Benefits Plan Overview

Pre-Tax Benefits

Health Insurance: Anthem

Dental Insurance: Anthem

Vision Insurance: Anthem Blue View

*A Materials-Only vision plan is built-in to the Health Insurance plan. A stand-alone Comprehensive vision plan is available for employees to purchase separately. Please see the vision pages of your booklet for more information.

Flexible Spending Accounts**: Flex Facts

– 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 each year.

Post-Tax Benefits

Disability Benefits: Colonial Life

Critical Illness Benefits: Colonial Life

Life Insurance: Colonial Life

– Term Life Insurance

– Whole Life Insurance

Accident Benefits – Gunshot Wound Policy: Colonial Life

Enrollment Period: JULY 19, 2021 – JULY 23, 2021

Effective Dates: SEPTEMBER 1, 2021 – AUGUST 31, 2022

QUALIFICATIONS:

– Employees must be contracted working a minimum of 30 hours per week.

IMPORTANT FACTS:

– The plan year for Anthem Health, Anthem Dental, Anthem Blue View Vision, Colonial Insurance products and Spending Accounts lasts from September 1, 2021 through August 31, 2022.

– Deductions for Anthem Health, Anthem Dental and Anthem Blue View Vision will begin August 2021. Deductions for Colonial Insurance products and Spending Accounts will begin September 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 speaking with the Benefits Representative.

– If you will be receiving a Spending Account debit 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. You cannot be reimbursed more than has actually been deducted from your pay.

– As a married couple, one spouse cannot be enrolled in a Medical Reimbursement FSA at the same time the other opens or contributes to an HSA.

– The Health Screening Rider on the Colonial Medical Bridge plan has a 30-day waiting period for new enrollees. Coverage, therefore, will not begin until October 1, 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.