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Children

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Children s Hope International ADP Total Source Benefit Package What s In It For Me? Enhanced benefits package including: Multiple Medical & Dental Plans Vision ... – PowerPoint PPT presentation

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Title: Children


1
Childrens Hope International
  • ADP Total Source
  • Benefit Package

2
Whats 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!

3
Employee 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

4
Employee 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

5
Employee 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

6
Benefit 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.

7
When 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.

8
United 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)

9
United 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)

10
What 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

11
myuch.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

12
365wellstreet.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

13
Aetna 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

14
Aetna 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

15
Vision 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

16
Vision 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

17
Life and ADD
  • Life Plan Types
  • Basic 10,000 plan
  • Offered to all eligible employees at No charge

18
Long Term Disability (LTD)
  • LTD Plan Types
  • 50 up to 1000/month
  • Offered to all eligible employee at No Charge
  • Waiting period 180 days

19
FSA- 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

20
FSA-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)

21
Worksite 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
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