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ImpaxRX
ImpaxRX is a concierge pharmacy program specifically targeting high-cost drugs by taking advantage of alternate distribution programs.
Income-eligible individuals will qualify to receive their prescriptions at NO COST.
For more information on ImpaxRX, contact your Human Resources department, or call 844-467-2979 (option 1) for ImpaxRX.
Medical Mutual: will continue as your Medical carrier
Express Scripts: will continue as your Prescription Drug carrier
SunLife: will continue as your Dental carrier
Medical Mutual: will continue as your Vision carrier
Anthem: will continue as your Basic Life and AD&D carrier
First Stop Health: will continue as your telemedicine and virtual health carrier
EASE@Work: will continue as your employee assistance program vendor
Please contact your Human Resources office with any questions.
Alex Daw: 330-867-5511
Full-Time Employees (30 hours/week minimum)
**New employees are eligible for benefits 90 days after 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.
What is Acceptable Documentation?
Personalized enrollment guidance across your benefits.
Nayya will provide you with your own custom bundle of recommended benefits.
Need help? Contact customersuccess@nayya.com
All team members have access to your online benefits enrollment platform 24/7 where you have the ability to enroll, select or change your benefits online during the annual open enrollment period, new hire orientation, and for qualifying events.
Go To: www.benxpress.com/summit
Username: First initial, plus your last name (example John Doe login: joe)
Password: Last four of your social (example: 5811)
This is an active enrollment!
This means that you must log in to BenXpress to enroll yourself and your dependents for benefits. All employees will use BenXpress to confirm or change benefit elections.
Medical Mutual
When you utilize providers that are in Medical Mutual's network, you will receive higher benefits. Employees who seek care from a provider that is not in Medical Mutual's network will be responsible for higher costs.
Preventive Services Covered at 100%
All routine preventive services are covered 100% as long as the claim is submitted as routine or preventive, and falls within the approved list of preventive services. Remind your physician that you are visiting for the purpose of a wellness visit and to submit your visit as preventive in nature.
What is considered a preventive service?
Your prescription drug coverage is through Express Scripts.
Impax RX will reach out to income eligible employees directly to aid in the payment of high cost prescriptions. (prescription approval and income eligibility required)
Flexible Spending Accounts (FSA) allow you to reduce your taxable income by setting aside pre-tax dollars from each paycheck to pay for eligible out of pocket health care and dependent care expenses for yourself, your spouse and your dependent children.
In order to participate in an FSA, you must enroll each year. Your annual contribution stays in effect during the entire year (January 1st through December 31st). The only time you can change your election is during the enrollment period or if you experience a change-in-status event. You must elect this benefit within 30 days of your hire date or first date of benefits eligibility.
Health Care & Limited Purpose FSA
You can spend up to the full amount as soon as your account has been set. Maximum annual contribution is $2,750.
**Health Care FSA's have a $500 rollover limit. These funds can be used for the first 2.5 months of the next year. Any unused funds beyond the 2.5 months will be forfeited**
Dependent Care FSA
A Health Savings Account (HSA) is a tax-free savings account that 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 an HSA and make contributions to the account you must meet several basic qualifications.
SunLife remains the carrier for your dental benefits.
You may go to any dentist. SunLife pays all claims (network and non-network) at the 90th percentile. If a dental treatment is expected to exceed $300, SunLife recommends a dental treatment plan be submitted to claims for review, before the treatment begins.
Anthem remains the carrier for your Basic Life benefits.
Your Basic Life Benefit
**It is important to designate beneficiaries. The person you designate as your primary beneficiary will receive your life insurance benefits in the event of your death. It is important to designate a contingent beneficiary, who will receive the benefits if the primary beneficiary cannot.
First Stop Health
No crowded waiting rooms. No driving. See a doctor when you need a doctor. Talk to a doctor 24/7.
When can I use First Stop Health?
How does it work?
Ease@work
A program provided by your organization that is available to you, your household members and dependents. 24/7/365 support.
EASE@Work can help you reduce stress, improve mental health, and make life easier by connecting you to the right information and resources.