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Confidential Employee Benefits Open Enrollment Effective: January 1, 2012
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Confidential 2 Filice Insurance: Broker Overview - EBI Partnership Dedicated Account Management Team Melanie Beranek: Client Services Manager Charlie Weckel: Broker Dawn Alvarez: Compliance/Wellness Director Patrick Arnold: CEO - Lafayette, CA Division New Enrollments/Benefits Orientation Assistance with Claims, Eligibility, Carrier Issues… Customized Benefits Website: www.filice.com/benefits/EBI
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Confidential 3 EBI Employee Benefits 2012: Insurance Carrier Selection: –Kaiser Permanente and MetLife Employee Premium Contributions: –Full-Time Eligible Employees: $40 per Month –Part-Time Eligible Employees: $75 per Month Plan Availability - Effective January 1, 2012: –Medical: Kaiser – Deductible HMO (Base Plan) & HMO 15 –Dental: Met Life PPO –Vision: Discount Program (MetLife dental participants only) –Flexible Spending Accounts (FSA): Optum Health Financial –401K: John Hancock
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Confidential 4 Kaiser 2012 Plan Options:
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Confidential 5 Medical Plan Alternative: Alameda Alliance for Health (Public Authority) –Medical, Dental and Vision Benefits for In Home Supportive Services (IHSS) workers in Alameda County –Eligibility: 160 hours of paid employment (issued checks) for two consecutive months. –Benefits: Alameda Alliance Group Care HMO based medical services administered by contracted medical providers with Alameda County (Medical groups and Hospitals). Two Dental Options: HMO and PPO plan designs Vision: Exam and Eyewear coverage. –Monthly Premiums: $20: Medical and Dental (HMO) $45: Medical and Dental (PPO) –Enrollment Process: Contact #: 510-777-4201 (Additional Info/Enrollment Packet Request)
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Confidential 6 Dental: MetLife Dental PPO Deductible: In Network: $50/Individual - $150/Family (Waived for Preventive) Out of Network: $50/Individual - $150/Family (Waived for Preventive) Annual Maximum: $1,500 per Person Co-Insurance : In Network Out of Network (90 th % UCR) Preventive 100% 100% Basic 80% 80% Major 50% 50% Ortho 50% 50% Orthodontics Maximum: $2,000 Lifetime (Child Only)
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Confidential 7 Flexible Spending Accounts (FSA) Administered by Optum Health Financial Medical and Dependent Care Reimbursement Pre-tax payroll deductions to pay for un-reimbursed medical and dependent care expenses. Annual Maximums Medical Reimbursement Account - $2,500 Dependent Care Reimbursement Account - $5,000 (IRS limit) To enroll, complete the required election forms: Cannot change enrollment election during plan year Funds leftover at the end of the year will be lost. Plan carefully! For questions and eligible expenses: www.optumhealthfinancial.comwww.optumhealthfinancial.com
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