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The content of this Power Point is designed only for communication purposes and is not to be considered a contract, nor does it guarantee or imply coverage. Consult your plan booklet or Administrator for detailed coverage or pre-existing limitations.
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The content of this Power Point is designed only for communication purposes and is not to be considered a contract, nor does it guarantee or imply coverage. Consult your plan booklet or Administrator for detailed coverage or pre-existing limitations.
Frenship Independent School District 2014 Benefit Open Enrollment Plan Overview
Section 125 Cafeteria Plan There are special rules and requirements to receive the pre-tax benefit election plan privileges: • Frenship ISD must set a plan year. The district’s plan year is January 1 to December 31 of each year. • Although coverage is voluntary, every employee is required to review their current elections, make changes if desired and *sign a Section 125 Benefit Election Form. • Any pre-tax elections will remain in effect unless you have a qualified change in family status. Changes must be made within 31 days of the event. • Any pre-tax elections will remain in effect and cannot be revoked or changed during the plan year unless you have one of the following: Marriage, Divorce, Birth/Adoption, Death, Change in Dependent Eligibility, etc.
Direct Reimbursement Dental Plan * Plan allows you to visit the dentist of your choice! • You are covered at 100% of the 1st $100 • You are covered at 80% of the next $250 • You are covered at 50% of the next $1,400 • Annual maximum benefit per covered person is $1,000 • Orthodontia is covered for participants and has a lifetime benefit of $1,000. Benefits are paid just like they are on dental. • Exclusions: cosmetic dentistry, implants, TMJ • Use of the NBS Flex Card is prohibited with dental claims; you must file a paper claim.
2014 Dental Plan Rates Employee Only $26.00 Employee & Spouse $52.00 Employee & Children $55.00 Employee & Family $81.00
Vision Insurance · Superior Vision * Plan allows in-network and out-of-network benefits. • Eye Exam Co-Pay $10 • Eyewear Co-Pay $20 • Contact Lens Fitting Co-pay $25 • Frame allowance $125 Retail (in-network) • Lenses allowance Paid In Full (in-network) • Contact Lenses allowance up to $150 (in-network) • Vision examination allowed once every 12 months • Frames allowed once every 12 months • Lenses allowed once every 12 months • Contact Lenses allowed once every 12 months • Contact Lenses fitting fee once every 12 months
NEW 2014 Vision Plan Rates Employee Only $7.28 Employee & Spouse $13.80 Employee & Children $13.98 Employee & Family $21.46
Group Cancer Insurance · Loyal American * Coverage is Guarantee Issue, no health questions asked! • Very Competitive Rates • Two options are available on the cancer plan: High Option and Low Option • Annual Cancer Screening Benefit: $50 per calendar year • First Occurrence Benefit: High Option $2,000, Low Option $500 • Daily Radiation/Chemotherapy Benefit: High Option $400, Low Option $200 • Daily Hospital Confinement Benefit: High Option $200/Day, Low Option $100/Day • Optional ICU Benefit: $1,000/Day for the 1st 30 days of ICU Confinement • Optional Specified Disease Benefit: Available with ICU Benefit • Transportation and Lodging: $0.50 per mile and up to $75/Day for Lodging
2014 Cancer Rates · Low Plan Low Option: Employee Only $11.56 Single Parent Family $13.03 Family $18.36 Low Option w/ICU & Specified Disease Riders: Employee Only $16.70 Single Parent Family $21.85 Family $29.65
2014 Cancer Rates · High Plan High Option: Employee Only $19.92 Single Parent Family $22.56 Family $31.97 High Option w/ICU & Specified Disease Riders: Employee Only $25.06 Single Parent Family $31.38 Family $43.26
Long-Term Disability Insurance · Aetna * Coverage is Guarantee Issue, no health questions asked! • Coverage is guaranteed up to $7,500 of monthly benefit based on your annual income • New coverage and increased benefits amounts are subject to a 12 month pre-existing condition exclusion • Benefits can last while you are under a doctor’s care to age 65 due to illness or injury • You may choose waiting periods in days of: 0/7, 14/14, 30/30, 60/60, 90/90 and 180/180, based on your individual needs. • Disability benefits are received tax free
Accident Insurance · American Public Life * Benefits are paid directly to you! • Pays regardless of any other medical coverage • Benefits are paid directly to you • Protects you 24 hours a day on or off the job • Issue ages for employee and spouse are 18-64 • Policy is guaranteed renewable up to age 70 • Benefits are available from 1 to 4 units • There is no limit on the number of accidents covered
2014 Accident Rates · 1-2 Units 1 Unit: Employee Only $10.80 Employee & Spouse $19.40 Employee & Children $21.20 Employee & Family $29.80 2 Units: Employee Only $17.10 Employee & Spouse $29.80 Employee & Children $34.90 Employee & Family $47.60
2014 Accident Rates · 3-4 Units 3 Units: Employee Only $21.50 Employee & Spouse $38.90 Employee & Children $45.20 Employee & Family $62.60 4 Units: Employee Only $24.50 Employee & Spouse $44.90 Employee & Children $52.00 Employee & Family $72.40
Employer Paid Base Life Insurance Frenship ISD provides a $20,000 Basic Life and AD&D policy at “No Cost to the Employee”. Employees working 30 hours or more per week are eligible.
Group Life Insurance · Aetna Employees may elect additional coverage in $10,000 increments up to $500,000 not to exceed 5 times annual salary. Employees may elect up to 50% of the employee’s amount on their spouse. Children may be insured for $10,000 for $1.00 with one rate for all children. Any increases in coverage does require an evidence of insurability to be completed. Employees can elect AD&D coverage on a stand alone basis. AD&D is available for both employee or for the employee and family.
Universal Life Insurance with Long Term Care - Trustmark • Flexible permanent coverage with portable death protection and long term care rider. • Frenship ISD is still offering this benefit. If you have questions please consult with an enroller.
Medical Gap Insurance · American Public Life • Designed to cover your out-of-pocket expenses such as co- payments, deductibles and co-insurance • In-Hospital Benefit: pays up to the maximum amount chosen for Covered Charges incurred when a Covered Person is confined in a Hospital for 18 hours. $1,500 or $2,500 in-patient benefit available • Outpatient Benefits: pays a $200 benefit for Covered Charges incurred for treatment in a Hospital Emergency Room, outpatient facility or a free-standing outpatient surgery center *Same condition must be separated by 90 days • Physician Benefit: pays for a physician visit up to $25 per visit, for up to five visits per family, per calendar year for treatment received outside of a Hospital as an outpatient. Also includes treatment at your Physician’s Office, Emergency Room or Clinic
2014 Medical Gap Rates · $1,500 Ages Under 55: Employee Only $21.50 Employee & Spouse $39.50 Employee & Children $36.50 Employee & Family $54.50 Ages 55-59: Employee Only $32.00 Employee & Spouse $59.00 Employee & Children $47.00 Employee & Family $74.00 Ages 60+: Employee Only $49.00 Employee & Spouse $88.00 Employee & Children $64.00 Employee & Family $103.00
2014 Medical Gap Rates · $2,500 Ages Under 55: Employee Only $28.00 Employee & Spouse $51.50 Employee & Children $45.50 Employee & Family $69.00 Ages 55-59: Employee Only $44.50 Employee & Spouse $81.50 Employee & Children $62.00 Employee & Family $99.00 Ages 60+: Employee Only $68.50 Employee & Spouse $122.50 Employee & Children $86.00 Employee & Family $140.00
Flex Plan Admin · National Benefit Services • Plan Year: January 1, 2014 to December 31, 2014 • Plan Maximum: $2,500 Annually • Services must be incurred in plan year • Flex funds are fronted to you at beginning of plan year on a Visa Benny Card. • 2 ½ month grace period to incur claims following plan year • 90 day grace period to file claims following plan year • Can be used for all IRS Classified Dependents • “Use it or lose it”
Medical Reimbursement Account · NBS • Tax Free Account for Out-of-Pocket Medical Expenses on a Pre-Loaded Visa Card Examples are: · Doctor Office Co-Payments · Prescription Co-Payments · Dental Expenses · Vision – Glasses, Contacts, etc. · Over the Counter Medications with Doctor’s Prescription ONLY
Dependent Care Reimbursement Account · NBS • Tax Free Account for eligible Dependent/Child Care Expenses • Tax Free Deduction via payroll vs. deduction on income tax • Annual Maximum: $5,000 for married couple filing jointly or $2,500 if filing single
H S A Account Information H S A Eligible Participants: Employees that contribute to an H S A account are restricted to a limited-purpose Health F S A, for reimbursement for dental and vision care expenses only.
Thank you for your attendance. FBS Customer Service (800) 583-6908 Director of Sales Coby James Account ManagerLarry Bowen Account ExecutiveDebbie Walter Client Service RepresentativeKim Graham