WE HAVE A CHOICE OF HEALTHCARE PLANS
Eligible: All full-time regular employees and their eligible dependents up to age 23.
Plan 1: Blue Cross Blue Shield Plan. A Preferred Provider Organization (PPO) of physicians. $15 copay for doctor office visits not subject to deductible or out-of-pocket maximum. Annual deductible of $300/individual, $600/family, which pays 80% of eligible charges other than doctor office visits. There is a $1200/individual or $2400/family out-of-pocket annual maximum to the employee. A financial penalty will apply outside of the network.
Singles contribute $14.39/week, employees with one dependent contribute $25.93/week, families pay $37.84/week for coverage.
Plan 2: HMO Plan. No annual deductible. $15 copay for most plan features. There is a financial penalty if you use a doctor other than your primary care physician (PCP). Singles contribute $1.00/week, employees with one dependent contribute $44.95/week, families pay $153.80/week for coverage.
DENTAL PLAN
Eligible: All full-time regular employees and their eligible dependents up to age 23.
Plan: A Preferred Dental Provider Organization. No deductible for diagnostic and preventive services which are reimbursed at 100%. Basic and major services have a combined annual deductible of $50/individual and $100/family, in which basic services are paid at 80% and major services pay at 50%. The maximum annual benefit payable for each covered person is $1500 applied to categories other than preventive services. There is an orthodontia benefit of 50% up to a lifetime maximum of $1500 for dependents to age 19. Singles contribute $1.12/week; employees with one dependent contribute $1.95/week; families pay $2.87/week for coverage.
PHARMACY PLAN
Eligible: All full-time regular employees and their eligible dependents up to age 23.
Plan 1: Offers the opportunity to purchase prescription drugs at a cost below retail market. The two components of the plan include:
Retail Plan: No annual deductible. For acute medications (prescribed for treatment of short-term medical conditions). Purchase prescriptions at a network pharmacy and pay $5 copay for generic drugs and pay 20% of the cost of brand name drugs up to a maximum of $50 per prescription.
Mail-order Plan: For maintenance medication prescribed for treatment of ongoing, long-term medical conditions. Through the mail, receive up to a 90 day supply for one co-payment of $15 for generic drugs and pay 20% of the cost of brand name drugs up to a maximum of $150 per prescription.
Out of Pocket Maximum: $2500 a year for individuals or $5000 a year for families.
Plan 2: Aetna U.S. Healthcare Prescription Drug Program in conjunction with the HMO 15 plan offers a retail and mail order copay of $15/generic, $20/brand and $35 for those not covered under the open formulary. Mail order co-pays are $30/$40/$70.
LIFE INSURANCE
Eligible: All full-time regular employees.
Plan: A company-paid basic life insurance policy equal to 1 ½ times base pay, maximum of $100,000. This includes a company paid AD & D plan plus life insurance for eligible dependents ($2000) and spouse ($5000). Additional life insurance for the employee may be purchased up to the equivalent of five (8) times the base salary. The premium is based on age and the value of the insurance and is paid through payroll deduction. Optional dependent life insurance may be purchased for spouse and each eligible dependent at the following rates: no coverage for spouse & $5,000/child is .57/month; $10,000/spouse & $5,000/child is $2.12/month; $20,000/spouse & $10,000/child is $4.24/month and $30,000/spouse & $15,000/child is $6.36/month.