The Orlean Company

Table of Content

  1. Header
  2. Page
    1. Welcome!
    2. Medical Benefits
    3. How to Enroll for Benefits
    4. Dental Benefits
    5. Vision Benefits
    6. Group Life Benefits
    7. Short Term Disability
    8. Long Term Disability
    9. Accident Benefits
    10. Contact Us
  3. Footer

Welcome!

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.


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 $2,800 100%/40% with $2,800/5,600 deductible

•Clecare $3,500/7000 80%


Click the Button below to find out more!



Medical Mutual

How to Enroll for Benefits

enroll

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, space maintainers.


CLASS II: Basic Services : Covered at 80%

Periodontics (surgical & non-surgical), endodontics (root canals), oral surgery, fillings, prosthetic maintenance & x-rays (full mouth)


CLASS III: Major Services: Covered at 50%

Crowns, inlays/ onlays,

dentures, implants & bridges


Dental

Vision Benefits

Vision

 Vision Exam

$10 copay

Up to $50

COVERED SERVICES – LENSES / FRAMES

Single Lenses

$25 copay

Up to $48

Bifocals

$25 copay

Up to $67

Trifocals

$25 copay

Up to $86

Frames

$130 retail allowance,

plus 20% over the allowance

Up to $48

COVERED SERVICES

Contact Lenses

$130 retail allowance

Up to $105

Contact Lens Evaluation Fitting

15% off UCR

Included in Allowance

BENEFIT FREQUENCY

Exams

Once every 12 Months

Once every 12 Months

Lenses

Once every 12 Months

Once every 12 Months

Frames

Once every 24 Months

Once every 24 Months

Contacts

Once every 12 Months

(contacts in lieu of frames/lenses)

Once every 12 Months





C

Group Life Benefits

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!


Group Life

Short Term Disability

illness

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


Click on the button below!

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.


Click on the button below!

LTD

Accident Benefits

Accident and Life

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


Click on the button below !





Contact Us


Account Team Contacts

JR

Joel Richman

Producer / Sales Consultant

joel.richman@nfp.com

(216) 464-6200

KL

Kevin Lurie

Producer / Sales Consultant

kevin.lurie@nfp.com

(216) 410-6751

TS

Traci Swain

Account Manager

traci.swain@nfp.com

216.816.0029