PARTNERS BENEFITS AT A GLANCE 11/1/2015 – 10/31/2016

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Presentation transcript:

PARTNERS BENEFITS AT A GLANCE 11/1/2015 – 10/31/2016 Our Commitment To You: Plans designed for your needs Our benefit plans are designed to recognize the diverse needs of our workforce. Our goal is to offer you competitive benefit options that allow you to design your own plan based on your individual needs. We encourage you to review all of your options before making your benefit elections. Please visit https://www.fisherbroyles.com/welcome-aboard/ to access your employment forms, carrier enrollment forms and vital plan documents . BENEFIT BASICS Once you elect your Fisher Broyles benefit options, your elections remain in effect for the plan year 11-1-2015 through 10-31-2016. You may only change coverage due to a qualifying life event and must do so within 30 days of the event. QUALIFYING LIFE EVENT Change in status, which includes: marriage, birth/adoption of a child, employment changes, changes in residence, dependent satisfies or ceases to satisfy eligibility requirements Dependent’s Open Enrollment through their employer Significant cost or coverage changes HIPAA special enrollment rights FMLA special requirements Changes due to a judgment, decree or court order Entitlement to Medicare or Medicaid ELIGIBILITY Fisher Broyles employees are eligible for benefits the first day of active employment. Following the date of hire. Eligible dependents are defined as spouses, domestic partners, and/or dependent children up to age 26. Employee coverage must be elected in order for dependent coverage to be valid. About this guide This document is a summary of the benefits provided under a group insurance plan. The summary is an outline only and is not a contract. This plan contains certain exclusions and limitations as well as terms under which coverage may be continued or discontinued. Please refer to the certificate of insurance for a complete description of actual plan benefits and terms of coverage.

MEDICAL PLAN OPTIONS

100% EMPLOYER PAID Employee Benefit: $15,000 DENTAL & VISION PLANS Dental Principal PPO DENTAL BENEFITS Preventive Services PAID AT 100%, NO DEDUCTIBLE Routine Cleanings | Sealants | X-Rays Basic Services PAID AT 80% Composite Fillings| Endodontics| Periodontics Major Services PAID AT 50% Crowns | Dentures| Inlays | Onlays | Bridges Orthodontic Services (Children under age 19) N/A Calendar Year Maximum $1,500 Annual Deductible Individual / Family $50 / $150 Monthly Employee Contributions Employee Only $46.58 Employee + Spouse $89.00 Employee + Child(ren) $96.00 Family $144.00 100% EMPLOYER PAID Employee Benefit: $15,000 Vision Principal In Network Shown – See summary for complete Out of Network Reimbursement Schedule Eye Exam / Materials (every 12 months) Plan pays 100% after $10 copay Lenses (every 12 months) Plan pays 100% after $25 copay Frames (every 24 months) Plan pays $130 retail allowance, then 20% off remaining balance Contact Lenses (every 12 months in lieu of lenses/frames) - Medically Necessary $150 allowance, then 20% off remaining balance Plan pays up to $60 for fitting $25 Copay Monthly Employee Contributions Employee Only $9.51 Employee + Spouse $18.00 Employee + Child(ren) $19.00 Family $30.00

LONG TERM DISABILITY & EAP Long Term Disability Principal Eligible Members All active, full time employees (except seasonal, temporary, or contract workers) who work at least 30 hours per week Primary Monthly Benefit 60% or your predisability earnings up to $10,000 Benefit Amount/Definition of Earnings Primary monthly benefit less other income sources/ Base Wage Orthodontic Services (Children under age 19) N/A Calendar Year Maximum $1,500 Annual Deductible Individual / Family $50 / $150 Monthly Employee Contributions are based on the Employee’s Age 100% EMPLOYER PAID Employee Benefit: $15,000 Employee Assistance Program - Magellan Healthcare www.magellanHealth.com/member 1-800-450-1327 Benefits / Enrollment / Claims Questions Questions about Claims or Utilizing your Health Benefits? Contact Kerri Ortiz at The Benefit Company 678-904-9352 or Sloane Murray at 678-904-9314 or email claimshelp@benefitcompany.com In some cases, a HIPAA Authorization form may be requested to allow us to serve as your advocate