COMPREHENSIVE BENEFITS SUMMARY (Health Plan)
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1 2017 COMPREHENSIVE BENEFITS SUMMARY (Health Plan)
2 Health Insurance Health insurance is prvided frm the 1 st f the mnth fllwing yur date f hire. Our current plan fferings are as fllws: HealthyBlue r ActiveUnivera - Base Plan PPO r a Buy-Up Plan PPO Per bi-weekly paycheck cst share varies fr single, emplyee & child(ren), emplyee & spuse, r family cverage (rates prvided upn hire). Plan highlights that ffer first dllar cverage include: Preventive services (e.g. well visits, immunizatins, mammgraphy, etc.) including well child physician visits t age 19 are cvered in full Specialist cpays $40.00 in the Base Plan, $25.00 in the Buy-Up Plan Prescriptin drug tiers vary frm $10/$35/$70 in the Base Plan t $5/$25/$50 in the Buy-up Plan, with a $0 cpay n generics fr children t age 19 in bth plans Emergency rm, ambulance, hspital admissin, surgery, x-rays, radiatin & chemtherapy treatments are amng the ther services where the cpayment will vary HealthyBlue r ActiveUnivera High Deductible Health Plan with HSA Per bi-weekly paycheck cst share varies fr single, emplyee & child(ren), emplyee & spuse, r family cverage (rates prvided upn hire). Quarterly cmpany cntributins are made t a Health Savings Accunt: $260 fr single cverage, $520 fr cverages ther than single. Limited FSA (fr eligible dental and visin care expenses) available. Plan highlights include: Preventive services (e.g. well visits, immunizatins, mammgraphy, etc.) including well child physician visits t age 19 are cvered in full A $1,300 single / $2,600 ther than single in-netwrk deductible with maximum in-netwrk ut f pcket cst f $3,000 single / $6,000 family fr a year. Mst services are cvered at 80% subject t the deductible. Prescriptin drug tiers f $5/$35/$70, with a $0 cpay n generics fr children t age 19. Refer t page 3 fr 2017 medical cst share amunts
3 2017 Health Plan Rates - Bi-Weekly Payrlls MEDICAL COST SHARE AMOUNTS Full-Time Emplyees (30-40 scheduled hurs per week) Healthy Blue & Active Univera Plans Medical Plans Single Emp. & Child(ren) Emp. & Spuse Family Cst Share % Salary Range Base Plan High Deductible Plan Buy-Up Plan 15% $75,000 - $149,99 $45.20 $23.92 $ % $150,000 & Over $75.33 $54.05 $ Mnthly Premium: $ $ $ N/A Under $50,000 $20.00 $20.00 $ % $50,000 - $74,999 $55.20 $22.93 $ % $75,000 - $149,99 $82.80 $50.53 $ % $150,000 & Over $ $ $ Mnthly Premium: $1, $ $1, N/A Under $50,000 $20.00 $20.00 $ % $50,000 - $74,999 $60.26 $20.00 $ % $75,000 - $149,99 $90.39 $47.82 $ % $150,000 & Over $ $ $ Mnthly Premium: $1, $1, $1, N/A Under $50,000 $20.00 $20.00 $ % $50,000 - $74,999 $91.99 $20.00 $ % $75,000 - $149,99 $ $30.88 $ % $150,000 & Over $ $ $ Mnthly Premium: $1, $1, $2, Emplyee Wellness Prgrams (Incentive) Starting in 2018 (fr emplyees hired prir t Nvember 15, 2017), yu can earn $20 bi-weekly t ffset the cst f health care cverage by participating in ur wellness prgram. The initiative fr emplyees in year ne invlves: Cmpleting a health prfile; and, Participating in a bimetric screening (bld pressure and bld draw). Yur participatin in the fall 2017 screening will earn yu the incentive fr A cmprehensive summary f any f the abve prgrams is available upn request. The abve summaries are intended fr infrmatinal purpses nly. It is nt intended t be an ffer f emplyment. Emplyee level csts f benefits n this statement are estimated and subject t change. Benefits are subject t change at the discretin f the emplyer.
4 HealthyRewards r ActiveRewards Prgram Emplyees and their spuse are eligible t earn gift cards f up t $500 (single)/$1,000 (family) in healthy incentives each year by participating in HealthyRewards / ActiveRewards, a feature f the 3 health plans available. With HealthyRewards / ActiveRewards n-line incentive prgram yu can earn up t $1,000 in gift cards per family each year fr living healthy. Tracking yur wellness jurney activities n-line will earn yu pints. Then, cash in yur pints as yu earn them and get gift cards anytime thrughut the year. Dental Insurance Dental insurance is prvided frm the 1 st f the mnth fllwing yur date f hire. Our current plan ffering is as fllws: Dental Blue Optins r Univera Dental Select Bi-weekly cst share varies fr single, family and part-time cverage (rates prvided upn hire). Plan highlights include: Cvered preventive services include 2 cleanings and exams per calendar year with fluride treatments cvered fr children t age 16 A $50 individual / $100 family annual deductible n restrative services Annual maximum benefit f $1,500 per member A $1,500 per member lifetime maximum fr rthdntia fr children up t age 19 Mst basic restrative services are cvered at 100% with majr restrative (e.g. bridges, crwns, implants, etc.) cvered at 50%, bth subject t the deductible Flexible Spending Accunts (FSA) FSA accunts are available frm yur date f hire. Plan highlights include: $2,600 Medical Flexible Spending and/r $5,000 Dependent Care Flexible Spending Accunts Limited purpse FSA available fr emplyees wh chse the HDHP VISA debit card may be used t pay eligible expenses Life Insurance Life insurance is prvided frm the 1 st f the mnth fllwing yur date f hire. The carrier fr ur grup plicy is Vya. Plan highlights include: Cmpany Paid cverage f 2 times yur annual salary, t a maximum f $1,500,000. Please nte that ur insurer requires Evidence f Insurability (EOI) fr cverage ver ur $1,000,000 Guarantee Issue amunt Emplyee Optin t Purchase Supplemental Life (1x t 5x annual salary, subject t a $1.5M maximum when cmbined with Basic cverage). Mnthly rates vary by banded ages, e.g. a year ld pays 41.1 cents per $1,000 f cverage, a year ld pays 23 cents per $1,000, etc. Spusal Life Insurance in increments up t $200,000, with EOI required fr amunts ver $50,000 & Child Life in $5,000 r $10,000 increments. A cmprehensive summary f any f the abve prgrams is available upn request. The abve summaries are intended fr infrmatinal purpses nly. It is nt intended t be an ffer f emplyment. Emplyee level csts f benefits n this statement are estimated and subject t change. Benefits are subject t change at the discretin f the emplyer.
5 Time Away Frm Wrk Our current time ff plicy prvides fr the fllwing: 8 Hlidays Paid Sick Time 5 Paid Persnal Time Off Days 1 Vlunteer Time Off Day (effective starting the calendar year after (prrated) yur hire) Paid Vacatin - This time ff is available after six mnths f emplyment and is prrated fr year f hire. Retirement Prgrams The Cmpany ffers a Defined Cntributin benefit t assist yu in saving fr yur retirement needs. Our current plan ffering is as fllws: Excellus 401(k) Plan The plan is an ERISA qualified plan that ffers the availability f pre-tax deductins and cmpany matching cntributins. Plan highlights include: Immediate participatin is available t defer up t 50% f yur pay, subject t the 2017 IRS maximum f $18,000. Catch-up cntributins, IRS maximum f $6,000, are als available t thse 50 and lder. Aut enrllment equal t 4% f pay Cmpany matches 100% n first 4% f yur regular payrll deferrals (n match is prvided n catch-up cntributins). During the first quarter f each year, the Cmpany will als cntribute an additinal 4% f yur prir year s plan pay (up t IRS limit) fr thse that were emplyed n December 31 st f the prir year. The Cmpany cntributin, as well as any Cmpany matching cntributins, are vested after 3 years f service. Current administratin is thrugh Fidelity Investments. A list f current investment fferings is available n the cmpany Intranet r by cntacting Crprate Benefits Vluntary Benefits and Additinal Prgrams Additinal vluntary benefits available t yu at minimal cst wuld include the fllwing: Federal Credit Unin (n cst) Hyatt Legal Plans - ffered during Open Enrllment nly thrugh payrll deductin. Pet Insurance Liberty Mutual - payrll deductin fr hme & aut AFLAC Cancer / Accident Cverage insurance cverage. MetLife - payrll deductin fr hme & aut insurance cverage. On The Huse - Hunt Real Estate (ffers everything yu need fr the purchase, sale and wnership f yur hme) On site fitness facility at main lcatins A cmprehensive summary f any f the abve prgrams is available upn request. The abve summaries are intended fr infrmatinal purpses nly. It is nt intended t be an ffer f emplyment. Emplyee level csts f benefits n this statement are estimated and subject t change. Benefits are subject t change at the discretin f the emplyer Our cmpany is cmmitted t supprting diversity, bth within ur wn rganizatin and in the cmmunities we serve. Further, the Cmpany encurages emplyee invlvement with the cmmunities we supprt thrugh the United Way and their ther related charities.
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