EMPLOYEES
IN AN AUTHORIZED POSITION OF 48 HOURS PER PAY PERIOD OR MORE WILL BE ELIGIBLE
FOR THE MEDICAL, DENTAL, VISION, RX, AND HOSPITAL HRA PLANS.
EMPLOYEES
WHO WORK 40-47 HOURS PER PAY PERIOD WILL BE NOT BE ELIGIBLE FOR THE MEDICAL,
DENTAL, VISION, RX, AND HOSPITAL HRA PLANS, BUT WILL STILL BE ELIGIBLE FOR THE
OTHER BENEFIT PLANS, INCLUDING PTO, ESL, SHORT AND LONG-TERM DISABILITY, AND
LIFE INSURANCE.
BENEFIT: BAH 10/28 MEDICAL
PLAN
Who
Receives: Registered Nurses, Licensed
Practical Nurses, non-contract employees and management
Full-time
and regular part-time employees (48+ hours every two weeks)
When Eligible: First of the month following receipt of enrollment form.
Benefits: Major medical 80%-100%, individual deductible $500, family
deductible aggregate $1,500.
Lifetime maximum $1,000,000.
Prescription
benefit - Retail $15, $30, or $45 based on formulary; Mail Order - $20 copay
Who Pays: Hospital and employee co-pay.
BENEFIT: BAH 10/28 DENTAL PLAN
Who
Receives: Registered Nurses, Licensed
Practical Nurses, non-contract employees and management
Full-time
and regular part-time employees (48+ hours every two weeks)
When Eligible: First of the month following receipt of enrollment form.
Benefits: $25 deductible per participant. Annual Benefit $1,000.
Preventative & Restorative:
1st Year - 80% of UCR
2nd Year - 90% of UCR
3rd+ Year - 100% of UCR
Major Services 70% of UCR
Orthodontia benefit at 70% of UCR ($1,500 lifetime).
Who Pays: Hospital and employee co-pay.
BENEFIT: BAH 10/28 VISION PLAN
Who
Receives: Registered Nurses, Licensed Practical Nurses, non-contract employees and
management
Full-time
and regular part-time employees (48+ hours every two weeks)
When Eligible: First of the month
following receipt of enrollment form.
Benefits: Exam every 24 months ($20 copay)
Lenses
& Frames every 24 months:
Single,
Bifocal, Trifocal, Lenticular lenses, frames or contract lenses - $150 every 24
months.
Who Pays: Hospital and employee co-pay.
BENEFIT: BAH SHORT-TERM DISABILITY
Who
Receives: Registered Nurses, Licensed Practical Nurses, non-contract employees and
management
Full-time and regular part-time employees (40+ hours every two weeks)
When Eligible: First of the month
after eligibility date.
Benefits: 70% of your weekly earnings to a maximum of $200. Maximum
benefit coverage is 25 weeks. Benefits begin on 8th day of illness or injury,
or first day of hospitalization
Who Pays: Hospital.
BENEFIT: LONG-TERM DISABILITY
Who
Receives: Registered Nurses, Licensed Practical Nurses, non-contract employees and
management
Full-time and regular part-time employees (40+ hours every two weeks).
When Eligible: First of the month
after eligibility date.
Benefits: 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.
Who Pays: Hospital
BENEFIT: TERM LIFE INSURANCE & ACCIDENTAL DEATH AND DISMEMBERMENT
Who
Receives: Registered Nurses, Licensed Practical Nurses, non-contract employees and
management
Full-time and regular part-time employees (40+ hours every two weeks)
When Eligible: Full-time Employees (70-80 hours every two weeks): First of the month following receipt of enrollment form.
Part-time Employees (40-69 hours every two weeks): First of the month after one
calendar month of eligibility and receipt of enrollment form.
Benefits: Based on gross monthly income: $10,000 to $35,000 term life benefit.
Accidental Death is an amount equal to the in-force life benefit; Dismemberment
according to schedule.
Who Pays: Hospital.
BENEFIT: SUPPLEMENTAL LIFE
Who
Receives: Registered Nurses, Licensed Practical Nurses, non-contract employees and
management
Full-time and regular part-time employees (40+ hours every two weeks)
When
Eligible: First
of the month after one calendar month of continuous employment. Employee and
spouse only.
Benefits: Additional term insurance from a minimum of $10,000 to a
maximum of $250,000 in increments of $10,000 for employee and spouse.
Who Pays: Employee.
BENEFIT: PAID TIME OFF (PTO)
Who
Receives: Registered Nurses, Licensed Practical Nurses, non-contract employees and
management
Full-time and regular part-time employees (40+ hours every two weeks)
When
Eligible: Immediately.
Benefits: Approximately 28 days per year based on years of service.
Prorated based on hours paid.
Who Pays: Hospital.
BENEFIT: EXTENDED SICK LEAVE (ESL)
Who
Receives: Registered Nurses, Licensed Practical Nurses, noncontract employees and
management
Full-time and regular part-time employees (40+ hours every two weeks).
When Eligible: Immediately.
Benefits: 28 hours maximum per year. Accrual rate will be 0.01346
per straight time hour worked.
Who Pays: Hospital.
BENEFIT: EMPLOYEE ASSISTANCE
Who
Receives: All Employees and family members residing in the home.
When Eligible: Immediately.
Benefits: Up to three (3) counseling visits per event.
Who Pays: Hospital
BENEFIT: CAFETERIA DISCOUNT
Who
Receives: All employees
When Eligible: Immediately.
Benefits: Cafeteria discount - 20%
Who Pays: Hospital.
BENEFIT: UFCW MEDICAL - JOINT LABOR MANAGEMENT RETAIL TRUST
Who
Receives: All UFCW Full-time and part-time employees (20+ hours per week)
When Eligible: First
day of the fourth month after successfully completing their probationary period
(480 hours/90-calendar days), provided that at least 80 hours of employer
contributions have been made on the Employee's behalf in each of three
consecutive calendar months following the probationary period.
Benefits: $150 per person deductible. $450 deductible for family.
The plan pays 85% of allowable expenses with PPO Provider; 80% of covered
expenses to $5,000, then 100% to maximum with Non-PPO Provider.
Who Pays: Hospital.
BENEFIT:
UFCW DENTAL
Who Receives: All UFCW Full-time and
part-time employees (20+ hours per week).
When Eligible:. First day of the fourth month after successfully
completing their probationary period (480 hours/90-calendar days), provided
that at least 80 hours of employer contributions have been made on the
Employee's behalf in each of three consecutive calendar months following the
probationary period.
Orthodontia: The first of
the month following nine months of Dental Plan coverage in any 12-month period.
Benefits: Dental: $1,100
each calendar year. See Fee
Schedule in UFCW Brochure.
Orthodontia: benefits paid at 70% up to a maximum of $800.00 , 5-year
maximum.
Who Pays: Hospital.
BENEFIT: UFCW VISION (Vision
service Plan (VSP)
Who
Receives: All UFCW Full-time and Regular Part-time employees (20+ hours per week)
When Eligible: First day of the
fourth month after successfully completing their probationary period (480
hours/90-calendar days), provided that at least 80 hours of employer
contributions have been made on the Employee's behalf in each of three
consecutive calendar months following the probationary period.
Benefits: Eye Exam:
Every 12 months from the last date of service - 100% of VSP Allowable. $10.00 deductible.
Lenses: Every 12 months from the last date of
service, 100% of VSP Allowable.
Frames: Every 24 months from the last date of
service, 100% of VSP Allowable.
Contacts: $100 allowance towards cost.
Who Pays: Hospital.
BENEFIT: UFCW - DEFINED BENEFIT PENSION
Who
Receives: All UFCW Full-time and regular part-time employees (20+ per week).
When Eligible: Contributions must be
made on the participant's behalf for 60 of the 84 months immediately proceeding
retirement.
Benefits: Retirement benefits under terms of the plan. 5 years
vesting.
Who Pays: Hospital.
BENEFIT: SHORT-TERM DISABILITY
Who
Receives: All UFCW Full-time and regular part-time employees (20+ per week
When
Eligible: First
day of the fourth month after successfully completing their probationary period
(480 hours/90-calendar days), provided that at least 80 hours of employer
contributions have been made on the Employee's behalf in each of three
consecutive calendar months following the probationary period.
Benefits: 66 2/3% of your straight-time weekly earnings prior to
your disabity. Maximum benefit is
$110.00 a week for first six weeks and maximum of $160 a week for remaining 20
weeks.
Who Pays: Hospital
BENEFIT: LONG-TERM DISABILITY
Who
Receives: All UFCW Full-time and regular part-time employees (20+ per week
When
Eligible: First
of the month after eligibility date.
Benefits: 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.
Who Pays: Hospital
BENEFIT: TERM LIFE INSURANCE & ACCIDENTAL DEATH AND DISMEMBERMENT
Who
Receives: All UFCW Full-time and regular part-time employees (20+ per week).
When
Eligible: Full-time Employees (70-80 hours every two weeks):
First of the month following receipt of
enrollment form.
Part-time Employees (40-69 hours every two weeks): First of the month after one
calendar month of eligibility and receipt of enrollment form.
Benefits: Based on gross monthly income: $10,000 to $35,000 term life benefit.
Accidental Death is an amount equal to the in-force life benefit; Dismemberment
according to schedule.
Who Pays: Hospital.
BENEFIT: SUPPLEMENTAL LIFE
Who
Receives: All UFCW Full-time and regular part-time employees (20+ per week).
When
Eligible: First
of the month after one calendar month of continuous employment. Employee and
spouse only.
Benefits: Additional term insurance from a minimum of $10,000 to a
maximum of $250,000 in increments of $10,000 for employee and spouse.
Who Pays: Employee.
BENEFIT: PAID TIME OFF (PTO)
Who
Receives: All UFCW Full-time and regular part-time employees (20+ per week).
When
Eligible: Immediately.
Benefits: Approximately 28 days per year based on years of service.
Prorated based on hours paid.
Who Pays: Hospital.
BENEFIT: EXTENDED SICK LEAVE (ESL)
Who
Receives: All UFCW Full-time and regular part-time employees (20+ per week).
When
Eligible: Immediately.
Benefits: 28 hours maximum per year. Accrual rate will be 0.01346
per straight time hour worked.
Who Pays: Hospital.
BENEFIT: EMPLOYEE ASSISTANCE
Who
Receives: All Employees and family members residing in the home.
When Eligible: Immediately.
Benefits: Up to three (3) counseling visits per event.
Who Pays: Hospital
BENEFIT: CAFETERIA DISCOUNT
Who
Receives: All employees
When Eligible: Immediately.
Benefits: Cafeteria discount - 20%
Who Pays: Hospital.