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Page 1: Community employees · 2020-06-17 · Community employees 7 Using Your Medical overage Your health plan provides coverage for treatment that can be received in a variety of settings,

Community employees

1 Community employees

Page 2: Community employees · 2020-06-17 · Community employees 7 Using Your Medical overage Your health plan provides coverage for treatment that can be received in a variety of settings,

Community employees

2

We continually strive to provide a high-quality, comprehensive benefits package to our valued employees. That includes working to balance the rising costs of healthcare with the growing needs of our employees in one of our nation’s most challenging times.

Our employees are dedicated and committed to providing the best quality care to our residents - in turn, we are committed to caring for you and your future.

Thank you for supporting our Core Values and CARING.

This benefit resource guide includes the relevant information you will need when making the best decisions for you and your family.

– We are motivated to

go out of our way to care for the physical and emotional well-being of every resident we serve, every day.

– We own our

outcomes and have an obligation to accept responsibility for our actions.

– We create an

environment where residents, families and employees, at every level, are respected.

– We always strive to be

honest and have strong moral principles in all we do.

– We care for and

encourage the growth and development of all employees.

– We are thankful and

ready to show appreciation and kindness to each other, our residents, and the community we serve.

Page 3: Community employees · 2020-06-17 · Community employees 7 Using Your Medical overage Your health plan provides coverage for treatment that can be received in a variety of settings,

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This guide is designed to provide an overview of the coverages available. The Company reserves the right to amend or change benefit offerings at any time. This guide is not a Summary Plan Description (SPD) nor a contract or guarantee of benefit coverage. Official plan and insurance documents govern your rights and benefits, including covered benefits, exclusions and limitations. If any discrepancy exists between this guide and the official documents, the official documents will prevail. Copies of plan documents are available on our online portal or upon request from Human Resources.

Enrollment 5

Aetna Medical & Prescription 6

Medical Terminology 7

Aetna Tools & Resources 8-9

Telemedicine; Teladoc by Aetna 10

Aetna Dental 11

Aetna Vision 12

UNUM Life 13

UNUM Disability 14

Allstate (Accident & Cancer) 15

Health Advocate (Employee Assistance Program) 16

Slavic 401k 17

Perks (Tickets At Work , PTO & Pet Insurance) 18

Pet Insurance 19

Pre-Tax Benefits 20

Benefit Eligibility 21

Benefit Contacts 22-23

August 1, 2020 through July 31, 2021

Page 4: Community employees · 2020-06-17 · Community employees 7 Using Your Medical overage Your health plan provides coverage for treatment that can be received in a variety of settings,

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We are proud to provide you with a comprehensive benefits package that is a vital part of your total compensation. This benefits resource guide provides an overview of each benefit option available. Taking time to educate yourself about your benefits can help ensure you are getting the most out of your premium dollars.

YOU

Cost

Get the most of the dollars you’re spending on healthcare

Quality

Receive top-quality care from local providers

Choice

Choose the best option for your needs and preferences

Prevention

Be proactive, prevent disease and detect issues early

Wellbeing

Focus on small changes that have a big impact

Navigation

Find help getting the resources you need

Page 5: Community employees · 2020-06-17 · Community employees 7 Using Your Medical overage Your health plan provides coverage for treatment that can be received in a variety of settings,

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Your initial new hire / newly eligible enrollment must be completed two weeks prior to your benefits effective date.

Full-time Status: Normally works on average of 30 or more regularly scheduled hours per week. Part-time and PRN employees are not eligible for benefits or paid time off.

Status Changes: Newly eligible full-time or promoted employees are eligible for enrollment 1st day of the month following 30 days.

Employee Care Center

If you need assistance or have questions regarding your benefits, you can call the Employee Care Center (ECC). The ECC team is dedicated to assisting you and your covered dependents with any claims or service issues that may come up throughout the year.

Enrollment Process

All benefit eligible employees are required to complete the enrollment process whether you are electing or waiving coverage. To enroll, visit: www.benefits-beacon.com.

• During Open Enrollment (June 22, 2020 to June 26, 2020) you will speak with an Enrollment Counselor (800.578.1467) to make your benefit elections. They are available Monday to Friday, 9 am to 7 pm EST.

• New Hires (coverage effective after 8/1/2020), visit the website to either make your election electronically through the portal, or schedule an appointment to speak with an enrollment counselor.

Please be prepared to complete your enrollment with your demographic and dependent information. You will verify your information with the benefit counselor to ensure the system contains the most up-to-date information when sending your enrollment elections to the insurance carriers.

Open Enrollment is held prior to the start of each plan year. Open Enrollment provides you with the opportunity to add, cancel, or change your benefit plans.

In order to make changes outside of your initial enrollment period, there would need to be a qualifying event such as the birth of a child, change in marital status, or gain/loss of other group coverage. An enrollment change request must be submitted to the Employee Care Center within thirty (30) days of the qualifying event, along with the appropriate documentation, in order for a change to be made.

Mobile App Option

Get all your Insurance Benefit information right from your smartphone!

• Enroll in your benefits from your phone or smart device • View your current benefits • Watch benefit educational videos and review insurance brochures • Receive important message notifications about your benefits

844.824.5238 (Toll Free)

[email protected]

Follow instructions below to download: 1. Visit the Apple or

Android App Store 2. Search for: Explain

My Benefits 3. Download the free

app! 4. Enter company

code: beacon

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Aetna Basic Premium

What you pay for services at in-network providers

Your Responsibility

Physician Services

Preventive $0 $0

Primary Care Physician (PCP) $50 $40

Specialist $100 $75

X-Ray and Lab (Freestanding Lab) 30% after Ded X-Ray / $0 Lab $50 X-Ray / $0 Lab

Advanced Imaging 30% after Deductible 10% after Deductible

Urgent Care 30% after Deductible $75

Prescriptions—Mandatory Generics

RX Deductible (applies to non-generic prescriptions)

$800 $200 Individual / $400 Family

Tier 1 (Generic) $10 $10

Tier 2 (Brand) $55 after RX Deductible $50 after RX Deductible

Tier 3 (Non-Preferred) $100 after RX Deductible $90 after RX Deductible

Mail Order Rx (90 days) 2.5x Tier Copay 2.5x Tier Copay

Hospital Services

In-Patient Hospital Services $500 and 30% after Deductible $500 and 10% after Deductible

Outpatient Surgery $250 and 30% after Deductible 10% after Deductible

Emergency Room $250 and 30% after Deductible $250 and 10% after Deductible

Calendar Year Maximums

Deductible

Individual $6,000 $3,000

Family $12,000 $9,000

Coinsurance 30% 10%

Out of Pocket

Individual $8,150 $7,150

Family $16,300 $14,300

Policy Lifetime Maximum Unlimited Unlimited

Medical Cost Basic

Cost Per Pay-Period (24) Premium

Cost Per Pay-Period (24)

Employee Only $76.86 $226.26

Employee & Spouse $504.04 $734.89

Employee & Child(ren) $353.48 $535.86

Employee & Family $710.35 $1,007.63

Medical coverage is offered through Aetna. You have two plan options to choose from to meet you and your families needs. Both plans offer you the freedom to see a Specialist without a referral, and both cover certain in-network preventive care at 100%.

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Using Your Medical Coverage Your health plan provides coverage for treatment that can be received in a variety of settings, such as your doctor’s office, a hospital or an urgent care center. However, every setting is not appropriate for every kind of care. Your responsibility is to know which setting provides the best, most cost-effective care for your condition. The first step is to become familiar with your benefits.

Preventive Care

Certain routine healthcare services that are defined as Preventive Care, such as a routine annual physical or well woman exam, are covered in full by Aetna when obtained by an in-network provider.

Office Visits

For most illnesses or injuries, the best choice for medical care may be a visit to your general practitioner or primary care physician. Your regular doctor knows you best, has your medical history, and has the expertise to diagnose and treat most conditions. For most illnesses and injuries, and for regular checkups and preventive care, your doctor can provide the most cost-effective care. You will be responsible for a co-payment for visits to your Primary Care Physician (PCP) or Specialist.

Prescriptions

Generic prescriptions are available for a $10 co-payment. Other prescriptions are subject to an annual pharmacy deductible, separate from the deductible that however applies towards medical services. After you meet your pharmacy deductible, a copayment applies. If you participate in the mail order prescription program, you can receive a 90 day supply of your medication delivered to your home for less than you would pay at a retail pharmacy. You can set this up on your Aetna member portal.

Outpatient Services and Hospitals

Hospital type services (such as outpatient procedures and in-patient hospital stays) are first subject to the annual medical deductible and a coinsurance. Coinsurance is a percentage of the cost that you pay after your deductible is met.

• Emergency Room - A visit to the hospital emergency room is the most expensive type of outpatient care. Emergency rooms should only be used for true emergencies, as they are staffed, equipped and best suited for medical emergencies. Going to an emergency room for non-emergency care can be very costly.

• Urgent Care - Many situations require immediate care that you might not be able to receive in your doctor’s office, yet these situations might not be serious enough to require the services of a hospital emergency room. In these situations, a walk-in clinic or urgent care center may be an appropriate choice. On Plan A, urgent care visits are subject to the deductible and coinsurance. On Plan B, a $75 co-payment applies.

Out of Pocket Maximum

The most that you would pay during one calendar year for covered in-network medical claims is your out of pocket limit. If you meet the out of pocket limit, covered in-network claims are paid by Aetna for the remainder of the calendar year. Your deductible and out of pocket maximum will reset each year on January 1st.

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Log-in To Your Personalized Aetna Portal

A great place to learn more about your benefitsis the Aetna website www.aetna.com

Check your current coverage, deductibles and out of pocket limits.

Look up doctors and hospitals

Find doctors and hospitals in your network and evaluate hospitals on quality and patient safety. Get driving directions and print a map.

Organize your medical claims

See your medical claims whenever you want and print copies for your records.

Use tools that help you make decisions

Estimate the cost of a treatment or procedure beforehand, and find the information you need to make health care decisions.

Learn more about health conditions and treatments

Search easy-to-read health topics to help you make more informed decisions. All medical information is from reliable resources recognized by doctors.

Improve your health

Find out the best ways to get healthy and stay healthy with helpful articles to read and simple tips to follow.

Print a temporary ID card

If you have misplaced your ID card, you can print a temporary one prior to your visit to the doctor’s office or pharmacy.

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Urgent Care Guidance

If you or a covered dependent need to access a provider, the Aetna Nurse can assist you in determining the most appropriate method of care. Through your Aetna portal, you can also locate in-network Walk-In Clinics, Urgent Care Center and Emergency Rooms.

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In addition to protecting your smile, dental insurance helps pay for dental care and usually includes regular checkups, cleanings and X-rays. Several studies suggest that oral diseases, such as periodontitis (gum disease), can affect other areas of your body—including your heart. Receiving regular dental care can protect you and your family from the high cost of dental disease and surgery.

Aetna Dental PPO

In Network Out of Network

Deductible

Individual $50 $50

Family $150 $150

Primary Dentist Required? No

Preventive Care

Cleanings Covered 100% 20%

Deductible Waived? Yes Yes

Basic

Fillings and Routine Extractions 20% 20%

Endodontics/Periodontics 20% 20%

Major

Crowns & Dentures 50% 50%

Orthodontia (Adult & Children)

Coverage 50% 50%

Lifetime Maximum $1,500 per Member

Calendar Year Maximum

$1,750

Note: The orthodontia benefit has a Lifetime Maximum benefit. This benefit amount is separate from the Plan Year Maximum benefit per person.

Payments in-network are based on an agreed upon Fee Schedule between the in-network providers and Aetna. Usage of out of network benefits on these plans could result in balance billing and greater member responsibility than shown above. Balance billing may occur when a dentist is not contracted with Aetna. Participating dentists agree to accept the fee approved by Aetna as payment in full.

Cost Per Pay Period (24) Employee Only Employee + Spouse Employee + Child(ren) Employee + Family

Deduction $12.34 $23.76 $30.57 $42.01

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Driving to work, reading a news article and watching TV are all activities you likely perform every day. Your ability to do all of these activities, depends on your vision and eye health. Vision insurance can help you maintain your vision as well as detect various health problems.

The Company’s vision insurance entitles you to specific eye care benefits. Our policy covers routine eye exams and other procedures, and provides specified dollar amounts or discounts for the purchase of eyeglasses and contact lenses.

When you use in-network providers, you will be responsible for a copay for exams, lenses and/or frames. The out of network benefits are paid as a reimbursement of the figures shown in the table below less the copay.

Aetna Vision Plan Vision

In Network Out of Network

Eye Exam

Copay $10 Up to $30 reimbursement

Frequency Once every 12 months

Lenses

Single Vision

$10

Up to $25 reimbursement

Bi-Focal Up to $40 reimbursement

Tri-Focal Up to $64 reimbursement

Options (UV Coating, Tint, Polycarbonate, Anti-Reflective)

Discounted fee may be available Not Covered

Frequency Once every 12 months

Frames

Allowance for Approved Frames

$130 allowance plus 20% discount on the balance

Up to $65 reimbursement

Frequency Once every 24 months

Contact Lenses

Elective (in lieu of eyeglasses) $105 allowance plus 15% discount on the balance

Up to $84 reimbursement

Medically Necessary (in lieu of eyeglasses) Covered in full Up to $200 reimbursement

Frequency Once every 12 months

Laser Vision Correction Discount Available No Discount Available

Cost Per Pay Period (24) Employee Only Employee + Spouse Employee + Child(ren) Employee + Family

Deduction $3.04 $5.78 $6.08 $8.93

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Basic Life and Accidental Death & Dismemberment (AD&D)

All full time eligible employees are provided with Basic Life and AD&D. The Basic Life and AD&D provides your beneficiary with a benefit of $10,000 in the event of a covered claim, through UNUM.

It is your responsibility to keep your beneficiary(ies) updated. You may change your designated beneficiary at any time. Please speak with your financial or legal advisor prior to listing minor children as beneficiaries since children under the age of 18 cannot access life insurance benefits without the proper Trust, UTMA designation, or financial guardian arrangement in effect.

The IRS requires you be taxed on the value of employer-provided group term life coverage over $50,000. The taxable value of this life insurance coverage is called imputed income. Even though you don’t receive cash, you are taxed as if you received cash in an amount equal to the value of this coverage.

Voluntary Life

The Company offers basic life insurance, some employees may want to purchase additional coverage. Think about your personal circumstances. Are you the sole provider for your household? What other expenses do you expect in the future (for example, college tuition for your child)? Depending on your needs, you may want to consider buying supplemental coverage.

Covers Benefit Amount

Employee You may elect life insurance in increments of $10,000 to a maximum of 5 times your annual salary or $500,000 (whichever is less). The most you may elect as a new hire without having to provide evidence of good health is $130,000. This is commonly referred to as the Guarantee Issue. If you elect more than the Guarantee Issue or enroll after your initial effective date, you must complete an Evidence of Insurability (EOI) form. This must be sent to UNUM and they may require you to complete certain requirements to prove good health before the coverage will become effective.

If you elect coverage for yourself, you also have the opportunity to elect the voluntary life for your spouse and/or children.

Spouse You may elect life insurance in increments of $5,000 to a maximum of 100% of the employee’s amount or up to $500,000, whichever is less. For newly eligible employees, the Guarantee Issue for spousal coverage is $25,000. If you elect an amount that exceeds the Guarantee Issue for your spouse or enroll after your initial effective date, your spouse will need to provide evidence of good health that is satisfactory to UNUM before the excess coverage will become effective.

Child(ren) You may elect either $5,000 or $10,000 of coverage. (Birth to age 6 months is a $1,000 benefit.)

Note: On both the basic and the voluntary life, an age reduction schedule is applied beginning at age 65.

Allstate Voluntary Whole Life

Whole Life coverage is another life insurance benefit option available to you through Allstate. The benefits available are between $20k to $100k in coverage and include Long Term Care benefit. More information about the Life coverage, and your premium cost, is available when you complete your benefits enrollment online.

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Both short and long term disability income coverage is available to elect for full time employees. Without disability coverage, you and your family may struggle financially if you miss work due to an injury or illness.

In the event that you become disabled from a non-work-related injury or sickness, disability income benefits will provide a partial replacement of lost income. Please note, that you are not eligible to receive short-term disability benefits if you are receiving workers’ compensation benefits.

Short-term Disability Long-term Disability

Benefits Begin 15th day after your covered injury or

illness 91st day after the onset of the covered

disability

Benefits Payable 60% of your pre-disability weekly

earnings to a maximum of $1,000 per week

60% of your pre-disability monthly earnings to a maximum of $10,000 per

month

Maximum Benefit Benefits continue for as long as you are considered disabled, up to a maximum

of 11 weeks of disability

Benefits continue for as long as you are considered disabled, up to your Normal

Social Security Retirement Age

Pre-existing conditions: If you are treated or diagnosed with a condition in the three months prior to the effective date of disability coverage you will not receive disability benefits for that condition, unless the disability starts after you have been insured under this plan for 12 months. (Please note: If you do not enroll in this plan when you are first eligible you may have to complete an Evidence of Insurability form to enroll at a later time.)

More information about this benefit and your premium cost is available when you complete your benefits enrollment online.

Salary Estimated STD Weekly Benefit* Estimated LTD Monthly Benefit*

$20,000 $231 $1,000

$40,000 $462 $2,000

$60,000 $692 $3,000

Example of Disability Benefit Amounts

*Benefit amounts paid are determined by UNUM and are based on the nature of the claim.

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Allstate Voluntary Benefits If you experience a covered claim with your Accident or Cancer coverage, Allstate will pay a cash benefit directly to you. The amount that you will receive depends on the type of illness or injury and care received. You can use the money from Allstate for any purpose - for example, to help meet out of pocket medical costs or help with everyday expenses like groceries. These policies are not designed to replace your medical coverage, but to help offset any out of pocket expenses you may incur as a result of a cancer diagnosis or accident.

Accident Accidents happen all of the time, and the out-of-pocket costs that may accompany a resulting injury—like fracturing your wrist or dislocating your shoulder—can add up quickly. Accident coverage pays you a cash benefit if you’re hurt as a result of a covered accident. This extra money can help protect you from the financial impact of injury.

Cancer Cancer coverage through Allstate pays money directly to you to help pay for the high cost of cancer-related treatment, medical expenses, and other indirect costs. The benefit payment that you will receive varies on the type of diagnosis and treatment provided. Coverage highlights include hospitalization, radiation, chemotherapy, reconstructive surgery, and more.

Wellness Screening Benefit The Accident policy has a Health Screening Benefit. To promote healthy lifestyles and early detection, Allstate will pay covered members up to $50 twice per year upon receiving proof of an eligible health screening. If you are eligible for Medicaid or another Title XIX plan you may not be eligible for Allstate benefits.

Premium costs for these plans will be displayed when you complete your benefits enrollment online. If you elect coverage outside of your initial eligibility period you may need to complete an Evidence of Insurability (EOI). Your coverage will not be effective until an EOI is approved by the carrier. Pre-existing conditions may apply for these coverages.

* Benefit amounts paid are determined by Allstate and are based on the nature of the claim.

Accident Treatment Type Benefit from Allstate*

Emergency Room Treatment $250

Daily Hospital Benefit $250 per day, up to 365 days

Intensive Care Benefit $500 ICU & $500 per day, up to 180

days confinement

Ambulance $200

Fractures & Dislocation Up to $4,000

Examples of covered accidents: Loss of limb, severe dislocations and fractures, burns, lacerations, and related medical services like X-rays and physical therapy

Cancer Treatment Type Benefit from Allstate*

Radiation and Chemotherapy $10,000

Bone Marrow/Stem Cell $1,000/$2,500/$5,000

Hospital Confinement $300

Annual Cancer Screening $100

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Health Advocate | Help When You Need It

Everyday stress can be overwhelming. Experts available through Health Advocate provide confidential health 24/7 and the right resources to help you and your family find balance no mater where you are in life.

All services are at no additional cost to you!

Stressed? Anxious? Upset?

• Help for family, financial, legal problems, life transitions, substance abuse and more

• Learn strategies to manage stress, depression, anger and improve focus, such as mindfulness

Get resources to make life easier.

• Locate childcare, eldercare, summer camps, special needs services, relocation and more

• Time-saving help locating community resources and convenience services

Struggling to cope everyday?

• Build skills to handle challenges, feel more in control of your life

• Refer you to qualified long-term help, if needed

Easily connect to us 24/7 access

• Consult with us conveniently by phone

• Access your comprehensive website and mobile app for articles, tips, webinars, tools

Website: Healthadvocate.com/engagepeo

Email: [email protected]

Phone: 877.233.8205

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Most of us will have three sources of income when we retire: our personal savings, our 401(k) retirement savings, and Social Security. Social Security benefits are an important addition to your total retirement income, but even the Social Security Administration recommends that you don’t rely on these benefits for your retirement income.

Plan Highlights

• Plan entry dates are 1st of any month following date of hire.

• Employees under age 50 can contribute up to $19,500 per year; for employees over age 50 can make a catch up contribution up to $6,500

• Information on enrollment, rollovers, loans, hardships, and investments can be provided through Slavic 401k (800.356.3009 or [email protected]).

• At this time, there is no company match.

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Ticket Discounts

Our Company has partnered with TicketsatWork to provide all employees and their families with exclusive savings on movie tickets, theme parks, hotels, tours and more. This is a free program and easy to sign up!

Go to https://www.ticketsatwork.com/tickets/account.php?sub=enroll.

Our company code is: HSPSHFUN

Paid Time Off (PTO)

Admin Guide Facility

Years of Service Administrator | Director of Nursing

Department Heads | RNs & LPNS All Other Staff

61 days to 2 years Up to 17 days (136 hours) Up to 17 days (136 hours)

2 to 5 years Up to 22 days (176 hours) Up to 17 days (136 hours)

5 to 10 years Up to 27 days (216 hours) Up to 22 days ( 176 hours)

10 or more years Up to 32 days (256 hours) Up to 27 days (216 hours)

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Pet Insurance

Nationwide Pet Insurance is an easy-to-understand plan that reimburses up to 90%, 70% and 50% of vet bills for accidents, injuries, illnesses, genetic conditions and emergency care for dogs and cats.

*Coverage | Employees choose between My Pet Protection or My Pet Protection with Wellness.

My Pet Protection (Pays up 90% of the veterinarian invoice for all medical expenses after a $250 annual deductible).

• Accidents

• Injuries

• Common Illnesses

• Serious illnesses

• Surgeries and hospitalizations

• X-rays, MRIs and CT scans

• Prescription medications, chemotherapy and therapeutic diets

• PLUS:

• 24/7 Vet helpline

• Boarding/kennel fees if a family member is hospitalized

• Advertising/reward fees to find a lost pet

• Pet replacement cost if pet goes missing

Mortality coverage for euthanizing, cremation and burial

My Pet Protection with Wellness (Pays up to 90% of the veterinarian invoice for all wellness and medical expenses after a

$250 annual deductible).

• ALL THE ABOVE + Wellness Preventative Health such as:

• Wellness Exams

• Dental Cleaning

• Vaccinations

• Spay/Neuter

• Flea and tick prevention medication

• Heartworm testing and prevention medication

• Routine blood tests

*This is not a payroll deducted benefit

A voluntary benefit that is easy to enroll in:

Go online at benefits.petinsurance.com/hspsh

(when typing the URL please use all lower caps)

Answer a couple of questions (pet species and zip code)

Choose a product

Enter payment

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Tax Savings

The Medical, Dental, Vision, and Flexible Spending Account benefits are covered under our Premium Only Plan. This allows your contributions for these benefits to be paid pre-tax, meaning the funds are taken out of your paycheck before taxes are applied. This results in a greater take home pay for you. By participating in the Premium Only Plan, your elections will remain in effect for the entire plan year and cannot be revoked unless you experience a change in your status as described below. To opt out of the Premium Only Plan, contact Human Resources.

Qualifying Events & Plan Changes

You should always review benefits during your open enrollment and elect necessary coverages to ensure you and your family have the coverage you need. Once enrolled in coverage, you are unable to change your elections outside of open enrollment without a qualifying event. Open enrollment occurs annually, prior to the start of the next plan year.

Sometimes qualified life events occur, allowing you to change elections outside the standard enrollment period. Examples of common qualifying events include:

• Change in marital status

• Change in dependent status, such as addition of a new dependent through birth/adoption

• Change in coverage under your spouse’s employer plan

• Medicare or Medicaid entitlement

• Loss of coverage from a governmental or educational institution

If you would like to make a change to your benefits due to one of the listed reasons, you must notify Human Resources within 30 days of the qualifying event and provide appropriate documentation. Otherwise, no changes will be allowed until the next annual open enrollment. If you change your benefit elections, your cost share of the premium contributions will change.

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Employees

Employees with full time status who are regularly scheduled to work at least 30 hours a week are eligible for benefits. Hours will be reviewed periodically to conform with federal and state laws and regulations. Coverage begins the 1st of the month following 60 days of full time employment.

Dependents

You may also elect coverage for your dependents in some circumstances. Eligible dependents may include the following:

• Your Legal Spouse; same or opposite sex

• Dependent Children Dependent child who is supported primarily by you, who is incapable of self-sustaining employment by reasons of mental or physical handicap may continue coverage beyond the age limits listed (proof of condition and dependence is required).

The term “child(ren)” includes:

• A natural or legally adopted child

• A spouse’s child(ren) residing with you and dependent upon you for support; or a child whom you or your spouse have a legal obligation to support, even though not living with you.

Employees are responsible for verifying eligibility of dependents upon enrollment and notifying Human Resources if dependents no longer meet eligibility criteria. Failure to properly report loss of eligibility can result in denied claims, loss of coverage, and any additional fees will become member’s responsibility.

Eligibility Coverage Ends

Medical & Telemedicine

Birth to age 26.

Dependent may stay on until age 30 upon meeting certain criteria and completing an affidavit. Contact the ECC for additional information.

The day in which the dependent turns 26

Dental Birth to age 26 if unmarried The day in which the dependent turns 26

Vision Birth to age 26 if unmarried The day in which the dependent turns 26

Voluntary Term Life

When the dependent turns 19, or at age 26 if a full time student

Birth to age 26 if unmarried

Eligibility Definitions

Regular Full-Time Employees – Normally work on average at least thirty (30) hours per week with a pre-established work schedule.

Regular Part-Time Employees – Normally work on average less than thirty (30) hours per week with a pre-established work schedule. Part-time employees are not eligible for paid time off (PTO) or employee benefits.

PRN – Normally work “as needed” or on an interim, on-call, seasonal or temporary basis. PRN employees are not eligible for paid time off (PTO) or employee benefits.

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Community employees

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Employee Care Center (ECC) Benefit & Claim Assistance 844.824.5238 [email protected]

Explain My Benefits (EMB) Benefit Enrollment Resources 800.578.1467 www.benefits-beacon.com (Be sure to contact EMB at least 15 days prior to your effective date!)

Aetna Medical & Prescription Member Services 888.266.5519 www.aetna.com • Select “Find a Doctor” from the main page

• The Company utilizes the Managed Choice Open Access Plan

• You can search by physician name, type of facility, specialty or health condition

Aetna Dental Member Services 877.266.5519 www.aetna.com • The Company utilizes the Dental PPO/PDN with PPO II network

• Enter the zip code or city where you would like to locate a provider

Aetna Vision Member Services 877.973.3238 www.aetnavision.com • Select “Find a Provider” in the top toolbar

• Enter the zip code or city where you would like to locate a provider

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Community employees

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UNUM Life, Disability, Member Services 866.679.3054 UNUM.com/us.com

Allstate Accident, Cancer and Whole Life Member Services 800.255.7828 https://myaccountrwd.allstate.com/anon/account/login

Health Advocate Employee Assistance Program 877.233.8205 healthadvocate.com/engagepeo.com

Slavic 401 (k) Retirement Planning 800.356.3009 [email protected]

Discovery Benefits COBRA 866.451.3399 benefitslogin.discoverybenefits.com/Login.com

Teladoc Telemedicine 855.835.2362 member.teladoc.com/aetna.com

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Community employees

24 Guide Provided By: