Table of Content

Header
WELCOME
1. WELCOME
ELIGIBILITY AND ENROLLMENT
1. Eligibility
2. Enrollment
3. Employee Contributions
MEDICAL/Rx
1. Medical
2. Prescriptions
3. Additional Resources
VIRTUAL VISITS
1. Costs of Virtual Visits
HEALTH SAVINGS ACCOUNTS
DENTAL
VISION
FLEXIBLE SPENDING ACCOUNTS
1. Health Care Flexible Spending Account
2. Dependent Care Flexible Spending Account
LIFE AND DISABILITY
1. Life and AD&D
2. Disability
ADDITIONAL BENEFITS
1. Employee Assistance Program
2. Travel Services
CONTACT INFORMATION
1. Carrier Contacts
2. Contact Us
Footer

Benefits Open Enrollment Effective January 1, 2023

Open Enrollment runs from 11-28-2023 through xxx.

WELCOME

Helping you and your family reach and maintain good health is very important to Airboss. 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.

Below are highlights of the new changes that will be effective January 1, 2023:

Medical plans will now include new Point of Service options
Dental insurance will now be provided with Delta Dental

ELIGIBILITY AND ENROLLMENT

Eligibility

All full-time employees working at least 30 hours per week are eligible to participate in the benefit plans offered by Airboss. When you enroll in the benefits program, you may also cover your eligible dependents. Dependents include your legal spouse and children.

Children are eligible for benefits as follows:

Medical, Dental and Vision: Until the last day of the month in which the child turns 26
Child Life Insurance: Until the last day of the year in which the child turns 21, or 25 if the child is a full-time student
Child AD&D: Until the end of the year in which the child turns 26

Enrollment

Action Required: All elections must be submitted by XXX

ENROLLMENT INSTRUCTIONS:

Go to www.flexible-productsconnection.com
Enter your User ID: First Initial + Last Name
Enter your Password: Last 4 digits of your SSN
Follow instructions and enroll in your benefits
Make sure to save your elections and print your confirmation statement

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 Life 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 Life Event, you may make changes to your benefits by contacting Human Resources and completing any election changes online within 30 days of the event.

Contact Human Resources if you have questions about Qualifying Life Events.

MEDICAL/Rx

BCBSM | Group #007008266 | (877) 790-2583 | www.bcbsm.com

We continue to offer two medical and prescription drug options in 2023, both through Blue Cross Blue Shield of Michigan (BCBSM):

PPO 1000
PPO HSA 2000

Medical

Both medical options are PPOs. A PPO option offers the freedom to see any provider when you need care. When you use providers from within the PPO network, you receive benefits at the discounted network cost. Most expenses, such as office visits, emergency room and prescription drugs are covered by a copay. Other expenses are subject to a deductible and coinsurance.

A comparison of the options is below:

Prescriptions

The differences in the prescription drug costs are summarized here:

In addition, if you need a specialty medication, you can contact AllianceRx Walgreens Prime, which will support you with:

scheduling delivery times and locations
finding financial assistance options
assisting with prior authorizations
managing medication side effects

Additional Resources

VIRTUAL VISITS

Both medical benefit options allow you to see a provider virtually from your mobile device or your computer. You can use virtual visits when you have a non-emergency condition and:

your doctor is not available;
you become ill while traveling; or
you are considering visiting a hospital emergency room for a non-emergency health condition.

Some examples of non-emergency conditions that can be treated through virtual care:

bladder infection
bronchitis
fever
rash
flu
sore through
stomach ache

Virtual care is provided through BCBSM Online Visits. To access BCBSM Online Visits, click the link here, download the app to your mobile device, or call (844) 606-1608.

Costs of Virtual Visits

Medical Visits

Non-HSA Plan: Equal to your Office Visit Copay
HSA Plan: $59 Copay; coinsurance applies after satisfying deductible

Mental Health Visits

Non-HSA Plan: Equal to your Office Visit Copay
HSA Plan:

-Therapy Visits: $85 (Masters Level) or $99 (Doctorates Level) – Once your deductible is satisfied, coinsurance will apply if applicable

-Psychiatry Visits: $199 for initial visit and $95 for follow up visits – Once your deductible is satisfied, coinsurance will apply if applicable Licensed

For all types of visits and both plan options, prescription copays apply if medication is prescribed.

HEALTH SAVINGS ACCOUNTS

Health Equity | (866) 346-5800 | www.healthequity.com

If you enroll in the PPO HSA 2000 plan, 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. In addition, Airboss will contribute to your HSA.

To be eligible to contribute towards an HSA tax-free, you must meet the requirements below:

You must be covered by a Qualified High Deductible Health Plan
You cannot be covered by another health plan (including if your spouse has a health care Flexible Spending Account)
You cannot be covered by Medicare or Medicaid
You cannot be eligible to be claimed as a tax dependent
You must have not received VA benefits in the past 90 days

HSA IRS Maximums for 2023 are as follows (any employer contributions to the HSA will apply to the maximum noted below):

$3,850 for employee only coverage
$7,750 for two person or family coverage
$1,000 "Catch Up" contribution for those age 55+

Airboss will contribute to your HSA as follows:

$500 for employee only coverage
$1,000 for two person or family coverage

DENTAL

Delta Dental | Group #7792 | (800) 524-0149 | www.deltadentalmi.com

Dental Benefits through Delta Dental of Michigan provide comprehensive coverage to help you and your family maintain good dental health. Your coverage will be greater if you go to an in-network provider.

A comparison of the options is below:

VISION

VSP | Group #007008266 | (800) 877-7195 | www.vsp.com

Airboss offers Vision coverage through VSP 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.

To find out if your provider is in-network, please visit the website below.

FLEXIBLE SPENDING ACCOUNTS

Varipro | (800) 732-3412 | www.varipro.com

You have the ability to contribute to a Health Care Flexible Spending Account and a Dependent Care Flexible Spending Account that allow you to set aside pre-tax dollars to pay for eligible expenses. By contributing to either of the FSAs, you reduce your taxable income, so you pay less in taxes — which saves you money. In order to participate in the FSA, you must enroll during this open enrollment period.

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. Both the Health Care FSA and the Dependent Care FSA have a ninety (90) day runout period. This means that you have until March 31, 2024 to submit eligible expenses for reimbursement.

Health Care Flexible Spending Account

Health Care FSA

The maximum amount you can contribute to the Health Care FSA is $3,050. If you do not use all of your Health Care FSA dollars during the calendar year, you can roll over up to $550 to the next calendar year. In general, all eligible health care expenses can be reimbursed. However, if you are enrolled in the PPO HSA medical option, you will be enrolled in a Limited Purpose FSA, which only reimburses for eligible dental and vision expenses.

Dependent Care Flexible Spending Account

You can contribute up to $5,000 annually, $2,500 if you are married and file separate tax returns. Reimbursements are allowed for care for certain dependent children and for a spouse, parent or grandparent that is incapable for caring for themselves. Any unused funds do not rollover to the next year.

LIFE AND DISABILITY

Lincoln Financial | Group #287463 | www.lfg.com

We provide you with financial protection benefits with Basic Life insurance and Accidental Death & Dismemberment (AD&D) insurance, Short Term Disability and Long Term Disability benefits with Lincoln Financial. You also have the opportunity to purchase Supplemental Life insurance and Optional AD&D insurance.

Life and AD&D

Basic Life/AD&D

You are automatically enrolled in Basic Life and AD&D insurance benefits. Your Basic Life Insurance benefit is 1 x your annual earnings, with a minimum benefit of $50,000 and a maximum benefit of $300,000 (reduced if you are age 70 or older), and the amount of your AD&D benefit is equal to your Life insurance. You do not need to enroll in these benefits as they are provided at no cost to you.

Supplemental Life

You have the opportunity to enroll in Supplemental Life insurance for yourself, your spouse or your dependent children as well as Optional AD&D insurance for yourself, your spouse or your dependent children. If you choose to enroll in employee coverage, this will be in addition to your employer provided coverage. You must elect coverage for yourself in order to elect coverage for your spouse and/or children.

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.

Disability

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 ability to purchase Short Term Disability coverage that will provide you 60% of your weekly income (up to $1,500 per week) for 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. Airboss provides you with a Long Term Disability benefit, that covers 66.67% of your monthly income up to a maximum benefit of $12,500 per month.

ADDITIONAL BENEFITS

The resources below are provided to employees at no additional cost:

Employee Assistance Program

EmployeeConnect | (888) 628-4824 | www.guidanceresources.com

Employee Assistance Plan (EAP) - All employees and their families have access to use the EAP services through GuidanceResources. Representatives can assist you through work-life balance, stress management, grief, counseling, and much more. They will also help you find resources within your community.

Travel Services

TravelConnect | (866) 525-1955 | www.mysearchlightportal.com

CONTACT INFORMATION

Carrier Contacts

Contact information for each carrier is conveniently located below: