artech information systems new hire enrollment accident expense insurance - helps offset unexpected

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  • Artech Information Systems

    2016 Benefits Summary New Hire Enrollment

  • 2016 Benefits Snapshot

    � New Medical Plan ∗ Aetna

    � Dental (Two Plan Options) ∗ Assurant

    � High Plan � Low Plan

    � Vision ∗ VSP

    � Voluntary Life/AD&D ∗ Cigna

    � Voluntary Short Term Disability ∗ Cigna

    � Voluntary Long Term Disability ∗ Cigna

    � New AD&D Coverage

    ∗ Cigna

    � Employee Assistance Program (EAP)

    ∗ Cigna

    � Value Add Programs & Services

    ∗ Cigna

    � Kemper Worksite Benefits

    ∗ Accident Expense, Critical Illness & Whole Life

  • NewMedical Plan

    In-Network Benefits

    � Plan deductible of $5,000 Single / $10,000 Family

    � Coinsurance 100%

    � Primary Care Physician $30 co-pay

    � Specialist $50 co-pay

    � Emergency Room $250 co-pay

    � Urgent Care Clinic $75 co-pay

    � Inpatient Hospital Services covered at 100% after deductible

    � *Prescription card $15/$35/$60

    • Mail-order - 90 day supply for 2 co-pays

    � 100% Coverage for Preventive Services

    � Maximum out of pocket (deductible & coinsurance) $5,000 Single / $10,000 Family

    � Non-gatekeeper plan (no referrals needed to see specialists)

    � Unlimited lifetime maximum

    *Refer to benefit summary for specialty drugs

  • NewMedical Plan

    Out-of-Network Benefits

    � Deductible $10,000 Single /$20,000 Family

    � Coinsurance 80% / 20%

    � Maximum out of pocket (deductible & coinsurance) $20,000 Single /$40,000 Family

    *Maximum out-of-pocket is based on a percentage of the Medicare schedule for contracted in-network providers. Visiting non-participating providers may result in significant balance billing.

  • NewMedical Plan

    Aetna Medical Plan

    Bi-Weekly Rates:

    Employee Only $77.89

    Employee/Spouse $230.27

    Employee/Child(ren) $198.12

    Family $351.89

  • Who is eligible to enroll?

    ∗ All full-time employees working 30 or more hours per week are eligible to participate and their benefits will be effective from 1st of the following month after 60 days of employment and they can enroll their dependents. Your eligible dependents are your lawful spouse or domestic partner and your children from birth until age 26, through any age if handicapped and unable to earn a living, or until they can no longer be legally declared as dependents. Dependent age and status requirements may vary by state.

  • Dental - Assurant High Plan

    � $50 Single /$150 Family Calendar Year deductible for Basic & Major services

    � $1,500 annual maximum benefit (per covered member)

    � Large national network - Find Assurant PPO providers at www.dha.com under Assurant Employee Benefits

    � Insurance Covers:

    ∗ 100% Preventive Services (exams & cleanings; 1 time in any 6-month period, x- rays, etc.)

    ∗ 90% Basic Services (fillings, endodontics, periodontics, oral surgery)

    ∗ 80% (out-of-network)

    ∗ 60% Major Services (crowns, dentures, implants)

    ∗ 50% (out-of-network)

    ∗ 50% Orthodontia (Adult and Child) with a lifetime maximum of $1,500

  • Dental - Assurant Low Plan

    � $50 Single /$150 Family Calendar Year deductible for Basic & Major services

    � $1,000 annual maximum benefit (per covered member)

    � Large national network - Find Assurant PPO providers at www.dha.com under Assurant Employee Benefits

    � Insurance Covers:

    ∗ 100% Preventive Services (exams & cleanings; 1 time in any 6-month period, x- rays, etc.)

    ∗ 80% Basic Services (fillings, oral surgery, anesthesia)

    ∗ 80% (out-of-network)

    ∗ 50% Major Services (endodontics, periodontics, crowns, dentures)

    ∗ 50% (out-of-network)

  • Dental - Assurant Rates

    High Plan

    Bi-Weekly Rates:

    Low Plan

    Bi-Weekly Rates:

    Employee Only $25.99

    Employee/Spouse $52.18

    Employee/Child(ren) $63.58

    Family $89.76

    Employee Only $16.62

    Employee/Spouse $33.32

    Employee/Child(ren) $44.30

    Family $61.00

  • Vision Plan - VSP

    VSP has the largest national vision network - Find VSP “Choice” network providers at www.vsp.com

    � Vision Exam: $20 co-pay (Every 12 months)

    � Frames: $20 co-pay - up to $130 allowance on wide variety of frames (Every 24 months)

    � Lenses: Single Vision, Lined Bifocal, Lined Trifocal and Polycarbonate lenses for dependent children included in prescription glasses (Every 12 months)

    � Contacts (instead of glasses): Up to $60 co-pay - up to $130 allowance - includes exam, fitting and evaluation (Every 12 months)

    � Other discounts available on Sunglasses, Retinal Screening and Lasik Vision Correction

    � Out-of-network services paid up to plan allowance

  • Vision - VSP Rates

    Bi-Weekly Rates:

    Employee Only $2.92

    Employee/Spouse $4.67

    Employee/Child(ren) $4.77

    Family $7.69

  • Voluntary Life/AD&D

    � Fully paid by Employee

    � Coverage offered through Cigna

    � Employee Benefit Amount for Life/AD&D

    ∗ Benefit options available in increments of $10,000

    ∗ Maximum benefit is the lesser of 5x salary or $750,000

    ∗ Guaranteed issue up to $200,000 for newly eligible employees

    � Spouse Benefit Amount for Life/AD&D (provided that you apply for and are approved for coverage for yourself)

    ∗ Benefit options are available in increments of $5,000 up to a maximum of $375,000

    ∗ Not to exceed 50% of the employee’s elected benefit amount

    ∗ Guaranteed issue up to $25,000 for newly eligible employees

  • Voluntary Life/AD&D (Cont’d)

    � Dependent Children Benefit Amount for Life (provided that you apply for and are approved for coverage for yourself)

    ∗ $500 for children birth to 14 days ∗ $1,000 for children 15 days to 6 months

    ∗ $10,000 for children age 6 months to 19 years (23 if full-time student)

    � Accidental Death & Dismemberment (AD&D) ∗ Included in Voluntary Life Benefit ∗ Equal to life insurance benefit and payable in the event of accidental death or

    dismemberment

    � Evidence of Insurability required if enrolling after first eligible

    � Other Benefits ∗ Waiver of premium ∗ Terminal Illness ∗ Conversion or Portable

  • Voluntary Short-Term Disability

    � Fully paid by Employee

    � Coverage offered through Cigna

    � 60% of weekly covered earnings up to $1,500 per week in benefit

    � 14 day elimination period for either accident or sickness

    � 11 week benefit duration

    � 3/12 pre-existing condition limitation

    � Evidence of Insurability required if enrolling after first eligible

  • Voluntary Long-Term Disability

    � Fully paid by Employee

    � Coverage offered through Cigna

    � 60% of monthly covered earnings up to a maximum of $8,000 per month

    � 90 day elimination period

    � 3/3/12 pre-existing condition limitation

    � Evidence of Insurability required if enrolling after first eligible

  • New Accidental Death & Dismemberment Coverage

    (Employer Paid)

    � Coverage offered through Cigna

    � $5,000 benefit

    � Additional 10% benefit but not more than $500 if the covered person dies in an automobile accident while wearing a seatbelt

    � Additional 5% benefit but not more than $250 if the insured person was also positioned in a seat protected by a properly- functioning and properly deployed Supplemental Restraint System (Airbag)

    � Comprehensive protection when traveling 100 miles or more from home, including unlimited medical evacuation and repatriation benefits

  • Life/Disability Value Added Programs & Services (Employer Sponsored)

    � Healthy Rewards Program offers discounts on health and wellness products and services via MyCIGNA.com:

    - Weight Watchers® and Jenny Craig, Curves®, Vision and hearing care, Quitnet®, acupuncture, chiropractor and massage, SpaFinderTM, Sonicare®, Vitamins, discounts at Drugstore.com, Mayo clinic books, etc.

    � CIGNA’s Online Will Center

    - Includes preparation of: Last Will and Testament, Healthcare Power of Attorney, Living Will, Financial Power of Attorney. Full access to Estate Planning Information and Article Reference Library

    � CIGNAssurance® Program for Beneficiaries

    - Immediate access to life or accidental death insurance proceeds via personalized drafts on an interest-bearing account.

    - Free bereavement counseling, financial and legal consultations

    � CIGNA Secure Travel®

    - Emergency travel services including cash and travel arrangements. No limits on repatriation & medical evacuation

  • Employee Assistance Program (EAP) (Employer Paid)

    � Unlimited telephonic access to assistance 24 hours a day, 365 days a year

    � Up to 3 face-to-face sessions per issue, per year. No limit