Transcript Children’s Hope International

Children’s Hope International
ADP Total Source
Benefit Package
What’s In It For Me?
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Enhanced benefits package including:
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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
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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
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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
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Current Discounts:
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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
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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:
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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?
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During open enrollment, Spring months
enrollment, for an effective date of June 1st.
Qualifying events under Section 125 of the
IRS Codes:
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Change in Status such as:
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Marital- marriage, divorce, separation, etc.
Dependents- birth, adoption, etc.
United Healthcare Medical Options
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Choice Plus – NL-I (90/10 plan)
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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
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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
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Choice Plus – NL-M (80/20 plan) (CHI covers this plan)
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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
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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?
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Only applicable with PPO
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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
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UCH helps their members make good health
care choices
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Award winning website that puts in-depth
information at your fingertips
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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
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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
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www.aetna.com
Plan 1: DMO/Managed Care Plan
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No deductible or calendar year maximum
$5 co pay for office visits
Coinsurance:
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Preventative services 100%
Basic Services 100$
Major services 60%
Must obtain a PCP# from Dentist
** must obtain a referral from your primary care dentist to visit
a specialist
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Aetna Dental continued
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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
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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
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Lenses and Frames
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1 every 12 months
$10 co pay
1 every 12 months for lenses
1 every 24 months for frames
$15 co pay
Contact Lenses 1 every 12 months
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Allowance of $120 in lieu of eyeglasses
Vision Care
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Benefits Out-Network
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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
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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
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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
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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:
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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