PRESENTS FULL-TIME HOURLY & SALARIED TEAM MEMBERS

Transcription

1 PRESENTS FULL-TIME HOURLY & SALARIED TEAM MEMBERS Full-Time Hourly Team Members have at least one year of service and twelve-month average weekly hours of 30 or more

2 Your 2016 Bi-Weekly Benefits Rates* Medical Plan Name You Only You + Spouse/Domestic Partner You + Child(ren) You + Family BCBS $6,000 Deductible BCBS $3,000 Deductible BCBS $1,500 Deductible Kaiser HMO (CA Only) Dental Plan Name You Only You + Spouse/Domestic Partner You + Child(ren) You + Family MetLife Basic MetLife Plus Vision Plan Name You Only You + Spouse/Domestic Partner You + Child(ren) You + Family EyeMed Basic EyeMed Plus MetLife Defender Identity Theft Protection Plan Name You Only You + Spouse/Domestic Partner You + Child(ren) You + Family MetLife Defender Supplemental Life Insurance Team Member and Spouse/Domestic Partner Rates per $1,000 of Coverage Age Non-Smoker Smoker Less than and older Legal Plan The rate for Legal coverage is $6.23 per bi-weekly paycheck. Supplemental AD&D You Only You + Family $20, $50, $100, $150, $200, $250, $300, Short-Term Disability (Full-Time Hourly Team Members) Weekly Benefit Maximum Rate $ $ Child Life $5, $10, *Rates shown would be taken from your paycheck on a bi-weekly basis. If you are paid weekly, divide these rates by 2.

3 Enroll Online ANY TIME, DAY OR NIGHT AT 1. Log in to Brinker Nation 2. Click Speed Key, Health & Wellness Center, then choose your team member group 3. Click Enroll Online NOTE: To maintain your privacy, please enroll outside the restaurant from any computer with Internet access (ex. home, public library, Internet café). Be sure to close any open browser windows once your enrollment is complete. Never leave a computer unattended while enrolling for benefits online. If you need help with online enrollment or if you don t have internet access, contact us at (800) Overview of Your Benefits Benefit Plan Highlights Medical Three plans* to choose from. Each plan includes: Prescription drugs Free preventive care visits The Compass Health Pro A personal health advisor An Employee Assistance Program, a free service to help you with a broad range of issues, such as emotional issues, stress and family problems (available even if you don t enroll in benefits) Dental Two dental plans to choose from: Basic plan covers basic dental services Plus plan offers a higher level of coverage Vision Two vision plans to choose from: Basic Plan covers one pair of glasses or contacts annually Plus Plan covers two pairs of glasses and one pair of contacts annually Both plans include a $10 copay for your annual exam Life and AD&D Free basic life insurance from Brinker Need extra protection? You can buy supplemental life and AD&D coverage Disability Benefits that replace part of your pay when you can t work due to illness or injury Flexible Spending Accounts (FSAs) (eligible after 1 year of service) Accounts to use for eligible health care and dependent care expenses that you pay out of pocket Debit card for the Health Care FSA Legal Assistance Hyatt Legal Plan offers low-cost legal services Identity Theft Protection MetLife Defender provides protection for your personal, financial, and medical information * A Kaiser HMO plan continues to be available for Team Members in California only.

4 Eligibility SALARIED TEAM MEMBERS You are eligible to enroll within 31 days of hire or during Open Enrollment FULL-TIME HOURLY TEAM MEMBERS You become eligible to enroll in full-time plans: At your one-year anniversary, if your 12-month average weekly hours are 30 or more At Open Enrollment, if your 12-month average weekly hours are 30 or more when eligibility is determined for the following year Your most recent average hours information is available online. Visit the Health & Wellness Center at click Enroll Online, log in, and click View Average Hours and Arrears. Paying for Your Benefits Medical, dental, vision and Flexible Spending Account (FSA) contributions are pre-tax. All other benefits are paid for with post-tax dollars. FULL-TIME HOURLY TEAM MEMBERS If your paycheck doesn t cover the amount of your premiums, you must pay the balance due within 30 days of the paycheck date. You can pay the balance due (called arrears) by check, money order or credit card. Be sure to include your Employee ID number and send payments to: Brinker International Attention: Benefit Arrears 6820 LBJ Freeway Dallas, TX To pay by credit card, visit the Health & Wellness Center at to get a credit card authorization form or contact the Brinker Benefits Service Center at benefits@brinker.com or (800) Covering Your Dependents If you enroll in coverage, you can also cover your spouse or domestic partner and eligible children. Proof of eligibility is required for all dependents who are new to the plans or existing dependents whose relationship has changed.

5 When You Can Make Changes Choose carefully. The IRS only allows you to make changes during the year if you have a qualified family status change (ex. you get married, birth or adoption of a child, lose or gain other coverage). To change your coverage, call the Brinker Benefits Service Center at (800) If you request a change within 31 days of the event, coverage will be effective the date of the event. HIPAA Special Enrollment Rights If you are declining enrollment for yourself or your eligible family members (including your spouse) because of other health insurance coverage, you may be able to enroll yourself or your dependents in the Brinker benefits plans in the future, as long as you request enrollment within 31 days after your other coverage ends. In addition, if you have a new family member as a result of marriage, birth, adoption or placement for adoption, you may be able to enroll yourself and your family, as long as you request enrollment within 31 days after the marriage, birth, etc. When Coverage Begins SALARIED TEAM MEMBERS If you enroll within 31 days of your hire date, coverage will begin on the first day of the month following your hire date. If you enroll during Open Enrollment, coverage will begin January 1 of the following year. FULL-TIME HOURLY TEAM MEMBERS If you enroll within 31 days of your one-year anniversary, coverage will begin on the first day of the month following your anniversary date. If you enroll during Open Enrollment, coverage will begin January 1 of the following year. When Coverage Ends SALARIED TEAM MEMBERS Coverage is effective through the calendar year (January 1 December 31), unless: Your employment with Brinker ends (coverage is effective through your last day worked). You fail to make timely payments. If coverage is terminated, you are still responsible for any outstanding balance. FULL-TIME HOURLY TEAM MEMBERS Coverage is effective for 12 months, unless: Your employment with Brinker ends (coverage is effective through your last day worked). You fail to make timely payments (coverage ends the last day of the month after the 30-day payment period). You are still responsible for any outstanding balance. If your benefits are canceled because you didn t pay your premiums, your next opportunity to re-enroll will be the next Open Enrollment period (unless you have a qualified family status change). Any outstanding balance must be paid before you can re-enroll. COBRA is not offered when coverage is canceled due to non-payment.

6 2016 Medical Plans You Pay Plan Features Physician (medical and mental health) Hospital (medical and mental health) Prescription Drugs (does not apply to the annual medical deductible; does apply to the outof-pocket maximum) 5 Annual Medical Deductible Out-of-pocket Maximum 2 BCBS $6,000 Deductible BCBS $3,000 Deductible BCBS $1,500 Deductible Kaiser HMO (CA only) In-network Out-of-network 1 In-network Out-of-network 1 In-network Out-of-network 1 In-network only $6,000/person $9,000/family $6,000/person $9,000/family $12,000/person $24,000/family $24,000/person $48,000/family $3,000/person $5,000/family $5,000/person $8,000/family $6,000/person $12,000/family $12,000/person $24,000/family $1,500/person $3,500/family $4,000/person $7,000/family $6,000/person $12,000/family $12,000/person $24,000/family Lifetime Maximum none none none none Wellness Account (provided by Brinker) Preventive Care Office Visits - Primary Care Office Visits - Specialist $1,000 (after completing a biometric screening 3 and connecting with Compass in 2016) no cost deductible; then $0 deductible; then 40% up to out-of-pocket max no cost $1,000/person $2,000/family $3,000/person $6,000/family none none none no cost $50 Copay $35 Copay deductible; then 40% up to out-of-pocket max deductible; then 20% up to out-of-pocket max deductible; then 20% up to out-of-pocket max Urgent Care $50 Copay $35 Copay deductible; then 40% up to out-of-pocket max no cost $20 copay ($5 copay for alcohol and chemical dependency group therapy) Hospital Care deductible; then 40% up deductible; then 20% up deductible; then 40% up to deductible; then 20% up to deductible; then 40% up deductible; then $0 to out-of-pocket max to out-of-pocket max out-of-pocket max out-of-pocket max to out-of-pocket max deductible; then 20% up to out-of-pocket max Emergency Room $250 Copay 4 Retail Prescriptions $100 prescription deductible per covered family member - brand drugs only Generic $10 copay $10 copay Preferred Brand 20% ($35 min/$75 max) $30 copay Other Brand 40% ($70 min/$150 max) N/A Mail-order Prescriptions Not subject to retail prescription deductible Generic $25 copay $20 copay Preferred Brand 15% ($95 min/$200 max) $60 copay Other Brand 35% ($150 min/$250 max) N/A EXAMPLES OF PRIMARY CARE: Family Practice Pediatrics Obstetrics/Gynecology Internal Medicine Mental Health Social Worker Speech Therapy Physician Assistant Certified Nurse Midwife Registered Nurse Nutrition Dietetics Marriage & Family Therapy EXAMPLES OF SPECIALISTS: Orthopedic Surgery Dermatology Physical Therapy Radiology/Radiation Allergy Podiatry Cardiology Opthamology Neurology Oncology General Surgery Gastroenterology Chiropractor 1 These charges are subject to the usual and customary (U&C) amount, which is the amount charged for similar services and supplies in your area. 2 Once you reach this maximum for a given plan year, covered expenses are paid at 100%. Prescription expenses apply towards the out-of-pocket maximum only. 3 Biometric screening includes blood pressure, cholesterol, triglycerides, glucose, and waist circumference measurements. 4 Copay only applies to medical emergencies as defined in the Summary Plan Description. Medical deductible/co-insurance will apply to non-emergency treatment received in the Emergency Room. 5 Specialty drugs must be filled through a CVS/specialty pharmacy or CVS/pharmacy. Please call (877) if you have questions.

7 Mental Health/Chemical Dependency Mental health and chemical dependency treatment is covered under all of Brinker s medical plans. For BCBS members, all treatment must be pre-authorized by BCBS by calling the number on the back of your medical ID card. The Compass Health Pro Available to participants enrolled in any BCBS plan. Healthcare is confusing, complex, and frustrating at times; Compass is available to help lift the burden. Their services will help you make cost effective healthcare choices. Here are some of the ways they can support you: Compare costs for procedures your doctor is recommending Unbiased in-network doctor recommendations based on your needs Hospital & physician cost and quality information Bill reviews There are many ways to Connect with a Compass HealthPro! Register on the Compass Member Portal member.compassphs.com, via grahamh@compassphs.com, or by phone - (855) The Wellness Account Available to participants enrolled in the $6,000 deductible BCBS plan only. For medical and prescription drug expenses: EARN a $1,000 Wellness Account deposit by connecting with Compass (see options above) AND completing a biometric screening* in The credit will be automatically added to your Wellness Account within a few weeks of completion of both requirements. You can use the money to help pay for eligible out-of-pocket medical and prescription drug expenses for you and your enrolled dependents. For instructions, including your options to complete your screening, please visit the Medical section in the Health and Wellness Center on BrinkerNation.com OR contact Compass! * Biometric screening includes blood pressure, cholesterol, triglycerides, glucose, and waist circumference measurements. Wellbeing Available to participants enrolled in any BCBS plan. Watch for information about an exciting Wellbeing website that will not only help you set individual wellbeing goals and track improvement, but will also give you the opportunity to challenge and motivate your fellow BrinkerHeads.

8 Dental Brinker offers two MetLife dental plans to choose from: MetLife Basic MetLife Plus In-network Out-of-network 1 In-network Out-of-network 1 You Pay Deductible $25/person $75/family $50/person $150/family $25/person $75/family $50/person $150/family Preventive care 10%, no deductible 10% after deductible Free, no deductible Free after deductible Basic Care 20% after deductible 10% after deductible Major Care 50% after deductible 40% after deductible Orthodontia 2 50%, no deductible (children up to age 19 only) Plan Pays 40%, no deductible (team member, Spouse/DP, and children up to age 19 only) Annual maximum benefit (all services $1,500/person $1,000/person $2,000/person $1,500/person except orthodontia) 3 Lifetime orthodontia benefit $1,500/person $1,000/person $2,000/person $1,500/person 1 You pay any charges above the Usual and Customary (U&C) charge. 2 Reimbursed monthly. 3 MetLife preferred provider discounts still apply after your annual maximum has been met (if allowed in your state). To receive services, give the dental provider your social security number and let them know that you have coverage through MetLife. Or, you can print an ID card at Vision Brinker offers two EyeMed vision plans to choose from: EyeMed Basic EyeMed Plus In-Network Out-of-Network 1 In-Network Out-of-Network 1 You Pay Annual Comprehensive Eye Exam $10 copay Any amount over $40 $10 copay Any amount over $40 Eyeglass Lenses Single Vision, Bifocal, Trifocal 2 $25 copay Single Vision: Any amount over $25 Bifocal: Any amount over $40 Trifocal: Any amount over $65 Twice per year $25 copay Twice per year Single Vision: Any amount over $25 Bifocal: Any amount over $40 Trifocal: Any amount over $65 Frames Any available frame at a provider location Any amount over $130 less 20% discount Any amount over $65 Twice per year Any amount over $130 less 20% discount Twice per year Any amount over $65 Contact Lenses in lieu of lenses Standard Fit and Follow-Up: Up to $40 Premium Fit and Follow-Up: 90% of retail cost Conventional: Any amount over $105 less 15% discount Disposable: Any amount over $105 Medically Necessary: No charge in lieu of lenses You pay fit and follow-up in full Any amount over $84 for conventional or disposable contact lenses Any amount over $200 for medically necessary contact lenses Standard Fit and Follow-Up: Up to $40 Premium Fit and Follow-Up: 90% of retail cost Conventional: Any amount over $400 less 15% discount Disposable: Any amount over $400 Medically Necessary: No charge You pay fit and follow-up in full Any amount over $280 for conventional, disposable or medically necessary contact lenses 1 For out-of-network services, you pay the provider at the time of service and then submit a claim form for reimbursement. 2 UV coating, tint, and standard scratch resistance available for $15 each. Other add-on lens options are also available at discounted rates. Note: The Basic plan covers either one pair of glasses OR contacts each year. The Plus plan covers two pairs of glasses AND contact lenses each year.

9 Flexible Spending Accounts (FSAs) FSAs allow you to set aside pre-tax dollars from each paycheck to reimburse yourself for eligible out-of-pocket health and dependent care expenses. You can participate in the FSA plans when you reach your one-year anniversary. These plans are use it or lose it so plan carefully. FSA Plan Minimum Contribution Life Insurance Maximum Contribution Health Care $50 $2,550 Qualified medical, prescription drug, dental and vision expenses Dependent Care* $50 $5,000 Qualified day care costs for children under age 13 * The Dependent Care FSA plan is not available if your total earnings exceeded $120,000 in SALARIED TEAM MEMBERS: Brinker provides Basic Life coverage equal to 2 times your annual salary (up to $1,000,000) at no cost to you. FULL-TIME HOURLY TEAM MEMBERS: Brinker provides Basic Life Insurance of $5,000 at no cost to you. You can also buy additional Life Insurance coverage for you and your family. A statement of Health Form may be required. This coverage is provided through MetLife. Eligible Expenses Incur Claims Submit Claims By Coverage for... Amount of additional coverage available... Free Will preparation by Hyatt Legal Plans is available for team members who enroll in Supplemental Life coverage with MetLife. To access this service, call Hyatt Legal Plans Toll-Free Number (800) and reference the Brinker International Group #98029 and the last 4 digits of your Social Security or Employee ID number. Accidental Death & Dismemberment (AD&D) SALARIED TEAM MEMBERS: Brinker provides you with Basic AD&D coverage equal to 2 times your annual salary (up to $500,000) at no cost to you. AD&D coverage pays a benefit if you or a covered family member dies or is injured as a result of an accident. You can choose coverage in amounts from $20,000 to $300,000 for yourself and your eligible dependents. This coverage is provided through MetLife. Please refer to your Summary Plan Description for full details. You Your spouse or domestic partner Jan 1, Mar 15, 2017 Jan 1, Dec 31, 2016 April 30, 2017 April 30, to 5 times your annual salary, up to $2 million $25,000* or 1 to 3 times your annual salary, up to $100,000 Your children $5,000 or $10,000 NOTE: Spouse/domestic partner or child coverage can t exceed your supplemental coverage amount. * $25,000 spouse or domestic partner guarantee issue amount is only available during your initial eligibility period. If you have The dependent benefit available is A spouse or domestic partner only 60% of your coverage (minimum $10,000; maximum $180,000) Children, but no spouse A spouse or domestic partner AND children 20% of your coverage (minimum $20,000 per child; maximum $25,000 per child) Spouse or domestic partner 50% of your coverage Children 10% of your coverage (minimum $20,000 per child; maximum $25,000 per child) BUSINESS TRAVEL ACCIDENT Brinker automatically provides salaried team members Business Travel Accident Insurance at 3 times your annual salary, up to the plan maximum.

10 Short-Term Disability (STD) SALARIED TEAM MEMBERS Brinker provides this plan to you at no cost. It replaces all or part of your pay when you can t work due to pregnancy or a non-work related illness or injury. Benefits start on the 8th day of your disability. FULL-TIME HOURLY TEAM MEMBERS You can elect Short-Term Disability (STD) benefits, provided through Nationwide, to replace part of your pay when you can t work due to pregnancy or a non-work related illness or injury. To receive STD benefits, report your leave of absence to the Brinker Benefits Service Center and submit the required disability certification form from your doctor. Full-Time Hourly Disability Benefits at a Glance Salary Continuation Benefits at a Glance (For Salaried Team Members) Length of salaried service Months at 100% of pay Months at 60% of pay Less than 2 years years up to 3 years years 2 2 Benefits begin... Plan pays... Benefits continue... On the 15th day of disability 50% of your base pay (including tips, but not overtime) up to a maximum weekly dollar amount of $125 or $250, depending on which amount you elect Up to 26 weeks (continuing proof of disability is required) Note: This plan is underwritten by Nationwide Life Insurance Company. If you live in California, Hawaii, New Jersey, New York or Rhode Island, this benefit is not available. You automatically pay for state disability insurance through your paycheck. Long-Term Disability (LTD) (SALARIED TEAM MEMBERS ONLY) Brinker provides you LTD benefits at no cost. This benefit replaces 50% of your earnings, including salary and bonuses, up to $10,000 per month. LTD benefits will begin if you are still disabled and unable to work after exhausting your Short-Term Disability benefits. You must be approved by MetLife to receive LTD benefits and payments may continue up to age 65 (if certain requirements are met). Legal Plan The Hyatt Legal plan gives you and your family low-cost access to legal services. The plan includes unlimited phone calls and office visits for wills and estate planning, debt matters, traffic ticket defense, family law, civil lawsuits, tax audits, real estate matters and immigration assistance. MetLife Defender Identity Theft Protection Common events like paying bills, downloading songs or submitting a college application can make you vulnerable to cybercriminals. MetLife Defender uses patented technology to secure personal information and prevent hackers. Services include: credit monitoring, credit restoration, personal and medical data protection, online account privacy monitoring, and cyber predator protection. To learn more about this product, visit the Other Benefits section in the Health & Wellness Center on BrinkerNation.com. Coverage under this plan is available for you, your spouse or domestic partner, and your children up to age 26.

11 Contact Information Benefits Website (select Health & Wellness Center from the Speed Key) Brinker Benefits Service Center (800) Blue Cross Blue Shield Group # (866) CVS Health Group #BIPCRX (877) Compass Health Pro member.compassphs.com (855) EyeMed Vision Care Basic: Group # Plus: Group # (866) Fidelity Brinker 401(k) Plan (800) Hyatt Legal Plan (800) Magellan Behavioral Health EAP (800) MetLife Defender Identity Theft Protection (800) MetLife Dental Basic: Group # Plus: Group # (800) MetLife Long-Term Disability (Salaried Only) (800) MetLife Supplemental AD&D (800) MetLife Supplemental Life Insurance Policy # (800) Nationwide Short-Term Disability (Full-Time Hourly Only) (866) PayFlex Flexible Spending Accounts Employer ID (800) WageWorks Wellness Account (877) Kaiser HMO North: Group #35895 South: Group # (800) This brochure is intended to be only an overview of the Brinker benefit plans. The complete details about how the plans work are included in the summary plan description and plan documents, which are available on request from the insurance carrier or the Brinker Benefits Service Center. If there are any inconsistencies between this brochure and the plan documents, the plan documents will govern. The company reserves the right to change or end the Brinker benefit plans at any time. October 2015