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Medical Benefits will be effective on 12/1/2024
Dental - Provided though Guardian
Plan 1 - Value Plan - Single Deductible - $50 / Family Deductible - $100 - 100%/100%/60%
Plan 1 - NAP Plan - Single Deductible - $50 / Family Deductible - $100 - 100%/80%/50%
Vision - Provided though Guardian
VSP Choice Network with $10 exam copay
Basic Life and AD&D - Provided though Guardian
100% Employer Paid - Provides 1x base annual earnings up to $50,000
Voluntary Life and AD&D - Provided though Guardian
100% Employee Paid - Up to the lesser of 5x your salary in $10,000 increments up to $500,000
Voluntary LTD (Long Term Disability) - Provided though Guardian
100% Employee Paid - Covers 60% of your monthly income, up to $10,000 to age 70
Available only with Medical - Plan 1 - HSA 3000 Plan
A Health Savings Account (HSA) is a tax-free savings account is owned by you, is 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.
To have and HSA you must meet several basic qualifications.
Each year the IRS places a limit on the maximum contribution amount that can be added to your HSA account. For 2025 the contribution limits are,
For a full list of qualified expenses, use the link below to access IRS Publication 502.
Full-Time Employees
*You are eligible for medical benefits if you are full-time working a minimum of 30 hours per week.
*You are eligible for voluntary benefits if you are working a minimum of 20 hours per week.
*Employees are eligible for benefits on the date of hire.
EMPLOYEE ELIGIBILITY: If you do not enroll during the Open Enrollment period, you must wait until the next Open Enrollment period unless you experience a Qualifying Life Event. If you experience a Qualifying Life Event (i.e., birth or adoption of a child, marriage, divorce, loss of other coverage, etc.) you must enroll within 30 days of the Qualifying Event.
DEPENDENT ELIGIBILITY: You may also enroll eligible dependents for benefits coverage. A ‘dependent’ is defined as the legal spouse and/or ‘dependent child(ren)’ of the plan participant or the spouse.
What is a Qualifying Life Event?
If you have a Qualifying Life Event and want to request a mid-year change, you must notify Human Resources and complete your election changes within 30 days following the event. Be prepared to provide documentation to support the Qualifying Life Event.
Value Plan:
You have the freedom to select the dentist of your choice; however, when you visit a participating PPO or Premier dentist, you will have lower out-of-pocket costs, no balance billing, and claims will be submitted by your dentist on your behalf.
IN NETWORK - DentalGuard Pref - Ohio:
DEDUCTIBLE:
*Deductible applies when receiving Basic or Major services (Waived for Preventive Services)
CLASS I: - Covered at 100% (deductible waived)
Diagnostic and Preventive Services - Oral Exams, Cleanings, Bitewing and Full Mouth X-Rays, Sealants (per tooth).
CLASS II: - Covered at 100% (deductible waived)
Basic Services - Fillings (one surgace), General Anesthesia
CLASS III: - Covered at 60% (deductible applies)
Major Services - Scaling & Root Planing (per quadrant), Dentures, Single Crowns, Simple Extractions
ANNUAL MAXIMUM:
Calendar Year Maximum (Allowed per Benefit Period) - $1,000 per covered individual
EMPLOYEE CONTRIBUTION - PER PAY:
Employee - $17.84
Employee+Spouse - $43.26
Employee+Child(ren) - $51.90
Family - $78.99
NAP Plan:
You have the freedom to select the dentist of your choice; however, when you visit a participating PPO or Premier dentist, you will have lower out-of-pocket costs, no balance billing, and claims will be submitted by your dentist on your behalf.
IN NETWORK - DentalGuard Pref NAP - Ohio:
DEDUCTIBLE:
*Deductible applies when receiving Basic or Major services (Waived for Preventive Services)
CLASS I: - Covered at 100% (deductible waived)
Diagnostic and Preventive Services - Oral Exams, Cleanings, Bitewing and Full Mouth X-Rays, Sealants (per tooth).
CLASS II: - Covered at 80% (deductible waived)
Basic Services - Fillings (one surgace), General Anesthesia
CLASS III: - Covered at 50% (deductible applies)
Major Services - Scaling & Root Planing (per quadrant), Dentures, Single Crowns, Simple Extractions
ANNUAL MAXIMUM:
Calendar Year Maximum (Allowed per Benefit Period) - $1,000 per covered individual
EMPLOYEE CONTRIBUTION - PER PAY:
Employee - $17.84
Employee+Spouse - $43.26
Employee+Child(ren) - $51.90
Family - $78.99
Under this plan, you may use the eye care professional of your choice. However, when you visit a participating in-network provider, you receive higher levels of coverage. If you choose to receive services from an out-of-network provider, you will be required to pay that provider at the time of service and submit a claim form for reimbursement.
IN NETWORK - VSP Choice Network:
Vision Exam (with dilation as necessary) - $10
Materials (waived for conventional and planned replacement contact lenses) - Up to $25
COVERED SERVICES – LENSES / FRAMES
Single Lenses - $25
Bifocals - $25
Trifocals - $25
Lenticular - $25
Frame Allowance - Up to $130, then 20%
COVERED SERVICES - CONTACT LENSES
Contact Lenses - Up to $130
Contact Lens Fitting - 15% off
BENEFIT FREQUENCY
Exams - Once every 12 months
Lenses or Contact Lenses - Once every 12 months
Frames - Once every 24 months
EMPLOYEE CONTRIBUTION - PER PAY:
Employee - $4.83
Employee+Spouse - $8.38
Employee+Child(ren) - $8.52
Family - $12.92
Guardian will continue to provide your Life and AD&D benefits with no plan changes.
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.
Your Basic Life Benefit
*Please see attached Benefit Summary for more complete plan details*
Guardian will continue to provide your Voluntary Life and AD&D benefits with no plan changes.
Employees have the opportunity to enroll in Supplemental Life insurance. If you choose to enroll in employee coverage, this will be in addition to your employer provided Basic Life coverage. Coverage is also available for your spouse and/or child dependents. It is typically required that you elect coverage for yourself in order to be eligible for coverage on your dependents.
Your Voluntary Life Benefit
It is important to name your beneficiary. A beneficiary is the person who will receive your life insurance benefit in the event of your death. You should review your beneficiary elections on a regular basis to ensure they are updated as life changes.
*Please see attached Benefit Summary for more complete plan details*
Guardian will continue to provide your Long-Term Disability benefits with no plan changes.
Long-Term 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
Your Long-Term Disability Benefit:
*Please see attached Benefit Summary for more complete plan details*
Lew Patrick
lpatrick@brunswickcompanies.com
(330) 864-8800
Todd Stein
tstein@brunswickcompanies.com
330-864-8800
Kevin Lurie
Producer / Sales Consultant
kevin.lurie@nfp.com
216-410-6751