ENROLLMENT GUIDE Iberia Medical Center Plan Year: 2021 - Your Iberia Medical Center Enrollment & Benefits Guide
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ENROLLMENT GUIDE Iberia Medical Center Plan Year: 2021 Your Iberia Medical Center Enrollment & Benefits Guide
WELCOME TO OPEN ENROLLMENT Iberia Medical Center 2021 Iberia Medical Center Open Enrollment November 1st to November 30th Please read your Open Enrollment booklet very carefully. When enrolling in the Employee Self‐Service Portal, be sure to place your initials in the box on the last page and click save. This will be a “Passive Enrollment”. If you do not take action to make changes, your coverages will continue as they are. Premiums may change due to age or salary changes. Insurance representatives will be here on November 10th and November 13th to assist you in changing or enrolling in benefits. Due to Covid, the sessions will be limited to the following dates and times. Social Distancing will be followed. Tuesday, November 10th @ Main Campus Classroom A and B 6:30am to 9:00am Tuesday, November 10th @ North Campus Meeting Room 2 10:00am to 1:00pm Tuesday, November 10th @ Main Campus Classroom A and B 3:00pm to 6:30pm Friday, November 13th @ Main Campus Classroom A and B 6:30am to 9:00am & 3:00pm to 6:30pm 2
WELCOME TO OPEN ENROLLMENT Iberia Medical Center Iberia Medical Center strives to provide you and your family with a comprehensive and valuable benefits package. We want to make sure you’re getting the most out of our benefits—that’s why we’ve put together this Enrollment & Benefits Guide. Open enrollment is a short period each year when you can make changes to your benefits. This guide will outline all of the different benefits offers, so you can identify which offerings are best for you and your family. Elections you make during open enrollment will become effective on January 1, 2021. If you have questions about any of the benefits mentioned in this guide, please don’t hesitate to reach out to HR. TABLE OF CONTENTS Eligibility and Enrollment ....................................................................................................... 5 Health Insurance .................................................................................................................... 6 Dental Insurance .................................................................................................................... 8 Long Term Disability Income & Basic Life Insurance (IMC Paid) ........................................... 9 Health Savings Account........................................................................................................ 10 Voluntary Life Insurance ..................................................................................................... 11 Voluntary Cancer and Accident ........................................................................................... 12 Voluntary Vison Coverage ……………………………………………………………………………………………..13 Short Term Disability & Accident Coverage ........................................................................ 14 Voluntary Short Term Disability ........................................................................................... 14 Voluntary Critical Illness Coverage ...................................................................................... 18 Voluntary Pet Insurance, IDTheft Coverage and LegalShield .............................................. 20 Questions and Answers ....................................................................................................... 21 Non‐Insurance Employer Provided Benefits ....................................................................... 22 Brown & Brown has set up a web page where additional information and late breaking information will be posted. The URL is www.bbgulfstates.com/imc The password for everyone is: benefits (all lower case) 3
WELCOME TO OPEN ENROLLMENT Iberia Medical Center IBERIA MEDICAL CENTER HAS AN EXTENSIVE BENEFIT PACKAGE, INCLUDING: Stellar Retirement Plan Short Term Disability Health / RX Insurance Generous PTO / Sick Pay Dental Insurance Cafeteria Plan Vision Insurance Bereavement Pay Long Term Disability Jury Duty Pay Life / AD&D Insurance Family Medical Leave Accident Coverage Continuing Education Cancer Insurance Employee Discounts Critical Illness Insurance Great Credit Union Parochial Employees’ Retirement System of Louisiana There is no better retirement than the Parochial Employees’ Retirement System (PERS) and, as a benefit employee of IMC, you will have the privilege of participating in that system. PERS is a public defined benefit pension plan. The employee is vested after just 7 years, qualifying the individual for a lifetime pension payment (upon reaching the appropriate age). Please see the “Principal Features Booklet” or check with an HR representative for further information. IMC contributes 12.25% in addition to the 9.5% employee contribution on a pre‐tax basis. Employee receives 3% per year of average highest consecutive annual salary (3‐year average for employees hired prior to 1/1/07 and 5‐year average for those hired after 1/1/07) upon retirement up to 100%. Full and Part time employees participate and are eligible immediately (mandatory). The Parochial Employees Retirement System is a public defined benefit pension plan, established by the Louisiana Legislature and made effective January 1, 1953. 4
WELCOME TO OPEN ENROLLMENT Iberia Medical Center WHO IS ELIGIBLE? If you are an Iberia Medical Center full‐time employee (working 36 or more hours per week), a part‐time employee (working 28 hours or more per week), or a Retiree not yet eligible for Medicare, you are eligible to enroll in the benefits described in this guide. The following family members are eligible for medical, dental and vision coverage: Spouses and dependent Children up to age 26. Children include natural children, stepchildren, foster children, adopted children, children placed in the home for adoption and children for whom the employee is a legal guardian. Spouses who have employment related coverage offered to them are not eligible. HOW TO ENROLL Are you ready to enroll? The first step is to review your current benefits. Did you move recently or get married? Verify all of your personal information and make any necessary changes. Once all your information is up to date, it’s time to make your benefit elections. The decisions you make during open enrollment can have a significant impact on your life and finances, so it is important to weigh your options carefully. You can enroll online (on Netchex) for most benefits this year. The exceptions are: Cancer Insurance ‐ you must Call NetEnroll or visit the NetEnroll representative during Benefits Week Pet Insurance must be done over the phone or online. Call 877‐738‐1874 ‐ YOU MUST TELL THEM YOU WORK FOR IBERIA MEDICAL CENTER or online at www.petinsurance.com/iberiamedicalcenter Legal & IDtheft Coverage online at www.legalshield.com/info/iberiamedicalcenter You can call NetEnroll to enroll with benefits over the phone at 1‐844‐760‐5570 or call anytime throughout the year with benefit questions! WHEN TO ENROLL Open enrollment begins on November 1st and runs to November 30th. The benefits you choose during open enrollment will become effective on January 1, 2021. HOW TO MAKE CHANGES Unless you experience a life‐changing qualifying event, you cannot make changes to your benefits until the next open enrollment period. Qualifying events must be reported within 30 days. Qualifying events include things like: Marriage, divorce or legal separation Birth or adoption of a child Change in child’s dependent status Death of a spouse, child or other qualified dependent Change in residence Change in employment status or a change in coverage under another employer‐sponsored plan 5
WELCOME TO OPEN ENROLLMENT Iberia Medical Center HEALTH INSURANCE HDHP PPO Tier 1 Tier 2 Tier 3 Tier 4 Tier 1 Tier 2 Tier 3 Tier 4 IMC In Network Available Out of IMC In Network Available at Out of Deductible at IMC Network IMC Done Network Done Elsewhere Elsewhere ‐ Individual $2,500 $3,000 $6,000 $6,000 $0 $1,500 $4,000 5,000 ‐ Family $5,000 $6,000 $12,000 $12,000 No Family Deductible Tier 1 Tier 2 Tier 3 Tier 4 IMC Tier 2 Tier 3 Tier 4 Out‐of‐Pocket IMC In Network Available Out of In Network Available at Out of Max at IMC Network IMC Done Network Done Elsewhere Elsewhere ‐ Individual $5,000 $6,000 $6,900 None $2,400 $3,600 $8,150 None ‐ Family $10,000 $12,000 $13,800 None $7,200 $10,800 $16,300 None Primary Care $20 Copay $20 Copay Deductible Deductible Visit up to $250, up to $250 & & IMC Lab Not Coinsurance Coinsurance GP, Family Subject to Deductible Subject to Doctor, Internist, Limit Pediatrician, & OBG / GYN $40 Copay $40 Copay Deductible Deductible up to $250, up to $250 & & Specialist Visit Subject to Deductible IMC Lab Not Coinsurance Coinsurance Subject to Limit MRI Subject to Deductible Deductible & Coinsurance MRI at IMC Subject to Deductible $150 Copay N/A (North Campus) 6
WELCOME TO OPEN ENROLLMENT Iberia Medical Center HEALTH INSURANCE CONTINUED HDHP PPO $50 RX DEDUCTIBLE, PER CALENDAR YEAR, WAIVED FOR GENERIC DRUGS. Prescription Drugs Drug Copays Retail ‐ Generic Subject to Deductible & $10 Copay ‐ Preferred Co‐insurance $30 Copay ‐ Non‐Preferred $60 Copay ‐ Specialty Specialty 25% to $250 YOUR COST IN 2021 Employee Contributions 2021 Base HDHP Employee Only Employee & Spouse Employee & Children Employee & Family Non‐Smoker Per Check $47.25 $140.09 $127.80 $208.90 Monthly Equivalent $102.38 $303.53 $276.90 $452.62 Buy Up PPO Employee Only Employee & Spouse Employee & Children Employee & Family Non‐Smoker Per Check $61.80 $195.70 $178.54 $291.84 Monthly Equivalent $133.90 $424.03 $386.83 $632.32 Base HDHP Smoker Employee Only Employee & Spouse Employee & Children Employee & Family Per Check $66.36 $162.21 $149.92 $231.02 Monthly Equivalent $143.78 $351.46 $324.83 $500.54 Buy Up PPO Smoker Employee Only Employee & Spouse Employee & Children Employee & Family Per Check $90.82 $224.72 $207.55 $320.86 Monthly Equivalent $196.77 $486.89 $449.70 $695.19 Retiree Deductions 2021 PPO Employee Only Employee & Spouse Employee & Children Employee & Family Per Month $496.65 $1,059.08 $1,059.08 $1,325.42 7
WELCOME TO OPEN ENROLLMENT Iberia Medical Center DENTAL INSURANCE (No Change) In addition to protecting your smile, dental insurance helps pay for dental care and usually includes regular checkups, cleanings and X‐rays. Several studies suggest that oral diseases, such as periodontitis (gum disease), can affect other areas of your body—including your heart. Receiving regular dental care can protect you and your family from the high cost of dental disease and surgery. We’re happy to say that there are no cost changes to your dental benefits for 2021. The following chart outlines the dental benefits we offer. TYPE OF SERVICE AMOUNT THE PLAN PAYS Preventive Services Exams, cleanings, X‐rays—Paid at 100% (you pay nothing) Deductible There is NO Deductible Fillings, simple extractions—Paid at 80% of UCR Basic Services (UCR = Usual, Customary & Reasonable) Major Services Oral surgery, root canal, crowns—Paid at 50% of UCR Annual Maximum $1,000 Employee only – $11.08 Biweekly Payroll Employee & Spouse – $18.65 Deductions Employee & Child – $20.54 Family – $31.85 8
WELCOME TO OPEN ENROLLMENT Iberia Medical Center LONG TERM DISABILITY INCOME BENEFITS (RELIANCE STANDARD) Iberia Medical Center provides full‐time employees with long‐term disability income benefits. Without disability coverage, you and your family may struggle to get by if you miss work due to an injury or illness. At Iberia Medical Center, we want to do everything we can to protect you and your family. That’s why Iberia Medical Center pays for the full cost of long‐term disability insurance—meaning that you owe nothing out of pocket. This coverage is provided by Reliance Standard Life Insurance Company. In the event that you become disabled from a non‐work‐related injury or sickness, disability income benefits will provide a partial replacement of lost income. The waiting period for this benefit is the first of the month following 6 months of continuous employment. Class 1 Employee Class 2 Employee Benefits Begin After 90 Days After 180 Days Benefits Payable To Age 65 2 Years Percentage of Income 60% of Monthly Income 60% of Monthly Income Replaced Maximum Monthly $10,000 $10,000 Benefit BASIC LIFE INSURANCE (RELIANCE STANDARD) Iberia Medical Center provides full‐time employees group life and accidental death and dismemberment (AD&D) insurance and pays the full cost of this benefit. This coverage is insured through Reliance Standard Insurance Company. Job class determines the amount of coverage with the minimum initial amount being $12,500 for active employees. There are reductions at age 65, age 70 and at age 75. This coverage is provided by Reliance Standard Insurance Company. The waiting period for this benefit is the time from hire to the first of the month after 90 days of continuous employment. 9
WELCOME TO OPEN ENROLLMENT Iberia Medical Center HEALTH SAVINGS ACCOUNTS Health savings accounts (HSAs) are a great way to save money and budget for qualified medical expenses. HSAs are tax‐advantaged savings accounts that accompany high deductible health plans (HDHPs). HDHPs offer lower monthly premiums in exchange for a higher deductible (the amount you pay before insurance kicks in). WHAT ARE THE BENEFITS OF AN HSA? There are many benefits of using an HSA, including the following: It saves you money. HDHPs have lower monthly premiums, meaning less money is being taken out of your paycheck. It is portable. The money in your HSA is carried over from year to year and is yours to keep, even if you leave the company. It is a tax‐saver. HSA contributions are made with pre‐tax dollars. Since your taxable income is decreased by your contributions, you’ll pay less in taxes. The maximum amount that you can contribute to an HSA in 2021 is $3,600 for individual coverage and $7,200 for family coverage. Additionally, if you are age 55 or older, you may make an additional “catch‐up” contribution of $1,000. You may change your contribution amount at any time throughout the year as long as you don’t exceed the annual maximum. 10
WELCOME TO OPEN ENROLLMENT Iberia Medical Center VOLUNTARY LIFE INSURANCE (RELIANCE STANDARD) Employees who want to supplement their group life insurance benefits may purchase additional coverage. When you enroll yourself and/or your dependents in this benefit, you pay the full cost through bi‐weekly payroll deductions. You can purchase coverage on yourself in $10,000 increments. Minimum coverage is $10,000 and maximum coverage is $190,000 (GI). Coverage on your spouse is in $5,000 increments up to $50,000 (GI). Coverage on children is in $2,000 increments up to $10,000. This coverage is insured through Reliance Standard Life Insurance Company. Amounts above Guaranteed Issue (GI) can be applied for with medical questions and full underwriting. It may or may not be approved depending on health. Premiums depend on your age and amount of insurance requested. The waiting period for this benefit is the first of the month after 90 days of continuous employment. Employee Rates SECTION 125 PREMIUM ONLY PLAN The Internal Revenue Service will allow you to pay for health, dental, and vision insurance premiums before taxes, thus resulting in a TAX SAVINGS to you! Spouse Rates 11
WELCOME TO OPEN ENROLLMENT Iberia Medical Center ADDITIONAL BENEFIT OFFERINGS The following Voluntary Workforce Benefits are being offered by Iberia Medical Center. These benefits will be paid by you through bi‐weekly payroll deductions. Iberia Medical Center does not contribute to the cost of these benefits. CANCER INSURANCE (COLONIAL) Chances are someone you know has been diagnosed with cancer. When those medical emergencies occur, people are suddenly faced with lengthy medical treatment, drastic lifestyle changes, and uncertain futures. At the same time, most people are also not equipped to handle the mountain of medical bills and associated expenses that their medical insurance may not cover. You can prepare for such an occurrence by having a cancer insurance policy that will pay benefits directly to you that will help cover the costs of you or your dependents treatment. Employee Family Per Paycheck Rates $10.41 $17.30 ACCIDENT COVERAGE (RELIANCE STANDARD) Accidents and unexpected injuries are a fact of life. Even the healthiest and most safety‐conscious people can find themselves on the wrong end of a mishap. Accident Insurance is a way for you to help pay for medical bills and other out of pocket expenses that often arise after an unexpected injury that occurs off‐the‐job – from the football field to the ski slope and the highway in‐between. Employee Employee & Spouse Employee & Children Family $5.99 $10.23 $11.59 $15.96 12
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WELCOME TO OPEN ENROLLMENT Iberia Medical Center PET INSURANCE (NATIONWIDE) Get 90% / 70% / or 50% (your choice) back on Vet Bills (some exclusions apply) Open to all ages More than just accident and illness coverage Easy Enrollment Option to cover Wellness Get a Quote and Enroll online at: www.petinsurance.com/iberiamedicalcenter OR Call to get a Quote and Enroll ‐ 877‐738‐1874 YOU MUST TELL THEM YOU WORK FOR IBERIA MEDICAL CENTER ID THEFT PLAN (IDSHIELD) Every two seconds someone becomes a VICTIM OF IDENTITY THEFT #7 Reported Fear by Americans Having and ID Theft Plan can help stop criminals before substantial damage is done IDShield Plan Pricing Employee $4.13 per paycheck Family $8.75 per paycheck LEGAL PLAN (LEGALSHIELD) Under the protection of LegalShield, you don’t have to worry about high hourly costs, or about figuring out which attorney to use. LegalShield Plan Pricing Employee $7.82 per paycheck Family $8.75 per paycheck COMBINATION IDSHIELD & LEGALSHIELD Combination IDShield AND LegalShield Plan Pricing Individual IDShield and LegalShield $11.95 per paycheck Family IDShield and LegalShield $15.65 per paycheck Family LegalShield plus Individual IDShield $12.88 per paycheck Family IDShield plus Individual IDShield $16.57 per paycheck Enrollment will be online at the following address: www.legalshield.com/info/iberiamedicalcenter 20
WELCOME TO OPEN ENROLLMENT Iberia Medical Center If you do not make changes to your current elections, those elections will remain the same for the plan year Jan. 1 to Dec. 31, 2021. Premiums for age or salary rated benefits may change. QUESTIONS & ANSWERS WHAT CHANGES ARE EFFECTIVE JAN. 1, 2021? Medical contributions are changing. Everything else is remaining the same. WHAT FORMS MUST BE COMPLETED TO ENROLL OR MAKE CHANGES? You can enroll online (on Netchex) for most benefits this year. The exceptions are Cancer Insurance, Pet Insurance, IDTheft, and LegalShield. You can also call Net Enroll. For Cancer, you must contact Net Enroll (Combined Benefit Administrators). They can be reached at 844‐760‐5570. For Pet, IDTheft, and LegalShield, you must use their website or call them. For Pet Insurance Enroll online at: www.petinsurance.com/iberiamedicalcenter OR Call to get a Quote and Enroll ‐ YOU MUST TELL THEM YOU WORK FOR IBERIA MEDICAL CENTER ‐ 877‐738‐1874 For IDTheft and LegalShield go online to www.legalshield.com/info/iberiamedicalcenter The information in this Enrollment Guide is presented for illustrative purposes and is based on information provided by the employer and coverage providers. The text contained in this guide was taken from various summary plan descriptions and benefit information. While every effort was taken to accurately report your benefits, discrepancies or errors are always possible. In case of discrepancy between the guide and actual plan documents, the actual plan documents will prevail. All information is confidential, pursuant to the Health Insurance Portability and Accountability Act of 1996. If you have any questions about the guide, please contact HR. 21
WELCOME TO OPEN ENROLLMENT Iberia Medical Center NON‐INSURANCE EMPLOYER PROVIDED BENEFITS PAID TIME OFF PTO Time accrues according to status and hours paid each pay period. If hours worked for Full Time Employees total less than 72, or for Part Time Employees, less than 56 for a pay period, PTO will accrue according to a proportionate amount per hour for hours actually worked. Vacation and Holiday (PTO) o Full time and Part Time employees are eligible o Iberia Medical Center pays for this benefit o Employees are eligible after 90 days of employment o Includes Vacation and Holiday* pay Full Time Employees 1–4 yrs = 144 hours (5.54 per pay period) 80 hours paid vacation 5‐9 yrs = 184 hours (7.08 per pay period) 120 hours paid vacation 10‐19 yrs = 224 hours (8.61 per pay period) 160 hours paid vacation 20+ yrs = 264 hours (10.15 per pay period) 200 hours paid vacation Part time Employees 1–4 yrs = 72 hours (2.77 per pay period) 40 hours paid vacation 5‐9 yrs = 92 hours (3.43 per pay period) 60 hours paid vacation 10‐19 yrs = 112 hours (4.31 per pay period) 80 hours paid vacation 20+ yrs = 132 hours (10.15 per pay period) 100 hours paid vacation Holiday Pay o Full time employees receive 8 (8 hour) paid holidays per year o Part time employees receive 8 (4 hour) paid holidays per year o The accrual is included in Paid Time Off o If an employee is required to work on a major holiday (*), time and one half will be paid for hours worked from 12:01 am to midnight on the specified day. If employee is already in overtime, double overtime will not be paid. Department Manager must approve overtime hours. 22
WELCOME TO OPEN ENROLLMENT Iberia Medical Center Holidays New Year’s Day* Memorial Day Mardi Gras* Labor Day Good Friday* Thanksgiving Day* Independence Day* Christmas Day* Sick Pay o Full Time and Part Time employees are eligible. o Iberia Medical Center pays for this benefit. o Employees are eligible after 90 days of employment. Full time employees are eligible for 3.39 hours per pay period or 88 hours per year. Part time employees are eligible for 1.7 hours per pay period or 44 hours per year. Sick Pay accrues according to status and hours paid each pay period. If hours paid for Full Time Employees total less than 72, or for Part Time Employees, less than 56 for a pay period, Sick Time will accrue according to a proportionate amount per hour for actual hours paid. Jury Duty o Full Time and Part Time employees are eligible. o Iberia Medical Center pays for this benefit. o Employee are eligible immediately. o IMC pays base pay for regularly schedule hours missed due to jury duty. Bereavement Pay o Full Time and Part Time employees are eligible. o Iberia Medical Center pays for this benefit. o Employees are eligible after 90 days of employment. o Up to three days off with pay for a death in the immediate family (up to 24 hours for full time, up to 12 hours for part time). 23
WELCOME TO OPEN ENROLLMENT Iberia Medical Center ADDITIONAL BENEFITS Family Medical Leave Act o Qualified employees are eligible. o Iberia Medical Center pays for this benefit. o Employees are eligible after 12 months of employment encompassing 1250 hours of work. o Up to 12 weeks of unpaid leave per year for serious health conditions of yourself or immediate family member, or birth or adoption of a child, with a guarantee that you can return to your job, or a similar one at the end of the 12 weeks. Additional leave available for military family members. Eligible accrued time (PTO and Sick if applicable) must be taken first. Workers Compensation o All employees. o Iberia Medical Center pays for this. o Employees are eligible immediately. o Medical payments and lost time will be paid in accordance with state regulations. o There is a waiting period of seven days before indemnity benefits apply. Liability Coverage o All employees receive. o Iberia Medical Center pays for this benefit. o Employees are eligible immediately. o Iberia Medical Center provides at no cost to the employee, professional liability coverage and maintains continuing professional liability insurance, as well as general liability insurance. (IMC recommends enrollment in private professional liability insurance). Medicare o All employees. o Iberia Medical Center and the employee contribute. o Hospital matches the amount withdrawn from payroll (1.45%). o Employee is eligible upon reaching the Medicare eligibility age. Social Security o IHR, PRN, and Relief Employees o Iberia Medical Center and the employee contribute. o Hospital matches the amount withdrawn from payroll (6.2%). o Employee is eligible upon reaching the eligibility age which varies by date of birth. 24
WELCOME TO OPEN ENROLLMENT Iberia Medical Center Deferred Compensation (LA State Deferred Compensation Plan and Voya) o All Employees o Employee pays for this o Eligible immediately o Employees contribute up to the annual limit on a pre‐tax basis with personal investment choices and withdrawal of funds available upon termination or retirement Unemployment Compensation o All Employees o Iberia Medical Center and the employee contribute o Eligible in accordance with state regulations o Weekly benefits Continuing Education o All employees o Iberia Medical Center pays for this benefit o Eligible immediately o In‐house continuing education through the CareLearning online training program Employee Discounts o All employees o Iberia Medical Center pays for this benefit o Eligible immediately o Discounts in Jim’s Bayou Bistro and the Gift Shop when wearing IMC ID badge Shift Differentials o All qualifying employees o Iberia Medical Center pays for this benefit o Eligible immediately o Extra compensation for working certain shifts o Amount varies by position On Call / Call Back Pay o All qualifying employees o Iberia Medical Center pays for this o Eligible immediately o Extra Compensation for being available to work certain shifts, and 1 ½ time for hours employee must come into the hospital (minimum of 1 hour) 25
WELCOME TO OPEN ENROLLMENT Iberia Medical Center Overtime o Hourly employees o Iberia Medical Center pays for this o Eligible immediately o 1 ½ time in accordance with Federal Fair Labor Standards Amendment of 1966/ “Must have departmental and administrative approval” Merit Evaluation o Full time, part time, and relief employees o Iberia Medical Center pays for this o Eligible during the annual evaluation period, but only upon completion of a 90‐day probationary period o Annual performance evaluations with the possibility of merit increase based upon departmental budget and evaluation score (completed each November) Maple Federal Credit Union o All employees o Employee pays for this o Eligible immediately o Interest bearing savings accounts o Free Checking accounts with ATM card o Visa Card o Auto Loans o Christmas Club and more 26
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