Employee Benefit Summary

Transcription

1 National Heritage Academies offers exceptional benefits as part of a Total Rewards package designed to meet the specific needs of educators. We are committed to the over 43,000 students we serve and to the employees that make great things happen in every classroom every day. Please take the time to explore the benefits offered outlined below. If you have any questions, please contact the People Services Team with questions at (866) or us at benefits@nhamail.com. Insurance benefits are effective the first of the month following the employee s hire date, unless otherwise noted. New employees have 30 days from their hire date to enroll in NHA s health and welfare benefits. Benefit Enrollment is to be completed through Lawson Employee Self-Service at Employees have 30 days to notify People Services of a status change event in order to make changes to most benefit plans. A status change event may be any of the following life events that affect eligibility for coverage - birth, marriage, adoption, divorce, legal separation, loss of other coverage, or qualifying employment status change. Employees have 30 days from the qualifying event date to make changes/additions to any benefit plan that permits such mid-year changes/additions. Medical and Prescription Insurance Blue Cross Blue Shield Medical Insurance (888) or visit for more information or a list of participating doctors Express Scripts Inc. Prescription Insurance (800) or visit for more information or a list of participating pharmacies Medical and prescription insurance is available to all full and part-time employees regularly scheduled to work 20 or more hours per week. Prescription coverage is provided at no additional cost if medical insurance is elected. In-Network Benefits Out-of-Network Benefits No deductible $100 deductible per member/$200 per family 100% coverage for approved procedures 80/20 coverage for approved procedures (employee 20%) $10 office visit co-pay for primary; $20 for specialty Out-of-pocket maximum $1000/individual and $10 urgent care co-pay $2,000 family per benefit period $75 emergency room visit co-pay (waived if admitted) $100 co-pay for hospital admission Both In-Network and Out-of Network Benefits include: Preventive Services Maternity Services Provided by a Physician Mammography Surgical Services Physician Office Services Human Organ Transplants Emergency Medical Care Mental Health Care and Substance Abuse Treatment Diagnostic Services And many other services Prescription Co-Pays Tier 1 - $7 generic drug co-pay Tier 2 - $40 brand-name/preferred drug co-pay Tier 3 - $75 brand-name/non-preferred co-pay Mail-in prescription plan Express Scripts Rx Services 90 day supply for two co-pays Please see the applicable Benefits-at-a-Glance statement or Summary Plan Description for more information on coverage. Claims - Benefit Period

2 Medical and Prescription Insurance Full-time employee cost (35+ hours/week) Salaried Hourly Single $20.00 $24.76 Two Person $48.00 $59.43 Family $70.00 $86.67 Waive Credit (NHA pays employee) $12.00 $14.86 Medical and Prescription Insurance Part-time employee cost (20-34 hours/week) Hourly Salaried (with a 9/1 start) Single $86.26 $ Two Person $ $ Family $ $ Employees enrolling or adding dependents for the first time are required to provide acceptable documentation to support the eligibility status of all persons to be covered on their medical plan coverage. For a list of acceptable dependent verification documents, please visit the benefits website Dental Insurance Delta Dental (800) or visit: for more information or a list of participating dentists Dental insurance is available to all full and part-time employees regularly scheduled to work 20 or more hours per week. Coverage 100% Preventive services $25.00 annual deductible (except for preventive) 85% Basic/restorative services $1,500 per benefit period max/person 50% Major restorative and orthodontia $1,500 lifetime max/child for orthodontia (dependents under 19) Oral exams, cleanings, fluoride treatment and bitewing X-rays are covered at 100% twice per benefit period. Please see the applicable Benefits-at-a-Glance statement or Summary Plan Description for more information on coverage. Claims Benefit Period Dental Insurance Full-time employee cost (35+ hours/week) Salaried Hourly Single $5.00 $6.19 Two Person $7.00 $8.67 Family $10.00 $12.38 Waive Credit (NHA pays employee) $3.00 $3.71 Part-time employee cost (20-34 hours/week) Salaried Hourly (with a 9/1 start) Single $6.72 $8.31 Two Person $13.70 $16.96 Family $27.47 $34.01 Employees enrolling or adding dependents for the first time are required to provide acceptable documentation to support the eligibility status of all persons to be covered on their dental plan coverage. For a list of acceptable

3 dependent verification documents, please visit the benefits website Vision Insurance Vision Service Plan (VSP) Signature Plan (800) or visit: for more information or a list of participating providers Vision insurance is available to all full-time employees regularly scheduled to work 35 or more hours per week. In-Network Benefits Coverage can be used for either glasses or contacts $20 exam co-pay Frame allowance: $200 per benefit period $20 lenses/frame co-pay Contact lens allowance: $130 per benefit period in lieu of glasses VSP also provides discounts on many other non-covered services and materials. Exams, lenses and frames are covered once per benefit period. Out-of-Network reimbursement is available but is limited. Please see the applicable Benefits-at-a-Glance statement or Summary Plan Description for more information on coverage. Claims Benefit Period Vision Insurance Full-time employee cost (35+ hours/week) Salaried Hourly Single $4.95 $6.13 Two Person $9.88 $12.23 Family $15.92 $19.71 Flexible Spending Accounts (FSA) Flex Administrators (800) or visit for more information Account Balance Line: (616) Health and Dependent Care FSA This benefit is available to all full-time employees regularly scheduled to work 35 or more hours per week. These types of Flexible Spending Accounts allow employees to set aside tax-free dollars to pay for certain out-of-pocket medical expenses and dependent care expenses. Employees can set aside up to $5,000 annually per account. If the money is not used before the end of the benefit year, the remaining money left in the account will be lost. When employees contribute to a Flexible Spending Account, they will lower their taxes (saving on federal, state, city and social security taxes) and increase their take-home pay. The tax savings is about $0.25 on every dollar. Health Care Flexible Spending Account Through the HCFSA, the IRS allows employees to be reimbursed for most out-of-pocket medical, dental, vision and hearing care expenses. For a full list of reimbursable expenses visit: This account comes with a debit card for easier, faster claims processing. Dependent Care Flexible Spending Account The DCFSA enables employees to pay for out-of-pocket, work-related dependent-care costs on a pre-tax basis. Both single and married employees can use the account. Claims Benefit Period

4 Transportation and Parking FSA This benefit is available to all full-time employees regularly scheduled to work 35 or more hours per week. The transportation flexible spending account (FSA) allows employees to pay for expenses related to mass transportation used to get to work. The parking FSA allows employees to set aside tax-free dollars to pay for expenses related to parking at or near NHA s premises or the location from which mass transportation is taken. Employees can enroll in, stop or change contributions at any time during the year. Elections will carry over from year to year, and there is no use it or lose it provision like with the healthcare and dependent care flex plans. When employees contribute to a Transportation or Parking FSA, they will lower their taxes (saving on federal, state, and FICA taxes) and increase their take-home pay, which typically is about $0.25 on every dollar. Mass Transportation Allowable Expenses Allowable expenses associated with using mass transportation to get to work include: vanpools, subways, buses or ferries. This includes any vehicle that seats at least 6 adults (not including the driver), and at least 80% of the vehicle s mileage will be for transporting employees between their homes and work places, with employees occupying at least one-half of the vehicle s seats. Parking Allowable Expenses Expenses associated with parking at or near the employee s work place also are allowable. This includes parking costs associated with parking at or near the location used to take mass transportation. The maximum amount employees can contribute pre-tax to this account changes on an annual basis to allow for inflation for mass transportation and parking. The 2012 limits are $125 per month for mass transportation and $240 per month for parking. Life Insurance Basic Life Insurance and Accidental Death and Dismemberment Lincoln Financial Group Customer Service: (800) or visit: NHA offers life insurance and AD&D coverage to all full-time employees regularly scheduled to work 35 or more hours per week at no cost to the employee. Coverage amount equals 1x your base salary with a minimum of $25,000 and a maximum benefit of $50,000. Voluntary Life Insurance UNUM Insurance Customer Service: (800) or visit: Full-time employees regularly scheduled to work 35 or more hours per week may purchase additional, voluntary life insurance in the following amounts: Employee: up to $200,000 in $10,000 increments Spouse: up to $50,000 in $10,000 increments (only available if voluntary employee life insurance is elected) Child(ren): $10,000 per child (only available if voluntary employee life insurance is elected) The bi-weekly cost dependents on the employee s age and the amount of coverage elected. For specific cost information please visit Disability Insurance Short-Term Disability NHA (866) or visit for more information NHA provides all full-time employees regularly scheduled to work 35 or more hours per week with short-term disability (STD) benefits if they have completed one year of active full-time service in the year preceding the leave of absence or two years of

5 active part-time service (20 hours or greater per week) in the two years preceding the leave of absence. This benefit is at no cost to the employee. If approved, the first week will be paid out at 100% of pay and the following weeks will be paid out at 67% of pay until released to return to work by a physician. Long-Term Disability Lincoln Financial Group (800) or visit for more information NHA provides all full-time employees regularly scheduled to work 35 or more hours per week with long-term disability (LTD) benefits after they have completed one year of active full-time service in the year preceding the leave of absence. This benefit is at no cost to the employee. If approved, employees can earn 60% of their pay, up to a maximum of $10,000 per month. Retirement Savings Plan 401(k) Plan Investment advice: PearlStreet Investment Management: (888) Account information: New York Life: (800) or visit All full and part-time employees regularly scheduled to work 20 or more hours per week are eligible to participate in the 401(k) plan and can contribute up to $17,000 of their pre-tax income annually in Employees turning 50 in the 2012 calendar year may make an additional catch-up contribution of up to $5,500 in Eligible employees can enroll immediately upon hire or transfer into an eligible position. If no action is taken, employees automatically are enrolled in the plan after working 45 days at NHA. Once eligible, employees may increase, decrease, start or stop 401(k) contributions at any time by contacting New York Life. Currently, NHA matches $0.50 for each $1.00 of employee pay deferral contributions (including automatic contributions) up to 6% of compensation, and NHA matches every paycheck. There is no vesting period for employer match contributions; any match contributions are the employee s immediately. PearlStreet Investment Management of Oppenheimer & Co. Inc. NHA has partnered with Retirement Consultants from PearlStreet Investment Management of Oppenheimer & Co. Inc. who are available to assist our employees at no cost with individual retirement planning and investment advice. PearlStreet team members can offer assistance and advice with regard to: Enrolling in the NHA 401(k) Plan and determining how much our employees should be saving Understanding the 401(k) investments and which ones are appropriate for our employees Evaluating our employees current investment mix for suitability Personal retirement planning via phone call or one-on-one meeting Rollover options to or from the NHA 401(k) Plan New York Life New York Life offers services and information to help our employees get the most from their Plan. Employees can access their retirement account information, find retirement planning services, and learn about their investment options online at This website helps our employees enroll in and manage their retirement account, offering a number of ways to view their information and make transactions. Tuition Reimbursement (866) or visit for more information All full-time and part-time employees regularly scheduled to work 20 or more hours per week are eligible for tuition reimbursement. NHA will reimburse employees 50% of their tuition costs upon successful completion of their class ( B 3.0 or better) up to a maximum of $6,000. A maximum of 9 credit semester hours or $6,000 will be reimbursed during the fiscal year,

6 July 1- June 30. The date on which the class begins determines which fiscal year the reimbursement is based upon. Nontuition related fees, books, recreation fees, and supplies are not eligible for reimbursement. Employee Assistance Program Encompass (800) or visit (username: nha) Call (800) to schedule a face-to-face consult NHA has partnered with ENCOMPASS to offer free, confidential counseling services for all employees and their family members. ENCOMPASS is an Employee Assistance Program (EAP) provider, and this benefit assists employees and their household members with obtaining help with life s challenges. Employees and family members can contact ENCOMPASS 24 hours a day, 7 days a week and schedule a face-to-face, phone, or online consultation. There is NO CHARGE for their services. For more information on the services they provide, please visit NHA employees also have access to financial and legal advice through ENCOMPASS. This benefit offers free, confidential, unbiased financial and legal advice to employees and family members, either online, in person or on the phone. Adoption Assistance (866) or visit for more information To qualify for this benefit, the employee must be an active regular full-time employee with at least one year of active full-time (35 or more hours per week) service to NHA in the year preceding the adoption. This benefit offers assistance of up to $3,000 child for the costs associated with an adoption. The benefit is provided upon proof that a legal adoption or placement is complete. The costs of adoption also must be substantiated. All necessary documents must be sent to the People Services Department for approval and processing. This benefit does not apply to legal fees for adoption of stepchildren. This information is an overview of the wide range of benefits National Heritage Academies offers to its employees and is in no way meant to be a legally binding document. We may change, supplement or terminate policies and benefits at any time. For complete details on any of these benefits, please refer to the applicable Summary Plan Descriptions or policy. If you would like a copy of any of the Summary Plan Descriptions or policies, or if you have any further questions, please do not hesitate to contact the People Services Department.