Benefits Plan Overview
Health Insurance*: Anthem
Vision Insurance*: Anthem
Flexible Spending Accounts**
- Medical Reimbursement Maximum $2,700/year
- Dependent Care Reimbursement Maximum $5,000/year
Cancer Benefits: Colonial Life
Medical Bridge: Colonial Life
Accident Benefits: Colonial Life
*EMPLOYEES WILL NEED TO RE-ENROLL IN HEALTH, DENTAL & VISION BENEFITS IN ORDER TO CONTINUE COVERAGE FOR THE NEW PLAN YEAR BEGINNING OCTOBER 1, 2019
**You will need to re-sign for the Flexible Spending Accounts if you want them to continue next year.
Disability Benefits: Colonial Life
Critical Care Benefits: Colonial Life
- Term Life Insurance: Colonial Life
- Whole Life Insurance: Colonial Life
Enrollment Period: August 19, 2019 –August 30, 2019
Effective Dates: October 1, 2019 – September 30, 2020
- Full-time contracted employees are eligible to participate.
- Benefits are effective the first of the month following date of hire.
- Benefits terminate the end of the following month after the termination date.
- The plan year for Anthem Health, Anthem Dental, Anthem Vision, Colonial Insurance products and Spending Accounts lasts from October 1, 2019 through September 30, 2020.
- Deductions for Anthem Health, Anthem Dental, Anthem Vision, Colonial Insurance products and Spending Accounts will begin September 2019.
- The 2019-2020 Medical Flexible Spending Account Plan has a 2.5 month grace period following the end of the plan year. Therefore, you have from October 1, 2019 through December 15, 2020 to incur qualified medical expenses eligible for reimbursement. If you do not incur qualified expenses eligible for reimbursement by December 15, 2020, and/or file for reimbursement by December 31, 2020, any contributions are forfeited under the use-it-or-lose it rule. All Dependent Care expenses must be incurred between October 1, 2019 through September 30, 2020.
- If signing up for any coverage on your spouse and/or children, please have their dates of birth and social security numbers available when meeting with the Benefits Representative.
- If you will be receiving a new debit card, whether you are a new participant or to replace your expired card, please be aware that it may take up to 30 days following your plan effective date for your card to arrive. Your card will be delivered by mail in a plain white envelope. During this time you may use manual claim forms for eligible expenses.
Please note that your debit card is good through the expiration date printed on the card.
- Elections made during this enrollment period CANNOT BE CHANGED AFTER THE ENROLLMENT PERIOD unless there is a family status change as defined by the Internal Revenue Code. Examples of a family status change are: marriage, divorce, death of a spouse or child, birth or adoption of a child, termination or commencement of a spouse’s employment, or the transition of spouse’s employment from full-time to part-time, or vice-versa.
- Once a family status change has occurred, an employee has 30 days to notify the Pierce Group Benefits Service Center at 1-800-387-5955 to request a change in elections.
- Flexible Spending Account expenses must be incurred during the Plan Year in order to be eligible for reimbursement.
- An employee has 90 days after the plan year ends to submit claims for spending account expenses that were incurred during the plan year. Please note that if employment terminates during the plan year, that employee’s plan year ends the day employment ends. The employee has 90 days after the termination date to submit claims.
- With Dependent Care Flexible Spending Accounts, the maximum reimbursement you can request is equal to the current account balance in your Dependent Care account.
- The Colonial Cancer plan and the Health Screening Rider on the Colonial Medical Bridge plan have a 30-day waiting period for new enrollees. Coverage, therefore, will not begin until October 31, 2019.
- Additionally, some policies may include a pre-existing condition clause. Please read your policy carefully for full details.
- Please be aware there are certain coverages that may be subject to federal and state tax when premium is paid by pretax deduction or employee contribution.
- An employee taking a leave of absence, other than under the Family & Medical Leave Act, may not be eligible to re-enter the Flexible Benefits Program until the next plan year. Please contact your Benefit Administrator for more information.