual Care

Employee Assistance Program (EAP)

Employee Assistance Program (EAP)

BenefitHub Member Discounts

BenefitHub Member Discounts

Rx Savings Program

Rx Savings Program

HSA

Health Savings Account (HSA)

As an eligible employee, you are eligible to participate in a Health Savings Account (HSA)


Health savings accounts (HSA’s) are a tax-advantaged savings account paired with a high deductible health plan exclusively for the purpose of paying qualified medical, dental and vision expenses for you, your spouse and your dependents. You must be enrolled in the High Deductible Health Plan to be eligible to contribute to an HSA.


At enrollment, you select how much money you want deducted from each paycheck on a pre-tax basis to meet your medical needs. If you are already enrolled, Feldmann Imports will carry over your current salary reduction election. You may change your election throughout the year. The IRS limits the amount of contributions employees are allowed each year, as follows:


2022 Annual Maximum Contribution

  • Employee Only: $3,650
  • Family: $7,300


If you are 55+, you can also make an additional $1,000 “catch-up” contribution annually.


Employer Annual Contribution: Feldmann Imports makes an annual employer contribution towards your Health Savings Account:

  • Employee Only: $1,200
  • Family: $2,400


Employee Annual Maximum Contribution: If you want fund your HSA to the maximum limit, your maximum contribution cannot exceed:

  • Employee Only: $2,450 ($2,450 + the $1,200 employer contribution = IRS maximum)
  • Family: $4,900 ($4,900 + the $2,400 employer contribution = IRS maximum)


If you are 55+, you can also make an additional $1,000 “catch-up” contribution annually.

FSA

Flexible Spending Accounts

The Health Care and Dependent Care Flexible Spending Accounts (FSA) allow you to set aside pre-tax dollars to pay for eligible expenses. By contributing to one or both of the Flexible Spending Accounts you reduce your taxable income, so you pay less in taxes — which saves you money.


Contributions

The election you make during enrollment is your election for the entire plan year. You may change it only if you have a qualifying life event and the change request must be consistent with the event.


You may contribute as follows:

Health Care FSA

  • Up to $2,850 annually
  • All benefit eligible can participate, unless you or your spouse are contributing to an HSA.
  • Reimbursements allowed for unreimbursed medical, prescription, dental, and vision expenses


Limited Health Care FSA used with an HSA

  • Up to $2,850 annually
  • Only participants who contribute to an HSA are eligible
  • Reimbursements are limited to unreimbursed dental and vision expenses only


Dependent Care FSA

  • Up to $5,000 annually
  • Limited to $2,500 if you are married and file separate tax returns


How the Plan Works

Estimate expenses carefully, only $570 in the medical and limited FSA may be carried over to the next plan year. This means that if you have not incurred enough expenses to reimburse the funds in your account at the end of the year, your remaining account balance will be forfeited. An expense is considered to be incurred when the service is performed, not when you are billed or pay for the service. You do, however, have until June 30th annually to file your claims. Any unclaimed funds after June 30th will be forfeited.

DENTAL

HealthPartners Dental Plan

Your dental plan is through HealthPartners.


Plan participants have the flexibility to see any dentist they choose. But greater discounts and benefits are available by seeing an in-network dentist. The provider options include:


In-Network – contracted providers; better discounts

o  Benefit Level 1 is composed of HealthPartners and Park Dental Clinics (greater discounts)

o  Benefit Level 2 is composed of other contracted providers (lesser discounts)


Out-of-Network – all other providers; no negotiated discounts 

HealthPartners Dental Guide

HealthPartners Dental Guide

VISION

EyeMed Vision Plan

EyeMed provides coverage for prescription glasses and contact lenses, as well as other vision-related items.


How the Plan Works

Eyemed's Insight network offers access to a large variety of providers; using an in-network provider increases your discounts for services. This plan provides coverage for materials and hardware only. Coverage for vision exams are provided as a preventive service through your medical plan.

EyeMed Virtual Benefit Fair

Enter Code: CD9921A8

EyeMed Virtual Benefit Fair

Enter Code: CD9921A8

BASIC LIFE/AD&D

New York Life (formerly Cigna)

Feldmann Imports provides eligible employees with basic term life and accidental death and dismemberment (AD&D) coverage at no cost to you.


The life benefit is payable to your designated beneficiary in the event of your death equal to 1x annual base salary up to a maximum of $400,000. AD&D benefits are payable to you in the event of a dismemberment or an additional benefit is payable to your beneficiary if your death is the result of an accident.


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.

Base Life/AD&D Summary

Base Life/AD&D Summary

VOLUNTARY LIFE/AD&D

New York Life (formerly Cigna)

You decide if you want to purchase voluntary coverage. You need to choose the level of coverage and who you want to cover – yourself, your spouse and/or your dependent children.  


NOTE: You must purchase coverage for yourself in order to elect coverage for your spouse and/or child(ren). Children are eligible to participate to age 26 (through age 25).


SPECIAL REMINDER


  • **If an employee is enrolled, you can increase by $10,000 annually up to the guarantee issue amount of $150,000 without evidence of insurability.
  • **If a spouse is enrolled, you can increase by $5,000 annually up to the guarantee issue amount of $50,000 without evidence of insurability.
  • If a child is already enrolled, you can add coverage up to the $10,000 maximum.
  • If you want to add a child for the first time, you can add your child up to $10,000 without evidence of insurability. 
Voluntary Life/AD&D Summary

Voluntary Life/AD&D Summary

VOLUNTARY STD

New York Life (formerly Cigna)

Short Term Disability Insurance through NYL (formerly Cigna) can pay you a weekly benefit if you have a covered disability that keeps you from working. Short Term Disability insurance can replace part of your income while you recover.


Benefit Features

  • You can elect benefits in $50 increments up to a maximum $1,000 (per week); additionally your election cannot exceed 60% of your salary. Short-Term Disability benefits begin on the 8th day of an accident or the 8th day of an illness and will run for a maximum of 13 weeks.  
Voluntary STD Summary

Voluntary STD Summary

CONTACT US

As you consider your benefit options, please be sure to review all available information: Employee Benefits Guide and other videos and information found on this Landing Page. If you don't understand your benefits or need any assistance please contact:


Sally Kastendick

(952) 837-6374

SallyK@Feldmannimports.com