Table of Content
- Header
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Page
- WELCOME
- Welcome
- Enrollment
- Medical/Rx
- Medical Plan Costs
- HSA
- Dental
- Vision
- Life & Disability
- Employer Provided Perks
- Benefit Education
- Carrier Contacts
- Contact Us
- Footer
Page
Benefits Are Effective October 1, 2022 - September 30, 2023
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Welcome
Helping you and your family reach and maintain good health is very important to CLIENT NAME. We are 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.
CLIENT NAME 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 October 1, 2022:
- New! Employer Paid Life/AD&D and Long Term Disability Insurance
- No Changes to Current Medical Plan Designs, minimal increases in contributions for EPO and PPO plans, Core PPO Plan is still available at no cost to you!
Enrollment
All regular employees working at least 30 hours per week are eligible to participate in the benefit plans offered by CLIENT NAME. 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: End of the month in which the child turns 26
- Dental, Vision, and Voluntary Life: 26th Birthday
Effective October 1, 2022 if your Spouse is offered medical coverage through his/her employer, and enrolls in CLIENT NAME's medical plan, there will be a $50 monthly spousal surcharge.
Action Required: All elections must be submitted by Thursday, September 22nd
ENROLLMENT INSTRUCTIONS:
- Enter all elections into the iSolved Portal via the link below
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 or 60 days if the event is due to birth or adoption of a child.
Contact Human Resources if you have questions about qualifying events.
Medical/Rx
UHC will continue to be the medical and prescription carrier this year, there are no changes to current plan designs.
Costs shown below are on a bi-weekly basis:
PPO HSA 3000
Single: $10.00
Two Person: $15.00
Family $30.00
PPO 1000
Single: $10.00
Two Person $15.00
Family $50.00
HMO 3000
Single: $10.00
Two Person: $15.00
Family $30.00
HSA
The Health Savings Account (HSA) allow 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 to contribute towards an HSA tax-free, you must meet the requirements below:
- Covered by a Qualified High Deductible Health Plan
- You cannot be covered by another health plan (including if your spouse has a Flexible Spending Account)
- You cannot be covered by Medicare or Medicaid
- You cannot be eligible to be claimed as a tax dependent
- You have not received VA benefits in the past 90 days
2022 HSA IRS Maximums* are as follows:
$3,650 for a single contract
$7,300 for a two person or family
2023 HSA IRS Maximums* are as follows:
$3,850 for a single contract
$7,750 for a two person or family
*$1,000 "Catch Up" contribution for those age 55+ per calendar year
Dental
If you see an out-of-network dentist you may experience balance billing
While the coverage levels are richer with the Low Plan, your risk for receiving a balance bill from an Out-of-Network dentist is much greater with the Low Plan as Out-of-Network reimbursement level is much lower. If your preferred provider is outside of the network, it is in your best interest to select the High Plan option.
Dental Bi-Weekly Cost
Single: $1.00
Two Person: $2.00
Family $3.00
Vision
CLIENT NAME offers vision coverage through Mutual of Omaha (MOO) 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. Please note: Members may choose between prescription glasses (lenses and frame) and contact lenses, not both.
To find out if your provider is in-network, please visit the website below.
Vision Bi-Weekly Cost
Single: $1.00
Two Person: $2.00
Family $3.00
Life & Disability
Mutual of Omaha (Group # G000BY98) | 800-775-6000
CLIENT NAME provides you with financial protection options for life, accidental death & dismemberment, short term disability and long term disability with Unum.
Core and Optional Life/AD&D - NEW Employer Paid $10,000 Benefit
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.
Coverage is also available for your spouse and/or child dependents, but only after you've elected coverage for yourself. Review the full benefit summary below for additional details.
Employee: $10,000 increments up to 5x your annual salary, to a maximum of $100,000 ($100,000 GI)
Spouse: $5,000 increments up to $50,000 or 50% of what you elect for yourself ($30,000 GI)
Children: $10,000 Benefit, one premium covers all of your eligible children
Annual Increase (Applies to Employees only, Spouses are subject to EOI):
You may request to increase the amount of insurance once a year, provided the new amount of insurance does not exceed the maximum benefit amount shown above. You may increase your amount of insurance by up to $10,000. If the amount of insurance requested exceeds the Guarantee Issue Amount, Evidence of Insurability will be required.
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. This benefit is 100% voluntary. Benefits begin the 1st day for an Accident and 8th day for an Illness and is effective for up to 13 weeks, 60% of your salary up to $500. If you were not previously enrolled in coverage, you must submit satisfactory EOI to Mutual of Omaha.
Long Term Disability - NOW EMPLOYER PAID!
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. This benefit goes into effect when Short Term Disability ends, or after 90 Days and is effective up to Social Security Normal Retirement Age (SSNRA), 60% of your salary up to $5,000.
Employer Provided Perks
The resources below are provided by CLIENT NAME to all eligible, full time employees at no additional cost
Benefit Education
Carrier Contacts
UHC (Group #123456) | 111-867-5309
Mutual of Omaha (Group # 123456) | 111-867-5309
Health Equity HSA | 111-867-5309
Contact Us
As you consider your benefit options, please be sure to review all available information. If you don't understand your benefits or need any assistance, please contact Human Resources.