- Welcome
- Click Here to Enroll in Benefits
- Medical/Rx Coverage with BlueCross Blue Shield of North Dakota
- Health Savings and Flexible Spending Accounts (HSA and FSA) through WEX Health
- Dental Coverage with Delta Dental
- Vision Coverage with Avesis
- Life & Disability Insurance with MetLife
- Voluntary Benefits with MetLife
- Contact Us
- Required Annual Notices
Table of Content
- Header
-
Page
- Welcome
- Click Here to Enroll in Benefits
- Medical/Rx Coverage with BlueCross Blue Shield of North Dakota
- Health Savings and Flexible Spending Accounts (HSA and FSA) through WEX Health
- Dental Coverage with Delta Dental
- Vision Coverage with Avesis
- Life & Disability Insurance with MetLife
- Voluntary Benefits with MetLife
- Contact Us
- Required Annual Notices
- Footer
Welcome
Helping you and your family reach and maintain good health is important to TMI Group. We review our benefit programs each year to ensure we consider the best combination of benefit coverage, network access and affordability for employees.
Please download and review the 2024 Benefit Guide for a summary of the benefits offered. It is important to review this guide along with the summary of benefits included on this site in order to understand each benefit and its offering.
Eligibility
If you are a regular active full-time employee or part-time employee with benefits status, you are eligible to participate in benefits offered by TMI Group. If you choose to enroll in the benefits program, you may also cover your eligible dependents. Eligible dependents include your legal spouse, child(ren) up to age 26 (regardless of student status, marital status, residence, or financial dependence on you), and an unmarried child incapable of self-support.
ADP will be used to complete your enrollment elections.
The benefit choices you make during your initial enrollment remain in effect for the entire year.
You can, however, modify your elections under certain circumstances, called "Qualifying Events". These are events such as marriage, divorce, birth or adoption of a child, loss of eligibility under another plan. If you experience a qualifying event, you may make changes to your benefits within 30 days of the event or 60 days if the event is due to birth or adoption of a child.
Refer to your Employee Benefits Guide or contact Human Resources if you have questions about qualifying events.
Medical/Rx Coverage with BlueCross Blue Shield of North Dakota
BCBSND administers your medical and prescription drug benefits. The medical plans include prescription drug benefits, which covers prescriptions at participating pharmacies and mail-order maintenance drugs.
To find out if your provider is in-network, please visit the BCBSND website below and use find a provider resource tool.
Health Savings Account
The Health Savings Account (HSA) allows you to set aside pre-tax dollars to pay for eligible expenses. By contributing to a HSA you reduce your taxable income, so you pay less in taxes, which saves you money. To be eligible for an HSA, you must be enrolled in a High Deductible Health Plan (HDHP). Once you are enrolled, you will open an HSA through WEX Health.
Keep in mind the employer contribution and your contribution cannot exceed the overall IRS maximum. You may change the amount you contribute throughout the year.
Flexible Spending Accounts
TMI offers employees the opportunity to enroll in health care and dependent care flexible spending accounts (FSAs) for eligible employees, administered by Wex Health (previously Discovery Benefits). These accounts allow you to pay for eligible health and dependent care expenses with pretax dollars. By contributing to one or both of the Flexible Spending Accounts you reduce your taxable income, so you pay less in taxes — which saves you money.
Contributions
The election you make during enrollment is your election for the entire plan year. You may change it only if you have a qualifying life event and the change request must be consistent with the event.
You may contribute as follows:
Traditional Health Care FSA
- Up to $1,500 annually
- All FSA benefit eligible employees can participate, unless you or your spouse are contributing to an HSA
- Reimbursements allowed for qualified medical, RX, dental, and vision expenses.
Limited Health Care FSA
- Up to $1,500 annually
- All FSA benefit eligible employees enrolled in the HSA can participate.
- Reimbursements allowed for qualified dental and vision expenses.
Dependent Care FSA
- Up to $5,000 annually
- Limited to $2,500 if you are married and file separate tax returns.
- Dependent Care allows employees to use pre-tax dollars to pay for incurred childcare expenses (such as: daycare, nanny, after-school care, etc.)
How the Plan Works
You must incur your eligible expenses during the plan year — January 1 to December 31. An expense is considered to be incurred when the service is performed, not when you are billed or pay for the service. You do, however, have until March 30th annually to file your claims. Any funds after March 30 unclaimed will be forfeited.
Dental Coverage with Delta Dental
TMI Group's dental plan provides comprehensive coverage to help you and your family maintain good dental health. Employee contributions have increased slightly. Please review your Benefits Guide for more details on premiums.
To find out if your provider is in-network, please visit the Delta Dental website below.
Vision Coverage with Avesis
TMI Group offers vision coverage through Avesis to help pay for eye exams, prescription glasses and contact lenses. With the carrier change, the frame allowance has increased to $175. Please review your coverage details in your Benefit Guide.
To find out if your provider is in-network, please visit the Avesis website below.
Life & Disability Insurance with MetLife
Who's Your Beneficiary? Naming a beneficiary is a crucial part of electing life insurance. Also, 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. Please log in to ADP to update your beneficiary information.
Basic Life and AD&D
Life insurance can help provide for your loved ones if something were to happen to you. TMI provides eligible employees with $50,000 in group Life and Accidental Death and Dismemberment (AD&D) insurance. TMI pays for the full cost of this benefit, meaning you are not responsible for paying any monthly premiums. Benefits reduce by 50% at age 70.
Voluntary Life and AD&D
You have the option to enroll in Voluntary Life/AD&D coverage through MetLife. When you enroll yourself and/or your dependents in this benefit, you pay the full cost through payroll deductions. Your current premiums are determined by your age at the time of enrollment and will be displayed in ADP.
For Employees: $10,000 to $200,000, or 5 times your pay (lesser of). The Guaranteed Issue Amount is $150,000 upon initial enrollment.
For Your Legal Spouse: $5,000 to $100,000, in increments of $5,000. The Guaranteed Issue Amount is $25,000 upon initial enrollment. Spouse Optional Life coverage may not exceed 50% of the employee’s coverage.
For your Dependent Child(ren): $1,000, $2,000, $4,000, $5,000 or $10,000. The Guaranteed Issue Amount is $10,000.
Voluntary Short-Term Disability
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. 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. You have the option to enroll in Short Term Disability coverage through MetLife. Benefits begin after a 14-day waiting period. You may choose benefit payments including 60% of earnings ranging from $50 to $1,000 per week, in $25 increments. Benefits pay up to 26 weeks.
Long-Term Disability
Serious illnesses or accidents can interrupt your life, and your ability to work for months – even years. Long Term Disability provides financial protection for you by paying a portion of your income, so you have financial support to manage your disability and your household. TMI pays for the cost of Long-Term Disability coverage administered through MetLife. Benefits begin after a 180-day elimination period. Benefits are equal to 60% of covered monthly earnings up to $8,000 per month. Benefits pay up to Social Security Normal Retirement Age. LTD payments are a taxable benefit.
Please consult your Employee Benefits Guide and review the benefit summaries for additional details.
Voluntary Benefits with MetLife
TMI Group provides a competitive benefits package for all employees as part of our total compensation package. We realize you make benefit choices based on what’s important to you and the needs of your changing lifestyle. Therefore, along with our core benefits, we offer these optional, employee-paid benefits which help to provide financial support to employees. Additional benefits include:
- Accident Care Insurance
- Critical Illness Insurance
- Hospital Indemnity Insurance
Filing a Claim
1. Access the Accident, Hospital Indemnity or Critical Illness claim form on www.metlife.com/mybenefits
2. Fill out the form and gather supporting documents
3. Send it to the fax or address listed at the end of the form
Contact Us
As you consider your benefit options, please be sure to review all available information found on this webpage such as the Employee Benefit Guide, Plan Summaries, Flyers and more. If you have questions regarding the offered benefits or the election process, please contact:
Dannielle Parkin
701-456-6442