Lenoir County Public Schools Enrollment Assistance – BenSelect 2023

HELPFUL TIPS:

– If you are a new employee and unable to log into the online system, please speak with the Benefits Representative assigned to your location, or contact Human Resources.

– If you are an existing employee and unable to log into the online system, please contact Pierce Group Benefits at 888-662-7500 between 8:30am and 5:00pm, or speak with the Benefits Representative assigned to your location.

COMPLETE THE STEPS BELOW TO BEGIN THE ENROLLMENT PROCESS: 

1. Go to: https://harmony.benselect.com/LenoirCS

– Enter your User Name: Social Security Number with or without dashes (ex. 123-45-6789 or 123456789)
– Enter your PIN: Last 4 numbers of your Social Security Number followed by last 2 numbers of your Date of Birth year (ex. 678970)

2. The screen prompts you to create a NEW PIN [__________].

3. Choose a security question and enter answer [__________].

4. Confirm (or enter) an email address.

5. Click on ‘Save New PIN’ to continue to the enrollment welcome screen.

6. From the welcome screen click “Next”.

7. The screen shows ‘Personal Information’. Verify that the information is correct and enter the additional required information (marital status, work phone, e-mail address). Click ‘Next’.

8. The screen allows you to add family members. It is only necessary to enter family member information if adding or including family members in your coverage. Click ‘Next’.

9. The screen shows ‘Benefit Summary’. Review your current benefits and make changes/selections for the upcoming plan year.

HEALTH CARE FSA: Enter annual amount. MAX $2,850/year  MIN $250/year

DEPENDENT CARE FSA: Enter annual amount. MAX $5,000/year

DENTAL: You may enroll online in Dental coverage.

VISION: You may enroll online in Vision coverage.

GROUP TERM LIFE: You may enroll online in Group Term Life coverage.

TELEMEDICINE: You may enroll online in Telemedicine coverage.

CANCER ASSIST
You may enroll online in Cancer Assist coverage.

DISABILITY – EDUCATOR DISABILITY ADVANTAGE (EDA1100)
You may enroll online in EDA1100 coverage.

ACCIDENT 1.0
You may enroll online in Accident 1.0; however, persons over age 64 applying for coverage and employees wishing to purchase an individual policy for their spouse should speak with the Benefits Representative.

MEDICAL BRIDGE
You may enroll online in Medical Bridge coverage.

CRITICAL ILLNESS 6000
You may enroll online in Critical Illness 6000 coverage.

TERM LIFE 5000
You may enroll online in Term Life 5000; however, employees wishing to purchase an individual policy for their spouse should speak with the Benefits Representative.

WHOLE LIFE 5000 Plus
You may enroll online in Whole Life 5000 Plus; however, employees wishing to purchase an individual policy for their spouse should speak with the Benefits Representative.

10. Click ‘Sign & Submit’ once you have decided which benefits to enroll in.

11. Review your coverage. If any items are ‘Pending’, you will need to decide whether to enroll or decline this benefit.

12. Click ‘Next’ to review and electronically sign the authorization for your benefit elections.

13. Review the confirmation, then if you are satisfied with your elections, enter your PIN and click ‘Sign Form’.

14. Click ‘Download & Print’ to print a copy of your elections, or download and save the document. Please do not forget this important step!

15. Click ‘Log Out’.

Lenoir County Public Schools Important Information About Your Enrollment 2023

IN-PERSON ENROLLMENTS FOR PERSONAL SERVICE

During your open enrollment period, a Pierce Group Benefits representative will be available by appointment to answer any questions you may have and to assist you in the enrollment process.

ONLINE

You may enroll or make changes online to your flexible benefits plan. To enroll online, please visit: https://harmony.benselect.com/LenoirCS

ENROLLMENT PERIOD: OCTOBER 31, 2022 – DECEMBER 2, 2022

YOU CAN MAKE THE FOLLOWING BENEFIT ELECTIONS ONLINE DURING THE ENROLLMENT PERIOD:

– Enroll/Re-Enroll in Flexible Spending Accounts⁺ (Medical Reimbursement and Dependent Care)

– Enroll in, change or cancel Dental Insurance (must re-enroll to continue coverage).

– Enroll in, change or cancel Vision Insurance (must re-enroll to continue coverage).

– Enroll in, change or cancel Group Term Life Insurance (must re-enroll to continue coverage).

– Enroll in, change or cancel your Telemedicine coverage (must re-enroll to continue coverage).

– Enroll in, change or cancel your Pre-Paid Legal.*

– Enroll in, change or cancel Colonial coverage.

⁺You will need to re-enroll in the Flexible Spending Accounts if you want them to continue each year.

*Please see the coordinating pages of your benefit booklet/back cover for enrollment instructions and/or contact information for the Legal plan.

ACCESS YOUR BENEFITS ONLINE WHENEVER, WHEREVER.

You can view details about your benefits, view educational videos about all of your benefits, download forms, chat with one of our knowledgeable Service Center Specialists, and more on your personalized Pierce Group Benefits website. Our website is also mobile friendly, making it easy to view your plan information on the go!

IMPORTANT NOTE & DISCLAIMER

This is neither an insurance contract nor a Summary Plan Description and only the actual policy provisions will prevail. All information in this booklet including premiums quoted is subject to change. All policy descriptions are for information purposes only. Your actual policies may be different than those in this booklet.

Lenoir County Public Schools Benefits Plan Overview 2023

Pre-Tax Benefits

Flexible Spending Accounts: IMS
– Medical Reimbursement Maximum: $2,850/year | Minimum: $250/year
– Dependent Care Reimbursement Maximum: $5,000/year
You will need to re-enroll in the Flexible Spending Accounts if you want them to continue next year.
IF YOU DO NOT RE-ENROLL, YOUR CONTRIBUTION WILL STOP EFFECTIVE DECEMBER 31, 2022.

Dental Insurance: Sun Life

Vision Insurance: Superior

Cancer Benefits: Colonial Life

Accident BenefitsColonial Life

Medical Bridge BenefitsColonial Life

 

Post-Tax Benefits

Disability Benefits: Colonial Life

Critical Illness Benefits: Colonial Life

Telemedicine Benefits: Call A Doctor Plus

Group Term Life Insurance: Sun Life

Life InsuranceColonial Life
– Term Life Insurance
– Whole Life Insurance

Identity Theft Shield & Life Events Legal Plan: Legal Shield

 

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

 

Enrollment Period: OCTOBER 31, 2022 – DECEMBER 2, 2022

Effective Dates: JANUARY 1, 2023 – DECEMBER 31, 2023 (FSA & COLONIAL)

Effective Dates: FEBRUARY 1, 2023 – JANUARY 31, 2024 (DENTAL, VISION, GROUP TERM LIFE, TELEMEDICINE, & LEGAL PLAN)

 

QUALIFICATIONS:

– You must work 30 hours or more per week.

IMPORTANT FACTS:

– The plan year for Colonial Insurance products and Spending Accounts lasts from January 1, 2023 through December 31, 2023. The plan year for Sun Life Dental, Superior Vision, Sun Life Group Term Life, Call A Doctor Plus Telemedicine, and Legal Shield Identity Theft Shield & Life Events Legal plan lasts from February 1, 2023 through January 31, 2024.

– Deductions for Colonial Insurance products, Spending Accounts, Sun Life Dental, Sun Life Group Term Life, Superior Vision, Call A Doctor Plus Telemedicine, and Legal Shield Identity Theft Shield & Life Events Legal plan will begin January 2023.

– 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 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 a Medical Reimbursement FSA at the same time the other opens or contributes to an HSA.

– 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, 2023.

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.

Eliada Homes Forms & Links 2022-2023

Colonial Life

Health

Dental

Vision

Disability & Group Term Life

Pet Insurance

Employee Assistance Program (EAP) 

Flex Accounts

 

Eliada Homes MyLifeExpert EAP 2022-2023

MEMBERS HAVE INSTANT, CONFIDENTIAL, 24/7/365 SUPPORT TO GET ACCESS TO THE HELP THEY NEED ALL IN THE PALM OF THEIR HAND.

Our work/life portal gives members access to thousands of up-to-date, topic-related articles, videos, podcasts, calculators, interactive checklists, webinars, and more related to:

– Financial & Legal

– Child Care & Education

– Eldercare

– Health & Wellness

– Career & Military

– 50+ Soft Skills Courses

– Health & Lifestyle Assessments

– Nationwide Resources

– Everyday Living

– Much more!

Help is a one call or click away! Create your account at MyLifeExpert.com today! Use company code: ELIADA

Eliada Homes The FSA Store 2022-2023

FLEX SPENDING WITH ZERO GUESSWORK

Your Health, Your Funds, Your Choice

Take control of your health and wellness with guaranteed FSA-eligible essentials. Pierce Group Benefits partners with the FSA Store to provide one convenient location for Flexible Spending Account holders to manage and use their FSA funds, and save on more than 4,000 health and wellness products using tax-free health money. Through our partnership, we’re also here to help answer the many questions that come along with having a Flexible Spending Account!

– The largest selection of guaranteed FSA-eligible products

– Phone and live chat support available 24 hours a day / 7 days a week

– Fast and free shipping on orders over $50

– Use your FSA card or any other major credit card for purchases

Other Great FSA Store Resources Available To You

Eligibility List: A comprehensive list of eligible products and services

FSA Calculator: Estimate how much you can save with an FSA

Learning Center: Easy tips and resources for living with an FSA

Savings Center: Where you can save even more on FSA-eligible essentials

FSAPerks: Take your health and funds further with the FSA Store rewards program

 

Shop FSA Eligible Products Through Our Partnership with The FSA Store!
BONUS: Get $20 off any order of $150+ with code PGB20FSA (one use per customer).

 

NEED HELP? WE’VE GOT YOU COVERED!

FSA Store Customer Service

FSA Store Frequently Asked Questions

Eliada Homes Ameriflex Important FSA Information 2022-2023

Online Account Instructions

How to Access Your Ameriflex Account:

Go to MyAmeriflex.com and click “Login” from the upper right hand corner. When prompted, select “Participant.”

How to Register Online For Your Ameriflex Spending Account:

Click the register button atop the right corner of the home screen.

  1. As the primary account holder, enter your personal information.
    – Choose a unique User ID and create a password (if you are told that your username is invalid or already taken, you must select another).
    – Enter your first and last name.
    – Enter your email address.
    – Enter your Employee ID, which in most cases, will be the account holder’s Social Security Number(no dashes or spaces needed).
  2. Check the box if you accept the terms of use.
  3. Click ‘register’. The process may take a few seconds. Do not click your browser’s back button or refresh the page.
  4. Last, you must complete your Secure Authentication setup. Implemented to protect your privacy and help us prevent fraudulent activity, setup is quick and easy. After the registration form is successfully completed, you will be prompted to complete the secure authentication setup process:
    Step 1: Select a Security Question option, and type in a corresponding answer.
    Step 2: Repeat for the following three Security Questions, then click next.
    Step 3: Verify your email address, and then click next.
    Step 4: Verify and submit setup information.
  5. The registration process is complete! Should you receive an information error message that does not easily guide you through the information correction process, please feel free to contact our dedicated Member Services Team at 888.868.FLEX (3539).

After registering, you can log into your account to:

– Check your balance

– Order replacement cards

– Submit claims for reimbursement

– Update your reimbursement method, and more…

Want to Manage Your Account on the go?

Download the MyAmeriflex mobile app, available through the App Store or Google Play. This is the quickest and easiest way to access your account on the go. The mobile app offers the same functionality as your online account.

Your credentials for the MyAmeriflex Portal and the MyAmeriflex Mobile App are the same; there is no need for separate login information!

Using Your Ameriflex Card

You’ll receive a Mastercard debit card linked to your Ameriflex account that can be used to pay for eligible expenses. If you have more than one account, such as a flexible spending account and dependent care account, your card is linked to both accounts and knows which funds to pull from when you make a purchase. If you lose your card, you can request a complimentary replacement by logging into your Ameriflex account or the Ameriflex mobile app.

Eligible Expenses

Before you make a purchase, it’s important to verify that the expense is eligible under the rules of your plan. Spending and saving accounts reimburse specific expenses unique to those accounts. Visit our Help Center for more information about eligible expenses.

Help Center and Support

Your satisfaction is our top priority, and our team of experts are ready to help whenever you need it. The Help Center is the best place to go for quick answers to your questions and more information about your account. You can access the Help Center at myameriflex.com/HelpCenter.

The Ameriflex Participant Services team is available Monday – Friday: 7:00 AM to 8:00 PM CST and Saturday: 9:00 AM to 1 :00 PM CST.

Call: 888.868.3539
Email: service@myameriflex.com
Live Chat: myameriflex.com

Eliada Homes Ameriflex DCA 2022-2023

Set aside tax-free money for daycare and dependent care services.

Use the below information to determine if a Dependent Care Account (DCA) is right for you and how to best take advantage of a DCA account.

How It Works

When you enroll in a Dependent Care Account (DCA) you get to experience tax savings on expenses like daycare, elderly care, summer day camp, preschool, and other services that allow you to work full time.

The Value & Perks

– Save On Eligible Expenses: You can use a DCA to pay for qualifying expenses such as daycare, summer day care, elder care, before and after school programs, and pre-school.

– Keep More Money: The funds are taken out of your paycheck “pre-tax” (meaning they are subtracted from your gross earnings before taxes) throughout the course of the year. Let’s say you earn $40,000 a year and contribute $1,500 to an DCA; so, only $38,500 of your income gets taxed. That means you are increasing your take-home pay simply by participating!

– Easy Spending and Account Management: You will receive an Ameriflex Debit Mastercard linked to their DCA. They can use their card for eligible purchases everywhere Mastercard is accepted. Account information can be securely accessed 24/7 online and through the mobile app.

Eligible DCA Expenses

The IRS determines what expenses are eligible under a DCA. Here are some examples of common eligible expenses:

– Daycare or elder care

– Before-school and after-school care

– Preschool and nursery school

– Private sitter

– Summer day camp

– Nanny service

For a full list of eligible expenses, go to myameriflex.com/eligibleexpenses.

Eliada Homes Ameriflex FSA 2022-2023

An account for setting aside tax-free money for healthcare expenses.

Use the below information to determine if a Flexible Spending Account (FSA) is right for you and how to best take advantage of an FSA account.

How It Works

When you enroll in a Flexible Spending Account (FSA) you get to experience tax savings on qualified expenses such as copays, deductibles, prescriptions, over-the-counter drugs and medications, and thousands of other everyday items.

Can I have an FSA and an HSA?

You can’t contribute to an FSA and HSA within the same plan year. However, you can contribute to an HSA and a limited purpose FSA, which only covers dental and vision expenses.

As per IRS Publication 969, an employee covered by an HDHP and a health FSA or an HRA that pays or reimburses qualified medical expenses generally can’t make contributions to an HSA. An employee is also not HSA-eligible during an FSA Grace Period. An employee enrolled in a Limited Purpose FSA is HSA-eligible.

As a married couple, one spouse cannot be enrolled in an FSA at the same time the other is contributing to an HSA. FSA coverage extends tax benefits to family members allowing the FSA holder to be reimbursed for medical expenses for themselves, their spouse, and their dependents.

The Value & Perks

– Election Accessibility: You will have access to your entire election on the first day of the plan year.

– Save On Eligible Expenses: You can save up to 40% on thousands of eligible everyday expenses such as prescriptions, doctor’s visits, dental services, glasses, over-the-counter medicines, and copays.

– Keep More Money: The funds are taken out of your paycheck “pre-tax” (meaning they are subtracted from your gross earnings before taxes) throughout the course of the year. Let’s say you earn $40,000 a year and contribute $1,500 to an FSA; so, only $38,500 of your income gets taxed. That means you are increasing your take-home pay simply by participating!

– Easy Spending and Account Management: Employees will receive an Ameriflex Debit Mastercard linked to their FSA. Employees can use their card for eligible purchases everywhere Mastercard is accepted. Account information can be securely accessed 24/7 online and through the mobile app.

Eligible FSA Expenses

The IRS determines what expenses are eligible under an FSA. Below are some examples of common eligible expenses:

– Deductibles

– Copays

– Prescriptions

– Teeth cleaning

– LASIK

– Glasses and contact lenses

– Band-aids

– Sunscreen

– Over-the-counter medicine (prescription required)

– Feminine menstrual care

For a full list of eligible expenses, go to myameriflex.com/eligibleexpenses.

The “Use-or-Lose” Rule

If you contribute dollars to a reimbursement account and do not use all the money you deposit, you will lose any remaining balance in the account at the end of the eligible claims period. This rule, established by the IRS as a component of tax-advantaged plans, is referred to as the “use-or-lose” rule.

To avoid losing any of the funds you contribute to your FSA, it’s important to plan ahead as much as possible to estimate what your expenditures will be in a given plan year.

Modification to the Health FSA “Use-or-Lose” Rule:

– FSA plan participants should note that up to $570 of any unused funds from the current plan year will be rolled over into your FSA balance for the new plan year.

– The rollover modification applies to Health FSA plans only (and not to other types of FSA plans such as dependent care).

– The rollover does not affect the maximum contribution amount for the new plan year. In other words, even if you roll over the entire $570 from the previous plan year, you may still elect up to the maximum contribution limit allowed under your employer’s plan.

Eliada Homes Enrollment Assistance – Paylocity 2022-2023

You will be able to use the Benefits Enterprise site to make your New Hire and/or Open Enrollment elections, view your current elections, make life event changes, update family and/or beneficiary information, access benefit materials (i.e. plan summary documents or forms), etc.

HELPFUL TIPS:

– You will be able to access the Benefits Enterprise site directly from the Web Pay Employee Self Service Portal, by hovering over the Web Pay tab and selecting Enterprise Web Benefits from the dropdown options. You will not need a separate user ID or password when accessing the site via the Employee Self Service Portal.

– For successful navigation of the site, do not use the back button in your internet browser, as this will automatically log you out of the site. To navigate through the site, use the navigation bar located at the top of the screen.

FOLLOW THE STEPS BELOW TO COMPLETE THE ENROLLMENT PROCESS: 

To enroll online, please visit: https://access.paylocity.com/ (Company #99708)

1. From the homepage, click on Start Your Enrollment. If you do not see the Start Your Enrollment button, please contact your HR department.

2. The enrollment process consists of the following four steps: Employee (Personal Information), Family (Family Information), Enroll, and Confirm. You will be taken through each step to make changes or confirm your information on file and choose your benefits for the new plan year.

– Employee (Personal Information):

Before beginning your enrollment, please verify the accuracy of all of your personal information (e.g., address, DOB, etc.). If you need to make any changes, please do so in your Employee Self-Service Portal. All updates will reflect on this page within 24 hours. You can still move on with your enrollment. Verify that all information is accurate. When done, check I Agree at the bottom of the page and click Continue.

Any field that has an asterisk next to it is required.

– Family (Family Information):

Please add all dependents that may be missing from the Family Information section before proceeding to the next section. To do this, click Add Dependents. When all of your family information is accurate, check I Agree and click Continue.

– Making Benefit Elections:

To review all available plan options for each benefit, click the View Plan Options link.

Before you are able to select a plan, select all dependents you wish to cover (the system will generate your coverage tier based on this) and click Continue. If you wish to add a new dependent at this time, click Add Dependents to the family tab and add the dependent.

From here, you can use the View All Plans Side-by-Side section to compare all available plans. Once you have chosen the plan you wish to enroll in, click Select to the corresponding plan. After each election that you make, you will see a summary of your election.

*Benefits provided to you by your employer at no cost to you (employer-paid) do not require you to make an election. You can use the View Information button to review any applicable plan information. 

**If you enrolled in a plan that requires beneficiary designation, you will be asked to do that now. Any dependents on file will be listed automatically as beneficiaries. Enter your designations. Your percentages must equal 100 percent. When complete, click Continue. If you would like to add another beneficiary, click Add Beneficiary. 

You will now be on the final review page. Review all of your benefit elections and covered dependents. If you wish to make any changes, simply click on any one of the Edit Selection buttons. It will return you to the enrollment page. Once you have completed your review, check “I agree, and I’m finished with my enrollment” and “Complete Enrollment.” If you stop at any point before this step, your progress will be saved, but your enrollment is not complete.

– Confirming Benefit Elections: 

You can send yourself an email confirmation of your elections or print it for your records. Click the printer icon on the right-hand side of the screen.

Note: Although the online benefits enrollment site is a secure site and your information is encrypted during transit, it is important that you log off when you have completed your session. Click the Log Off icon in the upper right-hand corner of the enrollment site to do so. For security purposes, the system will automatically log you out if you leave your system idle for more than 30 minutes.

Eliada Homes Important Information About Your Enrollment 2022-2023

IN-PERSON ENROLLMENTS FOR PERSONAL SERVICE

During your open enrollment period, a Pierce Group Benefits representative will be available by appointment to answer any questions you may have and to assist you in the enrollment process.

ONLINE

You may enroll or make changes online to your flexible benefits plan.

ENROLLMENT PERIOD: OCTOBER 31, 2022 – NOVEMBER 11, 2022

YOU CAN MAKE THE FOLLOWING BENEFIT ELECTIONS ONLINE DURING THE ENROLLMENT PERIOD:

– Enroll in, change or cancel Health Insurance.

– Enroll in, change or cancel Dental Insurance.

– Enroll in, change or cancel Vision Insurance (must re-enroll to continue coverage)*.

– Enroll in, change or cancel Group Term Life Insurance.

– Enroll in, change or cancel Long-Term Disability Insurance.

– Enroll/Re-Enroll in Flexible Spending Accounts (Medical Reimbursement and Dependent Care)⁺.

–  Enroll in, change or cancel Colonial coverage.

⁺You will need to re-enroll in the Flexible Spending Accounts if you want them to continue each year.

*EMPLOYEES WILL NEED TO MEET WITH A BENEFITS REPRESENTATIVE TO RE-ENROLL IN VISION BENEFITS IN
ORDER TO CONTINUE COVERAGE FOR THE NEW PLAN YEAR BEGINNING DECEMBER 1, 2022.

CANCER ASSIST – You may enroll online in Cancer Assist coverage.

DISABILITY – EDUCATOR DISABILITY ADVANTAGE (EDA1100) – You may enroll online in Cancer Assist coverage.

ACCIDENT 1.0 – You may enroll online in Accident 1.0; however, persons over age 64 applying for coverage and employees wishing to purchase an individual policy for their spouse should speak with the Benefits Representative.

MEDICAL BRIDGE – You may enroll online in Medical Bridge coverage.

CRITICAL ILLNESS 6000 – You may enroll online in Critical Illness 6000 coverage.

TERM LIFE 5000 – You may enroll online in Term Life 5000; however, employees wishing to purchase an individual policy for their spouse should speak with the Benefits Representative.

WHOLE LIFE 5000 Plus – You may enroll online in Whole Life 5000 Plus; however, employees wishing to purchase an individual policy for their spouse should speak with the Benefits Representative.

ACCESS YOUR BENEFITS ONLINE WHENEVER, WHEREVER.

You can view details about your benefits, view educational videos about all of your benefits, download forms, chat with one of our knowledgeable Service Center Specialists, and more on your personalized Pierce Group Benefits website. Our website is also mobile friendly, making it easy to view your plan information on the go!

IMPORTANT NOTE & DISCLAIMER

This is neither an insurance contract nor a Summary Plan Description and only the actual policy provisions will prevail. All information in this booklet including premiums quoted is subject to change. All policy descriptions are for information purposes only. Your actual policies may be different than those in this booklet.

Eliada Homes Benefits Plan Overview 2022-2023

Pre-Tax Benefits

Health Insurance: BlueCross BlueShield

Flexible Spending Accounts: Ameriflex**
– Medical Reimbursement FSA Maximum: $2,850/year | Minimum: $100/year
– Dependent Care Reimbursement FSA Maximum: $5,000/year
**You will need to re-enroll in the Flexible Spending Accounts if you want them to continue next year.

Dental Insurance: MetLife

Vision Insurance*: EyeMed

Cancer Benefits: Colonial Life

Accident BenefitsColonial Life

Medical Bridge BenefitsColonial Life

 

Post-Tax Benefits

Short-Term Disability BenefitsColonial Life

Long-Term Disability Benefits: The Hartford (Employer-Paid Benefit)

Critical Illness Benefits: Colonial Life

Life InsuranceColonial Life
– Term Life
– Whole Life

Group Term Life Insurance: The Hartford (Employer-Paid Benefit)

Pet Insurance: Nationwide

 

*EMPLOYEES WILL NEED TO RE-ENROLL IN VISION IN ORDER TO CONTINUE COVERAGE FOR THE NEW PLAN YEAR BEGINNING DECEMBER 1, 2022.

 

Enrollment Period: OCTOBER 31, 2022 – NOVEMBER 11, 2022

Effective Dates: DECEMBER 1, 2022 – NOVEMBER 30, 2023

 

QUALIFICATIONS:

– Employees must work 30 hours or more per week.

IMPORTANT FACTS:

– The plan year for BlueCross BlueShield Health, MetLife Dental, EyeMed Vision, The Hartford Group Term Life, Spending Accounts, Colonial Insurance products, and The Hartford Long-Term Disability lasts from December 1, 2022 through November 30, 2023. 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 BlueCross BlueShield Health, MetLife Dental, EyeMed Vision, Spending Accounts, Colonial Insurance products, and The Hartford Voluntary Group Term Lifewill begin December 2022. The Hartford Basic Group Term Life and The Hartford Long-Term Disability plans are provided by your employer.

– Your employer offers an Employee Assistance Program (EAP) for you and your eligible family members. An EAP is an employer-sponsored benefit that offers confidential support and resources for personal or work-related challenges and concerns. Please see the EAP pages of your benefit booklet for more details and contact information.

– 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 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 3 months 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 3 months 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 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 December 31, 2022.

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.

McDowell County Schools Colonial Life / Health Advocate EAP + Work/Life Programs

Employee Assistance Program (EAP)

The Health Advocate Employee Assistance Program (EAP), available through your Colonial Life Group Term Life Insurance, offers confidential, short-term counseling from Licensed Professional Counselors for a full range of personal issues and achieving a healthy work/life balance across the life span. In a crisis, emergency help is available 24/7.

– Stress, anxiety, depression

– Relationship, family, parenting issues

– Substance Abuse

– Anger, grief, loss

– Life transitions

– Referrals for additional treatment, as needed

888-645-1772  |   ColonialLife.com/EAP

Work/Life Planning Services

The Health Advocate work/life services, available through your Colonial Life Group Term Life Insurance, offers financial and legal counseling services, as well as grief support and referral for up to 12 months after a claim.

877.240.6863   |   HealthAdvocate.com/members  (Organization Name: ColonialLife-LifePlanning)