Review the 2021 Benefit Guide to understand your benefits options for 2021.
* this summary is for illustrative purposes only intended to provide general guidelines. Actual out of pocket expenses may vary.
Guardian Plan Highlights
PPO – This plan offers the flexibility to visit any dentist, with higher benefits paid when you visit a network dentist. After you meet the annual deductible, the Plan pays a percentage of covered expenses until you reach the annual maximum benefit limit. Orthodontic services are covered. Your out-of-pocket costs are lower when you visit a network dentist. Preventative and Diagnostic Care is exempt from the deductible.
o When you use a network dentist, you are only responsible for the difference between the network fee for the service provided and the Plan’s payment for the approved service.
o When you use out-of-network providers, your cost is based on the Usual, Customary and Reasonable (UCR) charge, instead of a discounted fee. You are responsible for any amounts that exceed the UCR, in addition to the deductible and coinsurance.
Participation in the vision plan is also available. The most liberal benefits are paid when you use a provider in the United Healthcare network. The plan helps you pay for a wide range of vision-related services and products are available. Gilder, Gagnon, Howe & Co. pays the full premium for this coverage.
Flexible Spending Accounts
We continue to offer health care and dependent care flexible spending accounts (FSAs), administered by Wage Works, which allow you to pay for eligible health and dependent care expenses with pretax dollars.
Please note that if you have currently elected an FSA, you must re-elect coverage for 2021 to continue participating, even if you do not change your election amount.
Limited Purpose Health Care FSA
You may elect to defer up to $2,750 of your salary into a limited purpose health care FSA.
Dependent Care FSAs
You may elect to defer from up to $5,000 of your salary into a dependent care FSA per household. If you are a highly compensated employee (HCE), defined by the IRS as an employee with annual compensation greater than $120,000, your election may be reduced during the year, if necessary, to ensure that the plan passes required discrimination testing.
You can save money on your commuting expenses by participating in tax-savings Commuter Accounts,
administered by Wage Works, to pay for eligible transit and parking expenses with pre-tax dollars from your pay. Since they are deducted before federal income taxes and Social Security taxes are calculated, your taxable income is lowered; you pay less tax in each paycheck; and you reimburse yourself with tax-free money from your account.
Parking that is not work-related, mileage, tolls, taxis, and parking at an airport for air travel are not eligible expenses.
Monthly Contribution Limits
Telehealth Service - HealthiestYou
HealthiestYou is a telehealth service available to you and your enrolled dependents. Service is unlimited, FREE and available 24/7/365. Usage of this benefit will not impact your deductible and you will not be billed. Their physicians are licensed and board certified to diagnose, treat, and prescribe for acute illnesses such as sinus infection, cold, flu, UTI, pink eye, and many more. HealthiestYou can handle over 70% of your typical doctor’s office or urgent care visits.
If you or a covered dependent(s) becomes hospitalized as an inpatient due to an illness or injury while traveling 150 miles or more from your primary place of residence, whether domestically or internationally, MedJetAssist will arrange air-medical transport for you or your dependent to the home country hospital of your choice. See the Human Resources Department for details.