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Children’s Hope International. ADP Total Source Benefit Package. What’s In It For Me?. Enhanced benefits package including: Multiple Medical & Dental Plans Vision coverage Life and Long Term Disability World Class 401(k) plan Employee Service Center Employee Assistance Program
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Children’s Hope International ADP Total Source Benefit Package
What’s In It For Me? • Enhanced benefits package including: • Multiple Medical & Dental Plans • Vision coverage • Life and Long Term Disability • World Class 401(k) plan • Employee Service Center • Employee Assistance Program • Direct Deposit • Online Access to Personal Information/Changes • Optional Supplemental Insurance • Flexible Spending Accounts (2) • Discounts on Childcare, Movie Tickets, Theme Parks & and many more to come!
Employee Service Center • Payroll Issues (direct deposit, check reprints, garnishments explanation of deductions & verification of employment.) • Benefit Election Explanation • Assistance with Benefit Claims • COBRA issues • W-2 Issues • Status Change • 401(k) Questions Call 800-554-1802 Mon- Fri 8:00 am to 8:00 pm EST
Employee Assistance Program • All employees and the dependents are eligible for the services of the Employee Assistance Program • EAP is a confidential service designed to help employees with a variety of personal problems: stress, alcohol, drug abuse, marriage and family problems • EAP offers 3 one-on-one counselor appointments at NO CHARGE • EAP 24/7 help line: 800-756-5792
Employee Perks • Current Discounts: • AMC Movie Tickets- $5.50 each • Bally Total Fitness • A T&T Wireless • La Petite Academy and Childtime Childcare • Gateway Computers • Sam’s Club www.workingadvantage.com
Benefit Summary Plan Description • This booklet summarizes the available benefit plan options. • It will also include pertinent information about enrollment processes, Flexible Spending Accounts, COBRA, etc. • Focus on HMO/PPO Hybrid: • Wider range of providers • In and Out of Network Options • Levels of coverage are higher, while your out of pocket expenses are lower.
When Can I Change My Health Plan? • During open enrollment, Spring months enrollment, for an effective date of June 1st. • Qualifying events under Section 125 of the IRS Codes: • Change in Status such as: • Marital- marriage, divorce, separation, etc. • Dependents- birth, adoption, etc.
United Healthcare Medical Options • Choice Plus – NL-I (90/10 plan) • Deductible In Network $500 ind/ $1000 family • Deductible Out of Network $1500 ind / $3000 family • Out of Pocket Max In-Network $2500 ind/$5000 family • Physician office visit $15 • Specialist office visit $15 no referral needed • Prescriptions: Co pays • Generic $10 • Preferred Brand $30 • Non-Preferred Brand $50 • Mail Order Option available ($25/$75/$125) • Hospital In-Patient subject to deductible, then 90% • Emergency Room $100 co-pay (waived if admitted)
United Healthcare continued • Choice Plus – NL-M (80/20 plan) (CHI covers this plan) • Deductible In Network $1000 ind/ $2000 family • Deductible Out of Network $2000 ind / $4000 family • Out of Pocket Max In-Network $2000 ind/$4000 family • Physician office visit $25 • Specialist office visit $25 no referral needed • Prescriptions: Co pays • Generic $10 • Preferred Brand $30 • Non-Preferred Brand $50 • Mail Order Option available ($25/$75/$125) • Hospital In-Patient subject to deductible, then 80% • Emergency Room $100 co-pay (waived if admitted)
What are Pre-Existing Conditions? • Only applicable with PPO • Pre-existing conditions will be covered if you have had continuous coverage with no longer than a 63 day break • May need to provide Carrier with HIPAA certificate to show previous coverage
myuch.com • UCH helps their members make good health care choices • Award winning website that puts in-depth information at your fingertips • Find extensive information on thousands of health topics • Research subjects of interest • Participate in interactive health forums with leading medical experts across the country • Browse through an online directory of the physicians and hospitals network
365wellstreet.com • Access Pharmacy info and services 24/7 • View personal benefits and prescription history • Search preferred drug list • Order prescriptions and over the counter drugs through the mail • Find safe, relevant information on prescription drugs • Locate neighborhood pharmacies by zip code • Shop for health and beauty products • Set up e-mail reminders for prescription refills
Aetna Dental • www.aetna.com • Plan 1: DMO/Managed Care Plan • No deductible or calendar year maximum • $5 co pay for office visits • Coinsurance: • Preventative services 100% • Basic Services 100$ • Major services 60% • Must obtain a PCP# from Dentist ** must obtain a referral from your primary care dentist to visit a specialist
Aetna Dental continued • Plan 2: PPO Plan In network and Out network Deductible $50/$150 Calendar year max. $1500 Coinsurance: Preventative 100% Basic 100% Major 50% Orthodontic 50% **Deductible apply to Basic and Major services
Vision Care • www.visioncare.com Benefits In-Network Note: Members must call Vision Care to obtain benefits form before seeing a provider, as there are no cards issued to members • Vision Examination: • 1 every 12 months • $10 co pay • Lenses and Frames • 1 every 12 months for lenses • 1 every 24 months for frames • $15 co pay • Contact Lenses 1 every 12 months • Allowance of $120 in lieu of eyeglasses
Vision Care • Benefits Out-Network • Vision exam: up to $35 • Frames: up to $60 • Lenses: from up to $25 to $100 (depending on what kind) • Contact lenses $120 (Elective- Exam & Lenses)/ (Necessary $210) • Available nationwide
Life and AD&D Life Plan Types: • Basic $10,000 plan • Offered to all eligible employees at No charge
Long Term Disability (LTD) LTD Plan Types: • 50% up to $1000/month • Offered to all eligible employee at No Charge • Waiting period: 180 days
FSA- Medical Reimbursement Account • Allows you to pay for certain medically necessary expenses with pre-tax dollars • Contribute up to $3500 per plan year ($50.00 minimum) • You may us the $$ even if not yet in the account • Examples: co-pays, eye glasses/contacts, orthodontia, X rays, etc. • Over the counter medications • Direct Deposit Reimbursements
FSA-Dependant Care Account • Allows you to pay for dependent care with pre-tax dollars • Contribute up to $5000.00 per plan year per household ($50 minimum)
Worksite Solutions/Marsh • Provides you with voluntary benefits programs that can be added to your current benefits package. You may purchase life, health and other personal insurance provided at special rates. • What is available to you: • Universal Life Insurance • Level Term Life Insurance of up to $250,000 • Disability Income of up to 60% current gross wages • Health Coverage for Cancer and Critical Illness • Accident Products • Legal Services • Veterinary Pet Insurance • Long Term Care Insurance