Your premiums for medical, dental, vision insurance are deducted through a Cafeteria Plan established under Section 125 of the Internal Revenue Code (IRC) on a pre-tax basis. Under Section 125, changes to an employee's pre-tax benefits can be made ONLY during the Open Enrollment period unless the employee or qualified dependents experience a qualifying event and the request to make a change is made within 30 days of the qualifying event.
Under certain circumstances, employees may be allowed to make changes to benefit elections during the plan year, if the event affects the employee, spouse, or dependent’s coverage eligibility. Any requested changes must be consistent with and on account of the qualifying event.
Examples Of Qualifying Events:
Aetna Choice POS II (Open Access)
Use the link below or follow the instructions in the Find Care Online Directory.
You have 3 medical plans to choose from. Compare the options in the chart below:
Looking for more details about how items are covered? Please refer to the formal Summary of Benefits and Coverage (SBC) below. There is one for each plan!
IMPORTANT: Teladoc telemedicine does not replace the care of your regular doctor. Only your doctor can provide the full range of care to meet your health needs.
Prescription drugs are a vital part of your health care coverage. The Pharmacy Benefit Manager for the New Waterloo health plans is Express Scripts. You can access more information about your pharmacy coverage by visiting www.express-scripts.com. If you run into any trouble with your pharmacy benefits, you can reach out to the RxBenefits Member Services Team at (800) 334-8134.
A drug list is a list of drugs that are covered under your prescription drug benefit. How much you pay out of pocket is determined by whether your drug is on the list and at what coverage level, or tier. A generic drug is often at the lower tier. See if your drug is covered by reviewing your formulary drug list using the link below!
Getting started is easy. We just need your prescription.
Review your prescription costs for each plan in the chart below!
Take charge of your health care spending with a Health Savings Account (HSA)
A Health Savings Account (HSA) is a tax-advantaged personal savings account that can be used to pay for medical, dental, vision and other qualified expenses now or later in life. To contribute to an HSA, you must be enrolled in a qualified high-deductible health plan (HDHP) and your contributions are limited annually.
HSAs save you money!
DentalGuard Preferred
Use the helpful link below or visit www.guardianlife.com and scroll to the bottom and select "Find a dental or vision provider".
Looking for more details about how items are covered? Click on the link below to view the formal dental Benefit Summary.
You have 2 dental plans to choose from. Compare the options in the chart below.
VSP Choice
Use the helpful link below or your provider’s website at www.guardianlife.com and scroll to the bottom and select "Find a dental or vision provider".
Looking for more details about how items are covered? Click on the link below to view the formal vision Benefit Summary.
A summary of your vision benefits is shown in the chart below.
Life insurance is an important part of your financial security as it helps protect your family from financial risk and sudden loss of income in the event of your death. AD&D (Accidental Death & Dismemberment) insurance is equal to your Life benefit in the event of your death being a result of an accident, and may pay benefits for particular injuries sustained.
Basic Life / AD&D insurance is a company paid benefit, provided to you at no cost. The benefit on this plan is a flat $25,000. Keep in mind, your life insurance benefit will reduce by 33% of the original amount at age 70 and by 50% of the original amount at age 75.
In addition to your employer provided Basic Life insurance coverage, you have the opportunity to enroll in Voluntary Life insurance coverage. Coverage is also available for your spouse and/or child dependents, however, it is required that you elect coverage for yourself in order to elect coverage for your dependents. See the chart below for the plan specifics.
Everyday illnesses or injuries can interfere with your ability to work. Even a few weeks away from work can make it difficult to manage household costs. This voluntary Short 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.
This employer-paid coverage pays a monthly benefit if you have a covered illness or injury and you can't work for a few months - or even longer! You're generally considered disabled if you're unable to do important parts of your job - and your income suffers as a result.
A serious injury can cost you a lot of money – not only in medical bills but in things like income from lost work hours. Some injuries are minor, but others are debilitating and require significant medical care. If you get hurt, accident insurance pays you money that you can use to cover personal expenses, bills, and out-of-pocket medical costs. Accident Insurance can pay a set benefit amount based on the type of injury you have and the type of treatment you need. It covers accidents that occur on and off the job. And it includes a range of incidents, from common injuries to more serious events
What Does it Cover?
When a serious illness strikes, your finances can be endangered, along with your health. Even if you have health insurance, the out-of-pocket costs of treatment, hospitalization and missing work can add up fast. Critical Illness Insurance can help you weather a crisis without draining your savings.
What Does it Cover?
You get paid!
Financial Wellness can guide you through the major financial changes you face throughout life, from paying for college to buying a home to navigating the loss of a spouse. You can achieve financial wellness with live one-on-one coaching from accredited financial counselors and independent learning through online resources.
Monday - Friday: 9am - 8pm EST
24-hour Crisis Help Available
Our comprehensive Employee Assistance Program; available through Uprise Health, provides you and your family members with confidential, personal and online/web-based support on a wide variety of important and relevant topics — such as stress management, dependent/elder care, nutrition, fitness, and legal and financial issues.
While part-time employees (those who work less than 25 hours per week) are not eligible for our full benefits package, you still have access to some great resources through New Benefits! You will be enrolled in these programs automatically when eligible and will receive an ID card in the mail. Login to your My Benefits Work Member portal or the smart phone app to access all of your benefits.