Title: Children
1Childrens Hope International
- ADP Total Source
- Benefit Package
2Whats 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!
3Employee 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 800 am to 800 pm EST
4Employee 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
5Employee Perks
- Current Discounts
- AMC Movie Tickets- 5.50 each
- Bally Total Fitness
- A TT Wireless
- La Petite Academy and Childtime Childcare
- Gateway Computers
- Sams Club
- www.workingadvantage.com
6Benefit 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.
7When 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.
8United 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)
9United 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)
10What 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
11myuch.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
12365wellstreet.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
13Aetna 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
14Aetna 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
15Vision 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
-
16Vision 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
17Life and ADD
- Life Plan Types
- Basic 10,000 plan
- Offered to all eligible employees at No charge
18Long Term Disability (LTD)
- LTD Plan Types
- 50 up to 1000/month
- Offered to all eligible employee at No Charge
- Waiting period 180 days
19FSA- 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
20FSA-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)
21Worksite 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