Benefits Plan Overview

Pre-Tax Benefits

Flexible Spending Accounts*

• Medical Reimbursement Maximum $2,750/year
• Dependent Care Reimbursement Maximum $5,000/year

 Cancer Benefits: Colonial Life

 Accident Benefits: Colonial Life

 Medical Bridge Benefits: Colonial Life

Dental Insurance: Sun Life

Vision Insurance: Superior

*You will need to re-sign for the spending accounts if you want them to continue next year.

IF YOU DO NOT RE-SIGN, YOUR CONTRIBUTION WILL STOP EFFECTIVE DECEMBER 31, 2020.

Post-Tax Benefits

Disability Benefits: Colonial Life

• Short-Term Disability Benefits (Employer-Paid): Sun Life
• Long-Term Disability Benefits (Employer-Paid): Sun Life

 Critical Illness Benefits: Colonial Life

 Life Insurance

• Term Life Insurance: Colonial Life
• Whole Life Insurance: Colonial Life

 Group Term Life Insurance: Sun Life

• Basic Life – Employer-Paid
• Voluntary Life

ENROLLMENT PERIOD: OCTOBER 26, 2020 – OCTOBER 27, 2020

EFFECTIVE DATES: JANUARY 1, 2021 – DECEMBER 31, 2021

QUALIFICATIONS:

• Employees must work 30 hours or more per week to participate in benefits.

IMPORTANT FACTS:

• The plan year for Sun Life Dental, Superior Vision, Colonial Insurance products, Spending Accounts and Sun Life Voluntary Group Term Life lasts from January 1, 2021 through December 31, 2021. The Sun Life Short-Term Disability, Sun Life Long-Term Disability and Sun Life Basic Group Term Life plans are Employer-Paid benefits.

• Deductions for Sun Life Dental, Superior Vision, Colonial Insurance products, Spending Accounts and Sun Life Voluntary Group Term Life will begin January 2021.

• 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.

• PLEASE NOTE: Pierce Group Representatives are not authorized to assist employees with their SHP enrollment or make SHP enrollment elections on an employee’s behalf.

• 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. All changes must go through Bessemer City Human Resources.

• 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. You cannot be reimbursed more than has actually been deducted from your pay.

• The Colonial Cancer plan and the Health Screening Rider on the Colonial Accident and Colonial Medical Bridge plan have a 30-day waiting period for new enrollees. Coverage, therefore, will not begin until January 31, 2021.

• 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.