& Value Employee Benefit Program. Go Mobile! Scan with Your Smartphone to Access Enrollment Materials Online

Size: px

Start display at page:

Download "& Value Employee Benefit Program. Go Mobile! Scan with Your Smartphone to Access Enrollment Materials Online"

Domenic Payne
5 years ago
Views:

1 2018 Total Rewards & Value Employee Benefit Program Go Mobile! Scan with Your Smartphone to Access Enrollment Materials Online

2 Eligibility If you are an employee who is regularly scheduled to work at least 40 hours per pay period you are eligible for benefits. Flex employees who average 30 or more hours per week, over the defined measurement period of 12 months, are eligible for medical coverage. Other than Open Enrollment, a qualifying event, such as marriage, birth, divorce, part-time to full-time, etc. is the only other opportunity to change your benefits. You have 31 days from the event to make your change in PlanSource or you will have to wait until Open Enrollment. Medical Benefits Our self-funded medical coverage helps you maintain your well-being through preventive care and access to an extensive network of providers, as well as affordable prescription medication. Medical coverage is provided by Altru and You with Medica. To see a current list of network providers online, visit TRADITIONAL PLAN SEMIMONTHLY CONTRIBUTIONS HDHP PLAN FULL-TIME PART-TIME FULL-TIME PART-TIME Employee Only $43.37 $94.86 $48.37 $99.86 Employee Plus Child(ren) Employee Plus Spouse/ Domestic Partner $ $ $ $ $182.10* $267.48* $194.60* $279.98* Family $225.47* $355.57* $240.47* $370.57* CALENDAR YEAR DEDUCTIBLE IN- OUT-OF- IN- OUT-OF- Individual $600 $3,000 $1,500 $3,000 Family $1,200 $6,000 $3,000 $6,000 Coinsurance 20% 40% 20% 40% (Plan Pays) CALENDAR YEAR OUT-OF-POCKET MAXIMUM (INCLUDES DEDUCTIBLE) Individual $2,250 $6,000 $2,500 $5,000 Family $4,500 $12,000 $5,000 $10,000 Lifetime Maximum Unlimited Unlimited COPAYS/COINSURANCE Preventive Care 100% 40%** 100% 40%** Office Visit $30 copay 40%** 20%** 40%** Specialist Visit $60 copay 40%** 20%** 40%** Urgent Care $100 copay, then 20% coinsurance 20%** Emergency Room $200 copay, then 20% coinsurance 20%** Inpatient/ Outpatient Services 20%** 40%** 20%** 40%** *Working spousal surcharge of $50 per pay period may apply **After deductible $25 surcharge applies per pay period for employees who are tobacco users. Special Features Members of Altru & You with Medica have access to a Health Club Credit, My Health Member Rewards, incentive programs for wellness, special discounts on Altru s Weight Management Program and Health Coaching at the Sanny & Jerry Ryan Center for Prevention & Genetics.

3 RETAIL RX (34-DAY SUPPLY) Generic Formulary Brand Formulary Non- Formulary TRADITIONAL PLAN ALTRU $15 copay $45 copay $75 copay MEDICA 30%* $15 minimum 30%* $45 minimum 30%* $75 minimum OUT-OF- ALTRU HDHP PLAN MEDICA OUT-OF- 40%* 20%* 30%* 40%* 40%* 20%* 30%* 40%* 50%* 20%* 30%* 50%* Specialty** $200 copay N/A N/A N/A N/A N/A *After Deductible **Specialty Medications are only covered through an approved Altru Pharmacy Dental Benefits Our self-funded dental coverage will provide you and your family affordable options for oral health. Coverage is available from Delta Dental of Minnesota. SEMIMONTHLY CONTRIBUTIONS DELTA DENTAL OF MINNESOTA FULL-TIME PART-TIME Employee Only $9.66 $11.60 Employee + Family $25.03 $27.20 CALENDAR YEAR DEDUCTIBLE PREMIER/PPO NON- Individual $50 $50 Family $100 $100 CALENDAR YEAR MAXIMUM Per Person $1,000 $1,000 COVERED SERVICES Orthodontic Lifetime Maximum $1,500 Vision Benefits New in 2018, employees have access to a materials only vision plan offered through EyeMed. This voluntary plan allows employees and their dependents additional benefits for eyeglasses and contacts. The exam would still be covered under the medical plan. SEMIMONTHLY CONTRIBUTIONS FULL-TIME EYEMED PART-TIME Employee Only $3.30 $3.30 Employee + Child(ren) $6.60 $6.60 Employee + Spouse $6.27 $6.27 Family $9.70 $9.70 IN- OUT-OF- Frames $150 allowance; 20% off balance Up to $105 Standard Plastic Lenses (Single/Bifocal/Trifocal/Lenticular) $10 copay Allowance Amount Frequency (Lenses or Contacts/Frames) 12/12/12 months Network Access CONTACT LENSES Conventional $150 allowance; 15% off balance Up to $150 Disposable $150 allowance Up to $150 Medically Necessary $0 copay; paid in full Up to $210 *Member Reimbursement Out-of-Network will be the lesser of the listed amount or the member s actual cost from the out-of-network provider.

4 Life and AD&D Benefits Basic Employee Life and Accidental Death and Dismemberment (AD&D) Insurance Basic Life and AD&D benefits are provided, at no cost to you, as a part of your basic coverage. Altru Health System provides employees with Basic Life and AD&D insurance through Lincoln Financial Group, which guarantees that loved ones, such as a spouse/domestic partner or other designated survivor(s), continue to receive part of an employee s benefits after a death. Your Life insurance benefit is 1x your annual salary up to a maximum. If you are a benefit eligible employee, you automatically receive Basic Life and AD&D insurance even if you elect to waive other coverage. If your annual salary is greater than $50,000, you will pay a tax on the amount over $50,000. A $50,000 cap option is available, but is irrevocable if you elect it and you cannot enroll in Optional Life for yourself or your family, including any future dependents. Optional Life Insurance Eligible employees may purchase Optional Life insurance for themselves and their families. Premiums are paid through post-tax payroll deductions. You may purchase Optional Life insurance for yourself up to 5x annual salary, not to exceed $1 million (Basic and Optional Life combined). Evidence of Insurability (EOI) may be required. You may purchase additional Life insurance for your Spouse in $5,000 increments up to $25,000 or the option of $5,000 or $10,000 for each eligible child. EOI is required. AGE OPTIONAL LIFE INSURANCE EMPLOYEE (PER $1,000 MONTHLY) AGE SPOUSE (PER $5,000 MONTHLY) Younger than 30 $0.029 Younger than 30 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ * $ * $5.21 * Benefits Subject To Age Reduction Schedule OPTIONAL CHILD LIFE INSURANCE PREMIUM RATES $ (MONTHLY) $5,000 for each eligible child $0.77 $10,000 for each eligible child $1.54 Income Protection (Safety Net Benefit) Short Term Disability (STD) insurance protects a portion of your income if you become partially or totally disabled for a short period of time. Benefits are paid 100% by Altru Health System and provides protection against short-term illness, injury or maternity leaves. Once you are out of work for 7 days as the result of an illness, injury or maternity leave you could be eligible for this benefit. This insurance replaces 60% of your income up to a weekly maximum. This benefit will continue for 180 days if you continue to be unable to perform the material and substantial duties of your own occupation. Long Term Disability (LTD) insurance protects a portion of your income if you become partially or totally disabled for an extended period of time. This insurance replaces 60% of your income, up to a maximum of $15,000 per month, depending on your current annual earnings. You must be sick or disabled for at least 180 days before you can receive a benefit payment. Payments will last for as long as you are disabled or until you reach your Social Security Normal Retirement Age, whichever is sooner. Certain exclusions, along with any pre-existing condition limitations, may apply. Please refer to your Summary Plan Description for details or contact Human Resources for specific benefits.

Retirement Planning 401(k) Altru offers a competitive, valuable 401(k) retirement savings plan. You are eligible for the plan if you are age 21 and in a full- or part-time position.

5 Retirement Planning 401(k) Altru offers a competitive, valuable 401(k) retirement savings plan. You are eligible for the plan if you are age 21 and in a full- or part-time position. For employees working in an Under 20, Flex Time, Temporary or Seasonal position, you must be age 21 and work at least 1,000 hours during a year of service to become eligible for the plan. The 401(k) plan allows you to make pre-tax or Roth (after-tax) contributions. There is a match of 50% on the first 6% of your compensation that you contribute to the plan on a per pay basis. In addition to the match, Altru will contribute 3% of your compensation, on a per pay basis. You are vested* in the 401(k) once eligible and contributions are made. *Vested means all employee and employer contributions belong to you immediately. Paid Time Off (PTO) The purpose of PTO is to provide eligible employees with flexible, paid time off from work that can be used for needs such as vacation, personal or family illness, holidays, doctor appointments, school, volunteering and other activities of the employee s choice. PAID TIME OFF YEARS OF SERVICE EQUIVALENT ANNAL ACCRUAL days = 192 hours days = 224 hours days = 256 hours Each eligible employee will accrue PTO based on their length of service. PTO is added to a PTO bank when the paycheck is issued. Employees are able to use PTO hours as accrued. Used PTO will be subtracted from the employee s accrued time bank. PTO is accrued on worked time at the following levels for an employee working 40 hours per week: Paid Parental Leave We offer three parental leave benefits that protect your income at 100% while you are able to care for and bond with a newborn or newly adopted child. Paid Maternity Benefit: Eligible employees will receive eight weeks of paid maternity leave to help the birth mother recover and bond with their newborn. Paid Adoption Benefit: Eligible employees who are the primary caregiver will receive four weeks of paid adoption leave to bond with their newly adopted child. Eligible employees who are the secondary caregiver will receive two weeks of paid adoption leave. Paid Paternity Benefit: Eligible employees who are the father or secondary caregiver will receive two weeks of paid paternity leave to bond with their newborns. Important Contacts COVERAGE CONTACT COVERAGE CONTACT Medical Altru & You with Medica Medica Health System Retirement 401(k), Alerus Financial Dental Delta Dental of Minnesota Group #: Altru Health System Human Resources HRhelpdesk@altru.org Vision EyeMed Vision Care Managed Care (Last Name A - K) (Last Name L - Z) Health Savings Account Alerus Financial Lockton Mobile App Username: Altrubenefits Password: altru Flexible Spending Accounts Life and AD&D & Disability Discovery Benefits Lincoln Financial Group Employee Assistance Program Vital WorkLife Username: altru Password: member

6 Health Savings Account Take charge of your health care spending with a Health Savings Account (HSA). Contributions to an HSA are tax-free, and no matter what, the money in the account is yours. Use it to pay for eligible medical expenses when you are enrolled in a qualified High Deductible Health Plan (HDHP). Your HSA can be used for qualified expenses, including those of your spouse and/or dependent(s), even if they are not covered by your Plan. IRS Publication 502 provides a complete list of eligible expenses; Visit for details. For 2018, contributions (which include employer contributions) are limited to the following: Individual: $3,450 Family: $6,900 Catch-Up Contribution (ages 55+): $1,000 HSA Employer Contributions Altru Health System will provide an HSA employer contribution that will be deposited in a lump sum for those enrolled as of 1/1/2018. Newly eligible employee elections will be prorated and contributed on a per-pay-period basis. Individual: $500 Family: $1,000 (Includes all plans covering dependents) Flexible Spending Accounts Flexible Spending Accounts (FSAs) allow you to set aside pre-tax payroll deductions to pay for out-of-pocket health care expenses such as deductibles, copays and coinsurance, as well as dependent care expenses. This is administered by Discovery Benefits. Health Care Flexible Spending Account You can contribute up to $2,650 for qualified medical expenses with pre-tax dollars, which will reduce the amount of your taxable income and increase your take-home pay. The medical FSA does allow a rollover of unused funds, up to $500, into the following Plan Year. If you are enrolled in the Health Savings Account (HSA), you are not eligible to contribute to the Health Care Flexible Spending Account. Limited Use Flexible Spending Account If you enroll in the new HDHP plan with Altru & You with Medica plan and you have elected the Health Savings Account (HSA), you can elect to participate in the Limited Use Flexible Spending Account (LUFSA). This allows you to contribute up to $2,650 for qualified dental and vision expenses. Medical expenses would not be eligible under this plan. The LUFSA does allow a rollover of unused funds, up to $500, into the following Plan Year. Dependent Care Flexible Spending Account In addition to the Health Care FSA, you may opt to participate in the Dependent Care FSA as well whether or not you elect any other benefits. The Dependent Care FSA allows you to set aside pre-tax funds to help pay for expenses associated with caring for elder or child dependents. With the Dependent Care FSA, you are allowed to set aside up to $5,000 per household. This brochure is intended to describe the eligibility requirements, enrollment procedures and coverage effective dates for the benefits offered by the Company. It is not a legal Plan document and does not imply a guarantee of employment or a continuation of benefits. While this brochure is a tool to answer most of your questions, full details of the Plans are contained in the Summary Plan Descriptions (SPDs) which govern each Plan s operation. Whenever an interpretation of a Plan benefit is necessary, the actual Plan documents will be used.

& Value. Go Mobile! Text ALTRUBEN to to watch the video! Don't have a smart phone? Program

& Value. Go Mobile! Text ALTRUBEN to to watch the video! Don't have a smart phone? Program 2017 Total Rewards & Value Employee Benefit Program Go Mobile! Text ALTRUBEN to 88202 to watch the video! Don't have a smart phone? Go to: https://altruhealthsystem.a.guidespark.com/videos/38901 Eligibility