|
BENEFIT |
WHO RECEIVES |
WHEN ELIGIBLE |
BENEFITS |
WHO PAYS |
|
MEDICAL
BENEFITS |
Full-time
and regular part-time employees. (20+
Hours Per Week) |
First day of the fourth
month after passing probation, provided that at least 80 hours of employer
contributions have been made on the Employee's behalf in each of three
consecutive calendar months during that period. Employees must successfully complete a
90-working day/480 hours probationary period. |
Deductible
(Individual) $150 Deductible
(Family) $450 Non-PPO
Provider - 80% of covered expenses to $5,000 then 100%
to maximum PPO
Provider - 85% of allowable expenses Maximum
Out-of-pocket - $1,100 per person, plus disallowed charges Lifetime
Max: $1,000,000 |
Hospital
and employee |
|
DENTAL
BENEFITS |
Full-time
and regular part-time employees. (20+
Hours Per Week) |
First
day of the fourth month after passing probation, provided that at least 80 hours of
employer contributions have been made on the Employee's behalf in each of two
consecutive calendar months during that period. Orthodontia benefits - Employee must be covered under dental
benefits for nine consecutive months.
Benefits are effective the first of the 10th month. Employees must complete a 90-working day
probationary period. |
Basic
Services - 100% up to a scheduled maximum Major
Services - 100% up to a scheduled maximum Annual
Maximum per person - $1,100 Orthodontia
- 70% up to $800, 5-year maximum |
Hospital
and employee |
|
VISION
BENEFITS VISION
SERVICE PLAN (VSP) |
Full-time
and regular part-time employees (20+
Hours Per Week) |
First
day of the fourth month after passing probation, provided that at least 80
hours of employer contributions have been made on the Employee's behalf in
each of three consecutive calendar months during that period. Employees must successfully complete a
90-working day/480 hours probationary period. |
Co-pay: $10 Exam
and lenses - every 12 months. Frames
- every 24 months. Eye
exam, Single, Biofocal, Trifocal, Lenticular, Frames:
100% of VSP allowable. |
Hospital
and employee. |
|
WEEKLY
TIME LOSS (SHORT-TERM DISABILITY) |
Full-time
and regular part-time employees. (20+
Hours Per Week) |
First
day of the fourth month after passing probation, provided that at least 80
hours of employer contributions have been made on the Employee's behalf in
each of three consecutive calendar months during that period. Employees must successfully complete a
90-working day/480 hours probationary period. |
Weekly
benefits: 2/3% of weekly earnings, $110 max. 1st 6 weeks, $160 max
next 20 weeks. Maximum
Weeks: 26 |
Hospital
and employee |
|
LONG-TERM
DISABILITY |
All
Full-time and Regular Part-time employees (20+
Hours Per Week) |
First
of month following eligibility. |
66
2/3% of basic monthly earnings not to exceed maximum monthly benefit of
$5,000. Minimum monthly benefit is the
greater of $100 or 10% of the monthly benefit before deductions for other
income benefits. |
Hospital. |
|
LIFE
INSURANCE |
All
Full-time, Regular Part-time employees (20+
Hours Per Week) |
Full-time
employees: First of month following
eligibility and receipt of enrollment form. |
Based on gross monthly income. $10,000 - $35,000 term life benefit. |
Hospital. |
|
ACCIDENTAL
DEATH & DISMEMBERMENT BENEFIT |
All
Full-time and Regular Part- employees (20+
Hours Per Week) |
Full-time
employees: First of month following
eligibility and receipt of enrollment form. |
Accidental Death is an amount equal to the
in-force life benefit. Dismemberment
benefit according to schedule. Seat
Belt Rider equals $50,000 or the amount of Accidental Death and Dismemberment
benefit, whichever is less. |
Hospital |
|
SUPPLEMENTAL
LIFE INSURANCE |
All
Full-time and Regular Part- employees (20+
Hours Per Week) |
First
of the month after one calendar month of continuous employment. Employee and spouse must apply for
coverage. |
Additional
term insurance from a minimum of $10,000 to a maximum of $250,000 in
increments of $10,000 for employee and spouse. During Open Enrollment employee may
purchase $100,000 without physical.
Employee may purchase $30,000 coverage for spouse without physical and
$10,000 coverage for children. |
Employee. |
|
PENSION |
Full-time
and regular part-time employees. (20+
Hours Per Week) |
Contributions
must be made on the participant's behalf for 60 of the 84 months immediately
proceeding retirement. |
Retirement
benefits under terms of the plan. 5
years vesting. |
Hospital. |
|
EARNED
LEAVE (PAID TIME OFF) ACCRUAL (PTO) |
All
Full-time and Regular Part-time employees (20+
Hours Per Week) |
Immediately. |
Approximately
28-30 days per year based on years of service. Prorated based on hours paid. |
Hospital. |
|
EXTENDED
SICK LEAVE ACCRUAL (ESL) |
All
Full-time and Regular Part-time employees. (20+
Hours Per Week) |
Immediately. |
28
hours maximum per year. Accrual rate will be 0.01346 per straight time hour
worked. |
Hospital. |
|
EMPLOYEE ASSISTANCE PROGRAM |
All
Employees. |
Immediately. |
Up
to 3 counseling visits for employee and family members residing in home. |
Hospital. |
|
DISCOUNT |
All
employees. |
Immediately. |
Cafeteria
discount - Twenty percent (20%). |
Hospital. |