Benefits Plan Overview

Pre-Tax Benefits

Health Insurance*: Optima Health

Dental Insurance: Anthem

Vision Insurance: Superior

Flexible Spending Accounts**: Ameriflex

– Medical Reimbursement FSA Maximum: $2,750/year

– Dependent Care Reimbursement FSA Maximum: $5,000/year

Cancer Benefits: Colonial Life

Accident Benefits: Colonial Life

Medical Bridge Benefits: Colonial Life

**You will need to re-sign for the Flexible Spending Accounts if you want them to continue next year.

IF YOU DO NOT RE-SIGN, YOUR CONTRIBUTION WILL STOP EFFECTIVE SEPTEMBER 30, 2021.

Post-Tax Benefits

Short-Term Disability Benefits: Colonial Life

Long-Term Disability Benefits: Reliance Standard

Critical Illness Benefits: Colonial Life

Life Insurance: Colonial Life

– Term Life Insurance

– Whole Life Insurance

**EMPLOYEES WILL NEED TO RE-ENROLL IN HEALTH BENEFITS IN ORDER TO CONTINUE COVERAGE FOR THE NEW PLAN YEAR BEGINNING OCTOBER 1, 2021.

Please note your insurance products will remain in effect unless you see a representative to change them.

Enrollment Period: May 24, 2021 – June 11, 2021

Effective Dates: October 1, 2021 – September 30, 2022

QUALIFICATIONS:

– Employees must work a minimum of 20 hours for benefits.

– Benefits will be effective the first of the month following hire date.

– New Hires: Spending Accounts, Long-Term Disability and Colonial Insurance products can be enrolled during Open Enrollment only.

IMPORTANT FACTS:

– The plan year for Optima Health, Anthem Dental, Superior Vision, Reliance Standard Long-Term Disability, Colonial Insurance products and Spending Accounts lasts from October 1, 2021 through September 30, 2022. Please Note: Dental benefits are based on the Calendar Year, running from January 1st through December 31st. Dental benefits and deductibles will reset every January 1st.

– Deductions for Optima Health, Anthem Dental and Superior Vision will begin September 2021. Deductions for Reliance Standard Long-Term Disability, Colonial Insurance products and Spending Accounts will begin October 2021.

– Please visit www.piercegroupbenefits.com/franklincitypublicschools to review plan summaries and other required health plan notices.

– The 2021-2022 Flexible Spending Account Plan includes a grace period from October 1, 2022 through December 15, 2022. Therefore, you have from October 1, 2021 through December 15, 2022 to incur qualified expenses eligible for reimbursement in the Medical and Dependent Care Spending Accounts. If you do not incur qualified expenses eligible for reimbursement by December 15, 2022, and/or file for reimbursement by December 31, 2022 any contributions are forfeited under the use-or-lose it rule.

– 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 North Carolina Service Center at 1-888-662-7500 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. You cannot be reimbursed more than has actually been deducted from your pay.

– As a married couple, one spouse cannot be enrolled in an FSA at the same time the other is contributing to an HSA.

– 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, 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.