Table of Content
- Header
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Page
- WELCOME
- ENROLLMENT
- MEDICAL/RX
- VIRTUAL VISITS
- FSA
- DENTAL
- VISION
- LIFE & DISABILITY
- ADDITIONAL RESOURCES
- UNDERSTANDING YOUR BENEFITS
- CARRIER CONTACTS
- CONTACT US
- Footer
WELCOME
Helping you and your family reach and maintain good health is very important to Taplin Group. Taplin is pleased to offer a selection of benefits designed with your health and financial wellbeing in mind. We review our benefit programs each year to ensure we consider the best combination of benefit coverage, network access and affordability for employees.
Taplin Group remains committed to providing a competitive, cost-effective benefit program. Each year we take great care and detail in the benefit programs offered to employees. Below are highlights of the new changes that will be effective December 1, 2022:
- BCBS PPO: Moving to the Simply Blue 2000 PPO
- BCN HMO: Moving to the HMO 2000
Please review your 2022 Taplin Open Enrollment materials for more information regarding your plans offerings for the 2022-2023 plan year.
ENROLLMENT
All regular employees working at least 30 hours per week are eligible to participate in the benefit plans offered by the Taplin Group. When you enroll in the benefits program, you may also cover your eligible dependents. Dependents include your legal spouse and children. Children eligibility is as follows -
- Medical, Dental, & Vision: End of the year the child turns 26
- Child Life Insurance: End of the month the child turns 26
Action Required: All elections must be submitted by October 28, 2022
ENROLLMENT INSTRUCTIONS:
- Review the information on this webpage and in the Employee Benefit Booklet
- You must complete and sign an enrollment form, even if you are waiving coverage.
- You will not be allowed to make changes after the open enrollment window closes, unless you experience a qualifying life event.
The Benefit choices you make during your open 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.
Contact Human Resources if you have questions about qualifying events.
MEDICAL/RX
BCBSM PPO Medical/Rx (Group # 007037981) | 313.225.9000 | www.bcbs.com
BCN HMO Medical/Rx (Group # 00418812) | 800.662.6667 | www.bcbs.com
BCBSM and BCN will continue to be the medical and prescription carrier this year. The plans that will be offered effective December 1, 2022 are as follows:
- Simply Blue 2000 PPO
- HMO 2000
A PPO plan (BCBS) is a type of managed care health insurance plan that provides maximum benefits if you visit an in-network physician or provider, but still provides some coverage for out-of-network services. You may also visit any provider without a referral from your primary care physician.
An HMO (BCN) gives you access to doctors and hospitals within the HMO network. But unlike PPO plans, care under an HMO plan is covered only if you see a provider within the BCN network. You must select a primary care physician (PCP) who will determine the care/treatment you need. To see other doctors, such as a specialist, you must obtain a referral from your PCP.
To find out if your provider is in-network, please visit the BCBS/BCN website below. Be sure to select your correct network by choosing either PPO Plans or Blue Care Network HMO Plan under "Plan" in the upper right corner. Once you select your correct network you can search for a doctor or care provider by name, specialty, or condition.
VIRTUAL VISITS
BCBSM Virtual Visits (Group # 007037981 (PPO) & 00418812 (HMO)) | 844.606.1608 | www.bcbsmonlinevisits.com
Taplin provides those employees who are covered by one of the BCBSM/BCN medical plans access to virtual visits with BCBSM Online Visits. BCBSM Online Visits provide members the opportunity to receive medical health care from the comfort of your own home. With BCBSM Online Visits, eligible employees and dependents have access to board certified doctors 24 hours a day, 7 days a week, 365 days per year.
How Much Does it Cost?
- BCBS PPO Plan: $30 Copay
- BCN HMO Plan: $30 Copay
To get access to these convenient services, visit www.bcbsmonlinevisits.com - OR - you may call 844.606.1608
FSA
BASIC FSA (Client ID #133772) | 800.372.3539 | www.basiconline.com
The Health Care and Dependent Care Flexible Spending Accounts (FSA) allow you to set aside pre-tax dollars to pay for eligible expenses. 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:
Health Care FSA
- Up to $2,850 annually
- All benefit eligible can participate
- Reimbursements allowed for unreimbursed medical, prescription, 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
How the FSA Plan Works
You must incur your eligible expenses during the plan year. An expense is incurred when the service is performed, not when you are billed or pay for the service. You are able to roll over any unused amounts of up to $550 remaining in your account at the end of a plan year to the next plan year.
DENTAL
Delta Dental (Group # 10408) | 800.524.0149 | www.deltadentalmi.com
Teijin's dental plan provides comprehensive coverage to help you and your family maintain good dental health. Providers are part of the Delta Dental PPO or Delta Dental Premier Network, or you may see an out-of-network dentist of your choice. Be aware if you go out-of-network, your costs will be higher.
To find out if your provider is in-network, please visit the website below.
VISION
NVA Vision (Group #3208) | 800.672.7723 | www.e-nva.com
Taplin Holding offers vision coverage through NVA to help pay for eye exams, prescription glasses and contact lenses. You receive a higher level of benefits when you see a provider in network, however, out-of-network coverage is provided but may only be handled as reimbursements in some situations. Review your coverage details in your Benefit Guide.
To find out if your provider is in-network, please visit the website below.
LIFE & DISABILITY
MMA-MetLife Life and Disability (Group #5245) | 517.372.5900 | www.mimfg.org / www.metlife.com
Taplin provides you with Basic & Voluntary Life/AD&D coverage as well as Short- and Long-Term Disability through MMA-MetLife.
Basic Life/AD&D
Employees working 30 or more hours per week are eligible for a flat $15,000 in coverage payable to your designated beneficiary in the event of your death. An additional accidental death & dismemberment benefit (AD&D) is payable to you in the event of a covered dismemberment or to your beneficiary if your death is the result of an accident.
Voluntary Life/AD&D
A sudden accident or death can leave you or your loved ones in a vulnerable position. Employees have the opportunity to enroll in Term Life and Accidental Death & Dismemberment insurance which will supplement lost income in the event of an accident or death. If you choose to enroll in employee coverage, this will be in addition to your employer provided Basic Life coverage.
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.
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. Your coverage through MMA-MetLife pays 60% of your weekly income to a maximum of $1,700 per week.
Long Term Disability
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. Benefits begin after a 180 day elimination period are equal to 60% of covered monthly earnings up to $8,500
Please consult your Employee Benefits Guide for additional details.
ADDITIONAL RESOURCES
UNDERSTANDING YOUR BENEFITS
CARRIER CONTACTS
BCBSM PPO Medical/Rx (Group # 007037981) | 313.225.9000 | www.bcbs.com
BCN HMO Medical/Rx (Group # 00418812) | 800.662.6667 | www.bcbs.com
BCBSM Virtual Visits (Group # 007037981 (PPO) & 00418812 (HMO)) | 844.606.1608 | www.bcbsmonlinevisits.com
BASIC FSA (Client ID #133772) | 800.372.3539 | www.basiconline.com
Delta Dental (Group # 10408) | 800.524.0149 | www.deltadentalmi.com
NVA Vision (Group #3208) | 800.672.7723 | www.e-nva.com
MMA-MetLife Life and Disability (Group #5245) | 517.372.5900 | www.mimfg.org / www.metlife.com
CONTACT US
As you consider your benefit options, please be sure to review all available information: Employee Benefits Guide, Intranet, and other videos and flyers found on this webpage. If you don't understand your benefits or need any assistance, please contact Human Resources