2015 benefits guide

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BENEFIT GUIDE

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  • 2015BENEFIT GUIDE

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    TABLE OF CONTENTS

    BENEFITS OVERVIEW

    HOW YOUR BENEFITS WORK

    MAKING CHANGES

    YOUR MEDICAL AND PRESCRIPTION PLAN

    YOUR DENTAL PLAN

    YOUR VISION PLAN

    YOUR LIFE AND ACCIDENT INSURANCE

    YOUR DISABILITY INSURANCE

    YOUR 401(k) RETIREMENT PLAN

    YOUR EMPLOYEE ASSISTANCE PROGRAM (EAP)

    BENEFIT CONTACT INFORMATION

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    BENEFITS OVERVIEW

    Our company provides you with a variety of benefits to help protect you and your familys health and financial well-being. Offering a strong, competitive benefits package plays a key role in attracting and retaining quality associates. Although costs are rising, we are continuing to adjust our options to manage these costs and provide our associates with superior coverage. Please take the time to educate yourself about your benefits. You have many resources available to you for learning more: this Benefits Guide, the Human Resources department, and the many provider online resources. The more you understand your benefits, the better you will be able to manage them in a manner that helps contain costs and allows you to meet your familys needs. YOUR BENEFIT CHOICES This guide is designed to provide you with an overview of the benefit programs available and is meant only as a guide. For specific questions concerning coverage and service, please refer to the specific plan document, the Summary Plan Description, or contact the appropriate benefit provider. The following benefits are offered and described in more detail in this booklet: Medical - BlueCross BlueShield of Texas Prescription Drugs - BlueCross BlueShield of Texas Dental - Cigna Vision - VSP Basic Life and AD&D Insurance - Cigna Optional Life and AD&D Insurance - Cigna Long-Term Disability - Cigna 401(k) Plan - Fidelity

    THE FINE PRINT

    This guide describes the benefit plans and policies available to you as an associate. The details of these plans and policies are contained in the official benefit plan documents and Summary Plan Descriptions. This guide is meant only to cover the major points of each plan or policy. If there is ever a question about one of these plans and policies, or if there is a conflict between the information in this guide and the formal language of the plan or policy documents, the plan or policy documents will govern. Please note that the benefits described in this guide may be changed at any time and do not represent a contractual obligation. You may obtain any of our benefit plan Summary Plan Descriptions and additional supplemental information free of charge from the Benefits Portal or by contacting Human Resources at 832-445-3864. This Benefits Enrollment Guide highlights recent plan design changes and is intended to fully comply with the requirements under the Employee Retirement Income Security Act (ERISA) as a Summary of Material Modifications and should be kept with your most recent Summary Plan Description.

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    HOW YOUR BENEFITS WORK

    ELIGIBILITY INFORMATION The following chart illustrates which benefits are available to you and when those benefits begin and end. For most benefits, you must enroll before your eligibility date or you cannot enroll until the next annual enrollment unless you have a qualified life event.

    ELIGIBLE DEPENDENTS FOR MEDICAL, RX, DENTAL, and VISION Your legal spouse Your children until they reach the age of 26. Adult independent children do not need to be enrolled in school, can be married and do not need to be claimed on your tax return. Your handicapped children age 26 or older Your children include any natural children, stepchildren, legally adopted children and any child for whom you have been appointed legal guardian as long as the child lives with you and depends primarily on you for support. Children for whom you are legally required to provide health coverage are eligible if they meet all other eligibility requirements.

    ELIGIBLE DEPENDENTS FOR VOLUNTARY LIFE and AD&D Your legal spouse Your unmarried children younger than 19 Your unmarried children from age 19 until they reach age 25 who are full-time students who depend solely on your for support

    BENEFIT WHO IS ELIGIBLE ELIGIBILITY DATE WHEN BENEFIT ENDS

    Medical Prescription Drugs Dental Vision Basic Life Insurance and AD&D

    Option Life Insurance and AD&D

    Flexible Spending Accounts (FSAs)

    Regular full-time employees First day of employment Last day of employment

    401(k) Plan Regular full-time employees One month following your date of employment Last day of employment

    Employee Assistance Program (EAP) All associates First day of employment Last day of employment

    Long-term Disability Regular full-time employees After 12 months Last day of employment

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    MAKING CHANGES

    CHANGES TO YOUR BENEFIT ELECTIONS Whenever you have a qualified life event, you can add or remove yourself or your family members from your applicable benefit plans. The change to your benefit elections must be consistent with the qualified life event. Qualified life events: Marriage, Divorce or annulment Birth or adoption Change in your spouses work status that affects his or her benefits Change in dependent status (example: dependent child reaches age limit or has a change in full-time student status)

    IMPORTANT NOTE: YOU MUST NOTIFY HUMAN RESOURCES WITHIN 31 DAYS OF THE QUALIFIED LIFE EVENT. IF YOU MISS THIS DEADLINE, YOU CAN ONLY CHANGE YOUR BENEFIT ELECTIONS DURING THE NEXT ANNUAL ENROLLMENT PERIOD. CONTINUING YOUR COVERAGE Under certain circumstances, you may continue your heath care coverage when it would otherwise end. This is called the Consolidated Omnibus Budget Reconciliation Act of 1985, (COBRA). COBRA applies to these plans: Medical Dental Vision Healthcare HSA

    COBRA CONTINUATION You and/or your eligible dependents are eligible to continue healthcare coverage under COBRA if coverage is lost because: You leave the company for any reason other than gross misconduct. Your work hours are reduced and you are no longer eligible for benefits. You die. You become entitled to and enroll in Medicare prior to losing coverage. You divorce. Your dependent loses eligible dependent status.

    COBRA CONTINUATION COBRA coverage will end before the end of the eligibility period if: You become covered under another group health plan after your coverage with this company ends .

    You become entitled to for Medicare after your COBRA election begins. You do not make timely premium payments. All company group benefit plans are discontinued.

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    YOUR MEDICAL AND PRESCRIPTION DRUG PLAN

    SERVICE IN-NETWORK OUT-OF-NETWORK

    Annual Deductible For one person For your family $1,250 / $2,500 $2,500 / $5,000 Out-of-Pocket Maximum For one person For your family $3,000 / $4,200 $4,200 / $8,400 Doctors office visit PCP or Walk-in Retail Clinic Specialist or Urgent Care Clinic 30% coinsurance after de-ductible 40% coinsurance after de-ductible X-rays, lab work MRI, MRA, CAT, PET

    30% coinsurance after de-ductible

    40% coinsurance after de-ductible

    Preventive Care 1 visit per calendar year 100% Covered

    20% coinsurance after de-ductible

    Hospital Inpatient Outpatient 30% coinsurance after de-ductible 40% coinsurance after de-ductible Emergency Treatment Emergency room Ambulance service Mental Health/Alcohol/Substance Abuse Treatment Inpatient Outpatient 30% coinsurance after de-

    ductible 40% coinsurance after de-

    ductible

    Physical Therapy 30% coinsurance after de-ductible 40% coinsurance after de-

    ductible

    PRESCRIPTION DRUG PLAN IN-NETWORK

    Retail (30-day supply) 30% after deductible

    Mail Order (90-day supply) Generic Preferred Non-preferred

    $0 copay after deductible $40 copay after deductible $100 copay after deductible

    Not covered

    30% coinsurance after deductible

    OUT-OF-NETWORK

    BLUECROSS BLUESHIELD of TEXAS HSA/HDHP MEDICAL PLAN With the increasing cost of medical care, health insurance can help protect both your physical health and your financial health. Keeping health care costs down for both you and Orion means making wise choices and using network benefits at lower costs whenever possible.

    For assistance in locating network providers or specialists: Logon to

    *The amounts above represent the members share

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    YOUR HEALTH SAVINGS ACCOUNT (HSA)

    HOW THE ACCOUNT WORKS A Health Savings Account (HSA) is an account which you own that allows you to save money on a pre-tax basis in anticipation of paying for qualified medical expenses for yourself and your dependents. A HSA works in conjunction with a High Deductible Health Plan (HDHP), and you must be enrolled in the HDHP in order to contribute to the HSA. Because HSAs offer special tax advantages, the IRS puts limits on the annual maximum amount that can be contributed to the account: FOR 2015:

    Orions annual contribution:

    HELP MANAGING YOUR HSA If you need help with your HSA, there are several options available to you. Assistance is available by calling the number on the back of your debit card. You can learn about: Medical and pharmacy benefits and claims HSA transaction activity and balance Access cost and quality tools Lost debit cards or debit card transaction questions

    For questions or more information: English: 1-800-357-6246 Spanish: 1-866-357-6232 Monday - Friday: 7:00 am - 9:00 pm, CST Saturday: 9:00 am - 1:00 pm, CST Lost or stolen cards after hours: 1-800-523-4175 www.hsabank.com

    Under Age 55

    Individual coverage - Up to $3,350

    Family coverage - Up to $6,650

    Over Age 55

    Maximum contribution increases by $1,000

    Employee Only - $600

    Employee + 1 - $900

    Employee + Family - $1,200

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    YOUR PRESCRIPTION DRUG PLAN

    Options for controlling your costs

    When you enroll in the medical plan, you are automatically enrolled in the Prescription Drug Plan . The companys plan makes it easy and convenient to obtain prescription medications, just take your ID card and prescription to a participating pharmacy. Your cost depends on the drugs tier

    The prescription drug plan is a tiered design. This means whenever you have a prescription filled, the amount you pay depends on what tier the drug is in.

    TIER 1: Generic - a prescription drug that is equivalent to a name brand drug in dosage form, safety, strength, route of administration, quality, performance characteristics and intended use. These drugs are approved by the U.S. FDA for safety and effectiveness, and are manufactured under the same strict standards that apply to brand name drugs. TIER 2: Preferred - a commonly prescribed name brand prescription drug that has been selected based on its clinical effectiveness, safety and cost. TIER 3: Non-Preferred - a name brand prescription drug that may have a therapeutic alternative available as either a generic or preferred medication.

    Your prescription drug benefit includes mail-order delivery. From the comfort of your own home or office, you can order up to a 90-day supply of covered medications (if authorized by your physician).

    Verify that your pharmacy participates in the prescription drug plan. If you have your prescription filled at a participating pharmacy and you do not present your ID card, you will pay

    the retail price for your medication. You can submit a paper claim for reimbursement. You should be reimbursed the full amount you paid minus your coinsurance.

    You can see what drugs are on the preferred list at www.bcbstx.com. You can also print a summary or

    detailed preferred list to share with your physician or pharmacist. Certain prescription drugs are subject to Step Therapy review. Step Therapy is the practice of beginning drug

    therapy for a medical condition with the most cost-effective and safest drug, and stepping up through a sequence of alternative drug therapies as a preceding treatment option fails.

    Several classes of drugs require prior authorization. They include topical acne agents, growth hormones, drugs

    prescribed for attention deficit/hyperactivity disorder, narcolepsy and oral antifungals. If you choose a preferred or non-preferred drug and a generic is available, you will pay a higher cost.

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    YOUR DENTAL PLAN

    CIGNA HIGH PLAN AND LOW PLAN The Orion dental plans have been designed to promote and encourage preventive dental care and provide benefits for services essential to proper dental health. The plans cover routine checkups and other types of dental care and services. You receive the greatest benefit when you use network providers because they have agreed to accept a negotiated rate as payment and will file all claims for you, whereas an out-of-network provider may cost more and require you to file your own claims. ABOUT YOUR DENTAL INSURANCE

    PREVENTIVE AND DIAGNOSTIC CARE (routine exams and cleanings, sealants, bitewing X-rays, full-mouth X-rays) BASIC TREATMENT (extractions, fillings, root canals, oral surgery, gum disease treatment) MAJOR TREATMENT (crowns, dentures, inlays/onlays, bridges, implants) ORTHODONTIC TREATMENT (braces for children younger than 19) This chart illustrates dental benefits for each plan. Remember, participating providers do not charge more than the reasonable-and-customary fee, so you will not pay more than what the chart below shows.

    HIGH PLAN BENEFITS

    Annual Deductible Individual Family $50 $150

    Preventive & Diagnostic Care $0 (deductible is waived)

    Basic Treatment 20% coinsurance after deductible

    Major Treatment 50% coinsurance after deductible

    Orthodontic Treatment 50% coinsurance after deductible

    Lifetime Maximum Benefit for Orthodontia one person can receive (dependent children when appliance is placed before age 19) $1,500 (per covered person)

    Annual Benefit Maximum $1,500

    NOTE: IF YOUR OUT-OF-NETWORK PROVIDER CHARGES MORE THAN THE REASONABLE-AND-CUSTOMARY CHARGE, YOU PAY THE DIFFERENCE IN ADDITION TO THE AMOUNT SHOWN.

    LOW PLAN BENEFITS

    Annual Deductible Individual Family $100 $200 Annual Benefit Maximum $1,000

    Preventive & Diagnostic Care $0 (deductible is waived)

    Basic Treatment 50% coinsurance after deductible

    Major Treatment 50% coinsurance after deductible

    *The amounts above represent the members share

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    YOUR VISION PLAN

    VISION SERVICE PLAN - VSP This benefit covers routine eye care for you and your family. You may choose any provider, but you will receive the greatest level of benefits when you select a network provider through Vision Service Plan (VSP). VSP also offers discounts and preferred pricing on additional services such as additional pairs of glasses, lens options, contact lens supplies and LASIK. VSP Doctor Network: VSP Signature

    PLAN: VisionCare Plan IN-NETWORK OUT-OF-NETWORK

    Eye Exam 1 every calendar year

    $10 copay

    Up to $50

    Frames 1 every 24 months

    Up to $130

    Up to $70

    Lenses: 1 pair every calendar year Single Vision Bifocal Trifocal Lenticular

    Covered in full

    Up to $50 Up to $75 Up to $100 Up to $125

    Contact Lenses: (in lieu of eye glasses) When medically necessary Elective

    Covered in full

    Up to $130

    Up to $210 Up to $105

    LASIK or PRK Vision Correction (In United States)*

    Average of 15% off of the regular price or 5% off the promotional price Not covered

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    YOUR LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE

    BASIC LIFE AND AD&D

    Life and Accidental Death & Dismemberment (AD&D) Insurance is an important part of your financial security, especially if others depend on you for support. This coverage helps protect your family from a sudden loss of income in the event of your death or serious injury. These benefits are provided to you by Orion at no cost to you! OUR PROGRAMS PROVIDE Basic Life Insurance for you at no cost Basic AD&D Insurance for you at no cost Optional Life and AD&D Insurance for you and your family available at group rates LIFE and ACCIDENTAL DEATH & DISMEMBERMENT (AD&D) Orion pays the entire cost of your Basic Life and AD&D coverage:

    Your Basic Life Insurance benefit: Equal to 1X Base Salary + Target Incentive to a maximum benefit of $1 million Guarantee Issue (GI) is the lesser of 1x base salary to $600,000 Age reduction: 65% at age 65, 45% at age 70, 30% at age 75 and 20% at age 80+

    Your Basic AD&D Benefit:

    Equal to 2x Base Salary + Target Incentive to a maximum benefit of $1 million. Age reduction: 65% at age 65, 45% at age 70, 30% at age 75, and 20% at age 80+ Guarantee issue: employee $300,000; spouse $25,000; child $10,000

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    YOUR LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE

    OPTIONAL LIFE INSURANCE In addition to Basic Life Insurance, you can buy Optional Life Insurance:

    Available amounts are equal to 1 to 5 times your Base Salary + Target Incentive to a maximum benefit of $1 million. Age reduction: 65% at age 65, 45% at age 70, 30% at age 75, and 20% at age 80+ OPTIONAL LIFE INSURANCE FOR YOUR FAMILY If you purchase Optional Life Insurance for yourself, then you are eligible to purchase Optional Life Insurance for your family.

    FOR YOUR SPOUSE: You may choose any amount of $5,000, $25,000, $50,000 or $75,000 FOR EACH CHILD: Your options are $500 for a child from 14 days to 6 months old, or $5,000 or $10,000

    for a child age 6 months to 19 (26 if full time student) OPTIONAL AD&D COVERAGE AMOUNTS FOR YOURSELF: Available amounts are equal to 1 to 5 times your Base Salary + Target Incentive to a maximum of $2,000,000

    BENEFICIARIES

    Even if you have not elected any Optional Life Insurance coverage, it is important to designate your beneficiaries because the company provides Basic Life and Basic AD&D coverage to you at no cost. If you do not designate a beneficiary, your benefit will be paid as outlined in the plan.

    Cigna Voluntary Life / AD&D Insurance (Per $1,000) Rates

    Age Band Employee Spouse Child

    Bi-Weekly Bi-Weekly Bi-Weekly

    0-34 $.022 $.022 $.104

    35-39 $.026 $.026

    40-44 $.037 $.037

    45-49 $.057 $.057

    50-54 $.090 $.090

    55-59 $.145 $.145

    60-64 $.222 $.222

    65-69 $.377 $.377

    70-74 $.687 -

    75-79 $1.388 -

    80-84 $2.757 -

    AD&D $.012 -

    Dependent Child Life Rates shown are for 6 months and older and

    apply as a unit so it does not matter how many

    children you have. If the dependent child is under 6 months, the rate is pro-

    rated.

    Guarantee Issue (GI) Amounts:

    Employee: $300,000 3x-5x requires EOI

    Spouse: $5k-$25k - EOI needed for $50k or $75k

    Child: $10k - no EOI

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    YOUR DISABILITY INSURANCE

    PROVIDED BY Orion AT NO COST TO YOU The disability programs work together to help you financially if you become disabled due to a prolonged sickness or injury, including pregnancy, and cannot work.

    The disability program covers: Long-Term Disability

    LONG - TERM DISABILITY The company provides you with Long-Term Disability (LTD) coverage that pays you a monthly benefit if you become completely or partially disabled or have an illness as defined by the LTD Plan after a year of service. This benefit is provided to you at no cost.

    MONTHLY BENEFIT: 66.67% of monthly salary with a maximum benefit of $11,000 ELIMINATION PERIOD: 6 months HOW LONG YOU MAY RECEIVE BENEFITS: Once you qualify for benefits under this plan, you con-

    tinue to receive them until the end of the benefit period shown below, or until you no longer qualify for benefits , whichever occurs first. Your benefit period begins on the first day after you complete your elimination period. And, should you remain disabled, your benefits continue according to one of the following schedules, depending on your age at the time you become disabled. The later of your SSNRA* or the duration listed below.

    WHEN ARE YOU DISABLED? The definition of disabled can change over time.

    DURING THE FIRST TWO YEARS, YOU RECEIVE LTD PAYMENTS: You are considered disabled if you are unable to do the material and substantial duties of your own occupation, you are under the care of a physician and you have lost income, as defined in the plan document, due to your disability. AFTER YOU HAVE BEEN RECEIVING PAYMENTS FOR TWO YEARS: You are considered disabled if you are unable to do any job that is suitable for you given your education, training and experience, you are under the care of a physician, and you have lost income, as defined in the plan document,

    due to your disability.

    Age When Disability Begins Maximum Benefit Period

    Age 62 or Under Your 65th birthday or the date the 42nd Monthly Benefit is payable, if later.

    Age 63 The date the 36th Monthly Benefit is payable.

    Age 64 The date the 30th Monthly Benefit is payable.

    Age 65 The date the 24th Monthly Benefit is payable.

    Age 66 The date the 21st Monthly Benefit is payable.

    Age 67 The date the 18th Monthly Benefit is payable.

    Age 68 The date the 15th Monthly Benefit is payable.

    Age 69 or Older The date the 12th Monthly Benefit is payable.

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    YOUR 401(K) RETIREMENT PLAN

    A dollar-for-dollar match up to 2% of your pay and 50% on the next 4% It takes careful planning and disciplined savings to achieve a financially secure retirement. The 401(k) Plan provides the necessary tools to turn todays savings into income youll need for your future retirement. You will receive more information from Fidelity prior to the time you become eligible to participate. How You Benefit from the 401(k) Plan

    MATCHING CONTRIBUTIONS. The company will match 100% of the first 2% you contribute. The company matching money in your account is 100% vested after your second anniversary with the company. That means the matching money belongs to you only after you have worked for the company for two years.

    CONVENIENCE. You are eligible to participate in the 401(k) Plan after one month with the company. You will be automatically enrolled on your 30th day of employment, if you have not previously enrolled, with a 6% pretax de-ferral rate. You always have the option to not participate or to raise or lower your deferral rate. If you participate, your contributions are automatically deducted from your paycheck.

    TAX SAVINGS NOW. Your pretax contributions are deducted from your pay before income taxes are taken out. This means that you can actually lower the amount of current income taxes you pay each period. It could mean more money in your take-home pay versus saving money in a taxable account.

    TAX-DEFERRED SAVINGS OPPORTUNITIES. With pretax contributions, you pay no taxes on any earning, until you withdraw them from your account, so you keep more of your money working for you now.

    CATCH UP CONTRIBUTIONS. If you make the maximum contribution to your plan account, and you are 50 years of age or older during the calendar year, you can make an additional catch up contribution. Contact payroll for the 2014 limit and details regarding how to enroll.

    ROTH 401(k) CONTRIBUTIONS. You may choose to contribute funds on a post-tax deferral basis, in addition to or instead of pre-tax deferrals. Under certain circumstances, earnings from Roth contributions can be withdrawn tax-free.

    MULTIPLE INVESTMENT OPTIONS. You have the flexibility to select from investment options that range from more conservative to more aggressive, making it easy for you to develop a well-diversified investment portfolio.

    OTHER FEATURES. At www.401k.com check out the Annual Increase feature, which allows you to increase your deferral percentage at a future date. Also check out the Automatic Rebalance and Rebalance Notification features.

    How Much You Can Save

    LIMITS. Call Fidelity for the 2014 limit and details regarding how to enroll. TIME IS MONEY. Although retirement may seem years away, its never too early to start to save.

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    YOUR EMPLOYEE ASSISTANCE PROGRAM (EAP)

    Sometimes balancing work and family activities creates stress that is hard to handle on your own. To help you through those times, you can receive counseling and referrals through the Employee Assis-tance Program (EAP) at no cost to you. Cigna has representatives that are specialized in this program and are available to you and your immediate family members. Any help you receive is completely confi-dential and not shared with the company. WHEN TO USE THE EAP

    HOW TO USE THE EAP

    If you need assistance, you can call an EAP counselor 24 hours a day, 7 days a week. Sometimes a telephone call is all it takes. But if you want or need additional counseling, you can schedule an appoint-ment with an EAP counselor. The EAP can also provide referrals to other providers or community resources if you need additional assistance. If youre referred to a provider outside the EAP, the cost of that treatment is not covered by the EAP. However, the treatment may be covered by your health insurance. For more information about mental health benefits covered by your health insurance, please see your Medical Plan Summary Plan Description or call the Medical Plan provider.

    Job stress Conflicts at work

    Tobacco cessation Crisis situations

    Family or marital problems Legal concern

    Emotional difficulties such as depression Child or elder care

    Drug or alcohol dependence Parenting concerns

    Grief over the death of a loved one Financial counseling

    Eating disorders Will kits

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    BENEFIT CONTACT INFORMATION & CONTRIBU-

    Below is a list of the companies, the plans they administer, their phone numbers and Web addresses. If you still have questions, contact Human Resources at 832-445-3864, and we will be glad to help you.

    Benefit Provider Web Address/Email Phone Number

    Orion Benefits Center Gallagher Benefit Services, Inc. [email protected] 1-855-851-7212

    Medical & Rx Blue Cross Blue Shield of Texas www.bcbstx.com 1-800-521-2227

    Dental Cigna www.cigna.com 1-800-244-6224

    Vision VSP www.vsp.com 1-800-216-6248

    Basic Life and AD&D Cigna www.cigna.com 1-800-732-1603

    Voluntary Life Cigna www.cigna.com 1-800-732-1603

    Long Term Disability Cigna www.cigna.com 1-800-244-6224

    401(k) Fidelity www.fidelity.com 1-800-890-4015

    Employee Assistance Program (EAP) Cigna www.cignabehavioral.com 1-888-371-1125

    HSA HSA Bank www.hsabank.com 1-800-357-6246

    BCBSHDHP/HSA Bi-Weekly Non-Tobacco - Wellness Non-Tobacco - Non-Wellness

    Employee Only $45.94 $68.97

    Employee + 1 $99.75 $122.83

    Employee + Family $149.92 $173.00

    Tobacco 2 - Wellness Tobacco 3 - Wellness Tobacco 4 - Wellness

    Employee Only $80.51 $80.51 $80.51 $80.51

    Employee + 1 $134.37 $168.98 $168.98 $168.98

    Employee + Family $184.54 $219.15 $253.77 $288.38

    Tobacco 1 Non-Wellness

    Tobacco 2 Non-Wellness

    Tobacco 3 Non-Wellness

    Tobacco 4 Non-Wellness

    Employee Only $103.59 $103.59 $103.59 $103.59

    Employee + 1 $157.44 $192.06 $192.06 $192.06

    Employee + Family $207.61 $242.23 $276.84 $311.46

    Cigna - Dental - Bi-Weekly High Plan Low Plan

    Employee Only $8.26 $3.75

    Employee + 1 $16.82 $7.14 Employee + Family $31.92 $13.48

    VSP - VisionCare Plan - Bi-Weekly Employee Only $1.40

    Employee + 1 $2.85

    Employee + Family $5.26

    Tobacco 1 - Wellness

  • This benefit summary prepared by:

    15GBS25650A

    10.2014 Orion - Benefits GuideOrion 2015 cover options