Welcome!
EMPLOYEE ELIGIBILITY
You are eligible to participate if you are full-time and work a minimum of 30 hours per week. Your coverage will be effective 1st of the month following 60 days from your date of hire.
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.
Qualifying Life Events
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.
Common life events include; Marriage, Divorce, New Dependent, Loss/gain of available coverage by you or any of your dependents.
Enrollment
Click the Enrollment Forms below to Enroll !
Medical Benefits
Medical:
Medical Mutual is the administrator for the medical and drug benefits.
•PPO 1,500 Plan 80%/40% with $1,500/$3,000 deductible
•PPO $2,000 Plan 80%/50% with $2,000/$4,000 deductible
•PPO $3,500 Plan 80/%40% with $3,500/$7,000 deductible
•HSA $3,000 100%/40% with $3,000/6,000 deductible
•Clecare $3,500/7000 80%
Cost Per Week
PPO 1,500
Employee:$25.34
Employee + Spouse:$216.45
Employee+ Child: $176.13
Family: $366.50
PPO 2,000
Employee:$22.84
Employee + Spouse:$205.67
Employee+ Child:$167.09
Family:$349.23
PPO 3,500
Employee:$20.22
Employee + Spouse: $189.86
Employee+ Child: $154.06
Family: $323.08
HSA
Employee: $17.70
Employee + Spouse: $184.08
Employee+ Child: $148.97
Family: $318.04
CleCare
Employee:$12.74
Employee + Spouse: $158.75
Employee+ Child: $127.94
Family: $273.44
Click the Button below to find out more!
HSA
A Health Savings Account (HSA) is a tax-free savings account that 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
HSA 2023 Contribution Limits
Single: $3,850
Family: $7,750
55 and Older Catch Up : $1,000
Medical Mutual Extras
With Medical Mutual Health plan it's more than just insurance. Members have accused to a variety of programs, discounts, tools, and resources.
-Medical Mutual App
-Maternity Programs
-Quite Line
-WW Program
-Fitness Discounts
-24 hour nurse line
Learn more about these amazing benefits by downloading the guide below or clicking the link
Dental Benefits
PREVENTION FIRST!
Your dental health is an important part of your overall health. Make sure you take advantage of your preventive dental visits.
Preventive care services are covered at 100% if you visit an In-Network provider. They are also not subject to the annual deductible.
Single: $50
Family: $150
CLASS I: Preventive Services: Covered at 100%
Routine oral exams and cleanings, x-rays (bitewing), sealants & fluoride treatments
CLASS II: Basic Services: Covered at 80%
Periodontics (surgical & non-surgical), oral surgery, fillings & x-rays (full mouth)
CLASS III: Major Services: Covered at 50%
Crowns, inlays/ onlays, root canals,
dentures, implants & bridges
Your pre-tax weekly cost is:
Employee $6.88
Employee + Spouse $12.96
Employee +Child $22.89
Family $22.89
Vision Benefits
What's Covered:
Vision Exam
$10 copay
Up to $50
COVERED SERVICES – LENSES / FRAMES
Single Lenses
$25 copay
Bifocals
$25 copay
Trifocals
$25 copay
Frames
$130 retail allowance,
plus 20% over the allowance
COVERED SERVICES
Contact Lenses
$130 retail allowance
Contact Lens Evaluation Fitting
15% off UCR
Included in Allowance
BENEFIT FREQUENCY
Exams
Once every 12 Months
Lenses
Once every 12 Months
Frames
Once every 24 Months
Contacts
Once every 12 Months
(contacts in lieu of frames/lenses)
Once every 12 Months
Your weekly cost:
Employee only $1.65
Employee + Spouse $2.77
Employee + Child(ren) $2.82
Family Coverage $4.47
C
Group Life Benefits
YOU ARE AUTOMATICALY ENROLLED IN THIS BENEFIT WHEN YOU BECOME ELGIBLE.
THIS BENEFIT IS 100% PAID BY YOUR EMPLOYER!
BASIC LIFE INSURANCE
Life insurance is an important part of your financial security. Life insurance helps protect your family from financial risk and sudden loss of income in the event of your death. AD&D insurance is equal to your Life benefit in the event of your death being a result of an accident and may also pay benefits for certain injuries sustained.
Coverage Amount
$20,000
Accidental Death and Dismemberment (AD&D)
Amount equal to your Life benefit
Benefit Reduction Schedule
Your insurance will reduce to:
–35% of the original amount at age 65
–50% of the original amount at age 70
For more info click on the button below!
Voluntary Life with AD&D
VOLUNTARY LIFE INSURANCE
You have the opportunity to enroll in supplemental life insurance. If you choose to enroll in this coverage, you will also have the opportunity to elect coverage for your spouse and/or child dependents.
Premiums are based on age-rates table and on the coverage elected. These premiums are paid by the Employee and are calculated post-tax.
If you and your dependents enroll in coverage at your initial eligibility date, you may apply for coverage up to the Guaranteed Issue amounts listed below without medical questions.
Employee Spouse Dependent Child
$150,000 $10,000 $10,000
If you wish to enroll AFTER your initial date, Guardian will require you to complete medical questions.
Below you will find the bi-weekly cost.
Short Term Disability
SHORT-TERM DISABILITY (STD)
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.
To determine the most appropriate level of coverage, consider your monthly expenses and below you can find the rates:
Click on the button below to learn more!
Long Term Disability
LONG-TERM DISABILITY (LTD)
Serious illnesses or accidents can come out of nowhere. They 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.
Your bi-weekly age and monthly benefit is listed below for easy reference:
Click on the button below!
Accident Benefits
Accident Insurance
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.
Who Gets Paid?
You get paid. When you have a covered accident or injury, your health insurance company pays your doctor or hospital, but your accident insurance company pays you.
What’s Covered?
Not all accidents are “qualifying injuries.” The kinds of accidents that are covered can vary by plan but accident insurance plans typically cover things like:
Emergency Room Visits
Ambulance Transportation
Emergency Helicopter Transportation
Hospital Admissions & Per Diem Charges
Intensive Care &Rehabilitation Unit Care
Diagnostic Exams
Follow-up Treatments
Physical Therapy
Your Bi-weekly premium is:
Employee Only $11.71
Employee + Spouse $19.16
Employee + Child(ren) $19.45
Family - $26.90
Click on the button below to find out more about Accident Coverage!
Contact Us
Additional Contacts
Erin Herman
Erin_Herman@ajg.com
440.991.1251
Traci Swain
traci.swain@nfp.com
216.816.0029