FSB

Table of Content

  1. Header
  2. FSB 2025 Benefits
    1. Welcome
    2. How To Access Your Benefits
    3. Medical
    4. Pharmacy
    5. Flexible Spending Account
    6. Health Savings Account
    7. Dental
    8. Vision
    9. Benefits Update
    10. Basic Life and AD&D
    11. Optional Life and AD&D
    12. Disability
    13. Accident
    14. Critical Illness
    15. Hospital Indemnity
    16. Identity Theft Protection
    17. Benefit Education Videos
    18. Additional Resources
    19. Contacts
  3. Footer

Benefits Period: January 1st, 2025 - December 31st, 2025

Welcome

The purpose of this site is to provide employees with 24/7 access to our 2025 benefits offerings and carrier resources. We also recommend downloading the "1/1/2025 Benefits Guide" below.

1/1/2025 Benefits Guide

1/1/2025 Benefits Guide

How To Access Your Benefits

Please follow the steps below to login to ADP to review your current elections and make any changes if you experience a Qualifying Life Event. If you need assistance with logging in, please reach out to HR.

  1. Click on the ADP link below.

Benefit changes outside of Open Enrollment require a Qualifying Life Event and/or Loss of Eligibility.

You may not change your benefits throughout the year unless you experience a Qualifying Life Event. Qualifying Events may include marriage, divorce, birth or adoption of a child, loss of eligibility under another plan. If you experience a qualifying event, you must notify HR within 30 days of the event; you will then be able to log in to Paycom and make changes to your benefits. Please remember you only have 30 days from the event to make changes to your benefit elections.

Medical

Blue Cross and Blue Shield of Oklahoma will continue to administer our medical and prescription drug benefits.

To find out if your provider is in-network, please visit the "BCBS Provider Finder" link below.

Blue Advantage Plan

Blue Advantage Plan

Preferred Base Plan

Preferred Base Plan

Preferred Buy-Up Plan

Preferred Buy-Up Plan

Blue Advantage HSA Plan

Blue Advantage HSA Plan

Pharmacy

Pharmacy benefits are through your BCBS medical plan.

To find out if your pharmacy is Preferred, Participating or Out-of-Network please visit the "Find a Pharmacy" link below.



Flexible Spending Account

Keystone administers our Flexible Spending Account benefit.

What is a Medical FSA?

A Medical FSA allows you to choose how much of your paycheck you'd like to set aside for Medical, Dental and/or Vision expenses. FSA dollars can be used throughout the year to pay for qualified expenses and services.

  • 2025 contribution limit - $3,300
  • Grace Period - May use remaining funds up to an additional 2 1/2 months (75 days) after January 1st
  • Unused funds after the grace period do not rollover

What is a Limited Purpose FSA?

A Limited Purpose FSA is a benefit that allows you to choose how much of your paycheck you'd like to set aside for qualified dental, vision and preventative care expenses only. A Limited Purpose FSA works with a high deductible health plan and Health Savings Account. If you choose to participate in the Health Savings Account, you are only allowed to participate in the Limited Purpose FSA, not the Medical FSA.

Limited FSA Flyer

Limited FSA Flyer

Dependent Care FSA Flyer

Dependent Care FSA Flyer

Managing Your FSA Flyer

Managing Your FSA Flyer

FSA Contribution Limits

FSA Contribution Limits

FSA Grace Period Flyer

FSA Grace Period Flyer

Health Savings Account

New! - Lincoln Financial Group will now administer our Health Savings Account.

Below are the 2025 HSA contribution limits as well as the amounts FSB will contribute to your Health Savings Account per pay period.

You will use your retirement plan account username and password to login to the Lincoln Financial employee portal. If you do not have a login, register by clicking on "register now".

Lincoln Financial Employee Portal

Lincoln Financial Employee Portal

Dental

New! - Your dental coverage is now offered through SunLife.

To find a Dentist, please visit the "Find a Dentist" link below.

Dental Benefit Summary

Dental Benefit Summary

Sun Life Dental ID Card

Sun Life Dental ID Card

Vision

Your vision coverage is through Ameritas.

Ameritas utilizes the VSP network. To find an eye doctor, please visit the "VSP Find an Eye Doctor" link below.

Vision Summary

Vision Summary

Basic Life and AD&D

FSB provides all full-time employees with a minimum of $40,000 of Basic Life/AD&D coverage. This will be provided through Prudential.

Who's Your Beneficiary? Everyone needs to make sure your beneficiary is up to date.

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. If you are needing to update your beneficiary mid-year, please notify HR and login to your ADP profile to update.

Optional Life and AD&D

You have the opportunity to enroll in Optional Life and AD&D in addition to your Basic Life coverage provided by FSB. Coverage is also available for your spouse and/or child dependents. You are required to elect coverage for yourself in order to be eligible for coverage on your dependents.





Optional Life Rate Sheet

Optional Life Rate Sheet

Disability

Short-Term and Long-Term Disability will remain no cost to you.

Life and Disability Plan Summary

Life and Disability Plan Summary

Accident

Accident insurance provides you with the extra money you need to help cover the incurred expenses, medical or otherwise, you face when you suffer an injury due to an accident.


Please Refer to the below Accident benefit summary for the full details regarding the Accident plan.


Accident Benefit Summary

Accident Benefit Summary

Outline of Coverage - Accident Low Plan

Outline of Coverage - Accident Low Plan

Outline of Coverage - Accident High Plan

Outline of Coverage - Accident High Plan

Critical Illness

If you, or a covered depended, are diagnosed with a covered critical illness this policy will pay you a lump sum for you to use as needed. Premium is calculated on age and benefit amount elected.


Please Refer to the below Critical Illness benefit summary for the full details regarding the Critical Illness plan.




Critical Illness Rate Sheet

Critical Illness Rate Sheet

Outline of Coverage

Outline of Coverage

Critical Illness Benefit Summary

Critical Illness Benefit Summary

Hospital Indemnity

Hospital Indemnity insurance pays you fixed dollar amounts regardless of the amount that the provider charges. These benefits are paid in addition to any other health coverage you may have.


Please Refer to the below Hospital Indemnity benefit summary for the full details regarding the Cancer plan.

Outline of Coverage

Outline of Coverage

Hospital Indemnity Benefit Summary

Hospital Indemnity Benefit Summary

Identity Theft Protection

New! - Your Identity Theft Protection coverage is now administered by Norton LifeLock.

Identity Theft Protection Flyer

Identity Theft Protection Flyer

Additional Resources

Included with the Prudential products are the below services to provide additional assistance if needed. Below you will also find the program flyers with more information on how to use these services.

Employee Assistance Program - The GuidanceResources Program offered through Prudential is available to you and your dependents, at no cost, to provide confidential support, resources and information to get through life's challenges. You can call anytime with personal concerns such as grief and loss, depression or stress and anxiety.

Travel Assist Program - In a medical emergency, this benefit will coordinate and provide Emergency Medical Transport services to help you get the care you need. These services can include things such as an emergency medical evacuation, visit of a family member or friend, emergency hospitalization and much more.

Employee Assistance Program

Employee Assistance Program

Travel Assist Program

Travel Assist Program

Contacts

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


Client Contacts

JE

Julieanne Evans

jevans@fsb-ae.com

(405) 840-2931

Account Team Contacts

ContactImage

Stephani Wildman

Account Manager

stephani.wildman@nfp.com

405-513-8948