2017 New Hire Benefits Enrollment Guide - Goodman MFG...2017 New Hire Benefits Enrollment Guide Make...

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2017 New Hire Benefits Enrollment Guide Make Choices Within 31 Days of Your Eligibility Date You are eligible for benefits after 90 days of employment, and you must enroll within 31 days to be covered. Otherwise, you will be required to wait until the next open enrollment period in order to be covered by any benefits. There is no “auto enrollment” for any reason. Employees returning from layoff are required to re-enroll within 31 days of return. All materials are also avaliable in The Zone (TheZone.goodmanmfg.com).

Transcript of 2017 New Hire Benefits Enrollment Guide - Goodman MFG...2017 New Hire Benefits Enrollment Guide Make...

Page 1: 2017 New Hire Benefits Enrollment Guide - Goodman MFG...2017 New Hire Benefits Enrollment Guide Make Choices Within 31 Days of Your Eligibility Date You are eligible for benefits after

2017 New Hire Benefits Enrollment Guide

Make Choices Within 31 Days of Your Eligibility DateYou are eligible for benefits after 90 days of employment, and you must enroll within 31 days to be covered. Otherwise, you will be required to wait until the next open enrollment period in order to be covered by any benefits.

There is no “auto enrollment” for any reason.

Employees returning from layoff are required to re-enroll within 31 days of return.

All materials are also avaliable in The Zone (TheZone.goodmanmfg.com).

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We are pleased to offer a comprehensive benefits plan that is competitive in the marketplace. We continue to benchmark our plans against those offered by other employers to ensure that our programs are competitive. Although health care costs have continued to rise, we have worked to maintain increases in employee premiums at levels below the national average and have done so since 2002.

To make your benefit elections, you will login to our employee portal called The Zone. Directions on how to enroll are included in the back of this package of information. There is additional information on the plans available in The Zone as well.

Cigna will mail personalized Medical/Prescription ID cards for you and your covered dependents to your home address, within 10-15 days after completing the enrollment process. MetLife Dental ID cards can be retrieved from the MetLife My Benefits website.

For futher assistance, please contact HR Shared Services at (713) 346-6350, option 2 or via email at [email protected]. Please log into The Zone and get started today!

Kristi Pittman

Director, Benefits & Human Resources Shared Services

Proof of Prior Insurance CoverageThe medical insurance plan has a pre-existing condition clause (except for children up to age 19 or for pregnancy) for services performed within the first year of eligibility. A pre-existing condition is a condition (physical or mental) for which medical advice, diagnosis, care or treatment was recommended or received within the 3-month period prior to your enrollment date.

If a covered individual has a pre-existing condition, expenses for treatment of this condition will not be covered for 12 months following your enrollment date. After 12 months, normal benefits will be payable.

This pre-existing condition exclusion period may be reduced by an equal period of any prior continuous health coverage (credible coverage) as long as there is no break in coverage for 63 consecutive days or more. To reduce the exclusion period, you must provide proof of prior coverage. Your previous employer will be able to provide a “Certificate of Coverage” that verified the amount of time you and your dependents were insured. This certificate should be submitted to the benefits department. Without this certificate, incurred claims will be placed on hold until after the information is received.

Welcome to Goodman!

One stop for:• General Payroll Questions• Insurance / 401(k) • Leave of Absence Requests• Navigating the Zone*• Paid Time-Off…and many other HR-related questions

Many Ways to Connect:• Call:

Direct (713) 346-6350 or extension 6350• Email:

[email protected]• Through the Zone:

HR Request Form – Zone link under Personal tab

Have Questions?Contact our new HR Call Center today

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Your Medical & Rx BenefitsYour medical benefits will be provided through Cigna Healthcare with prescription coverage offered through OptumRx.

Getting Started with Enrollment Review Medical & Rx Choices

Weekly Premium AmountsPPO - Buy Up Plan PPO - Core Plan

Employee Only $25.20 Employee Only $10.11

Employee + Children $49.94 Employee + Children $37.77

Employee + Spouse and / or Family $101.05 Employee + Spouse and / or Family $75.68

PPO – Buy Up Plan PPO – Core Plan

Covers: 80% In-Network / 50% Out-of-Network

Covers: 70% In-Network / 50% Out-of-Network

Deductible: Individual $750/$1500 Family $2,250/$4500

Deductible: Individual $1,500 / $3,000

Family $4,500 / $9,000

Out-of-Pocket Maximum: Individual $3,000 / $6,000

Family $6,000 / $12,000

Out-of-Pocket Maximum: Individual $5,000 / $10,000 Family $10,000 / $20,000

Co-pay: $40 Primary Care $50 Specialist

Co-pay: $50 Primary Care, $60 Specialist

Emergency Room Co-pay: $100 Emergency Room Co-pay: $150

Mental health is covered as any other condition Mental health including Rx is not covered

Rx Deductible: $150 Individual / $300 Family

Rx Deductible: $150 Individual / $300 Family

Rx Co-pay Retail: Gen $15, Brand $35, Non-Pref $70

Rx Co-pay Retail: Gen $20, Brand $50, Non-Pref $80

Rx Mail Order: Gen $30, Brand $70, Non-Pref $140

Rx Mail Order: Gen $40, Brand $100, Non-Pref $160

Both plans have unlimited lifetime maximums, allow for diabetic supplies through Diabetic Sense only and allow for specialty prescriptions to be filled by Optum’s Specialty Pharmacy, Briova. For more information or to enroll in Diabetic Sense, call Optum at 888-869-4600.

The chart above is a summary of the major differences between the two plans only. Please refer to the summary plan descriptions for a complete list of covered expenses and plan specifications.

For a complete list of covered providers in your area, please go to www.mycigna.com, or call Cigna at 800-244-6224.

Check out MyCigna.ComHave you checked out mycigna.com?The website is a helpful tool to use for your insurance needs. At mycigna.com you can:■■ Check on claims■■ Print ID cards■■ Shop for lower cost options on procedures

■■ Find in-network doctors in your area

Information About PrescriptionsGeneric prescriptions will be substituted for certain brand name prescriptions unless medically necessary.

For more information about a specific medication, contact Optum directly at 1-888-869-4600.

Your Medical Benefits at a Glance

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Plan Selected Weekly Cost

Core Plan – Employee Only $1.85

Buy Up Plan – Employee Only $2.60

Core Plan – Employee + 1 $4.15

Buy Up Plan – Employee +1 $8.45

Core Plan – Employee + 2 or more $6.92

Buy Up Plan – Employee + 2 or more $10.39

Next Step Review Dental Choices

Important Information About Your Dental Coverage

Dental ID cards will NOT be mailed out by MetLife. To obtain your ID card and view a complete list of providers, please visit MetLife’s subscriber website at www.metlife.com/mybenefits or call 1-800-942-0854.

Your Dental Benefits

Goodman provides two dental plan options through MetLife to meet your needs. If your dentist is not a MetLife provider, you can still see them for treatment, but you should consider using a MetLife dentist for additional savings and to make your dental benefits stretch further.

Buy Up Plan Core Plan

Annual Deductible Ind $25 / Fam $75 Ind $50 / Fam $150

Annual Max/Person $2,000 $1,000

Preventive Care 20% No Deductible 20% No Deductible

Basic Treatment 80% / 20% 80% / 20%

Major Treatment 50% / 50% 50% / 50%

Orthodontia 50% / 50% with $50 Deductible & $1,000 Lifetime Maximum Not Covered

Your Dental Benefits at a Glance

Please refer to the Summary Plan Description for a detailed explanation of covered/non-covered benefits, plan requirements and applicable co-pays.

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Metropolitan Life Insurance Company200 Park AvenueNew York, NY 10166www.metlife.com

19-29650© 2015 METLIFE, INC. L0715430592[exp0916][All States] PEANUTS © 2015 Peanuts Worldwide

www.metlife.com/mybenefits

Learn More about Your MetLife Benefits

MetLife benefits information right from your desktop

The MyBenefits web site is a quick and easy way for you to get the information you need about your MetLife benefits – all in one place. Log in at www.metlife.com/mybenefits to see how we’ve taken personalization and integration to a new level.

Personalized homepage to all your MetLife benefits

Get more information on your MetLife benefits, where you can link to detailed coverage information and can perform tasks, such as:

Dental Plans – Easily find a participating dentist or view your benefits, copay or coinsurance amount, and claims* online. Plus, you will have access to our extensive Oral Health Library to research important dental topics.

Dental ID cards are available online for you to download and

print at your convenience. Cards contain your name, employer’s name and group number. Also included are MetLife’s claims submission address,* website address, customer service telephone number and a service number for International Dental Travel Assistance*.

Additional MyBenefits features include:

• Planning tools that you can use to help you make informed decisions regarding your retirement, benefits coverage as well as other useful information for a variety of everyday topics.

• Forms and documents that you may need are located in the “Tools & Resources” area at the bottom of the MyBenefits home page for you to download.

• In the “News & Updates” section you’ll find information from MetLife and your employer such as enrollment dates and new product offerings.

• Online claims tracking and email notifications called eAlerts, which will provide information regarding status changes to your claims for certain benefits.*

*ThisfeatureisnotavailableformemberswithaMetLifeDentalHMO/Managedcareplan.Likemostgroupbenefitprograms,benefitprogramsofferedbyMetLifecontaincertainexclusions,exceptions,waitingperiods,reductions,limitationsandtermsforkeepingtheminforce.AskyourMetLifegrouprepresentativeforcompletedetails.1BeforeusingtheMetLifeDentalMobileApp,youmustregisteratwww.metlife.com/mybenefitsfromacomputer.Registrationcannotbedonefromyourmobiledevice.CertainfeaturesoftheMetLifeMobileApparenotavailableforallMetLifeDentalPlans.

The MetLife Mobile App is now available on the

iTunes® App Store and Google Play.

Download the app, and use it to find

a participating dentist, view your claims* and

to see your ID card.1

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Next Step Consider Flexible Spending

Flexible Spending AccountYou may allocate pre-tax dollars to be set aside from each paycheck for medical out-of-pocket expenses. This can include office visit co-pays, deductibles, vision exams, dental work and prescriptions. For a list of covered & non-covered expenses, please review Publication 502 on the IRS website at www.irs.gov.

You do not have to be enrolled in the health plan to participate. The elected amount will be available immediately and a debit card will be provided. Substantiation for amounts other than co-pays will be required so you’ll need to save receipts and insurance statements.

You may also allocate pre-tax dollars for daycare expenses. Daycare expenses are reimbursed up to the amount that you contribute each pay period.

All charges must be incurred during the Plan Year. Reimbursement will not be allowed for expenses incurred from prior years or for ineligible dependents. Plan wisely – unused balances will not be refunded.

Next Step Decide on Vision Care

Vision CareVision benefits are administered by Davis Vision. There is no ID card. Simply tell the provider that you are covered by Davis Vision when you make the appointment.

Employees who enroll in the Davis Vision benefit are eligible for a free pair of safety lenses annually AND upon request at the initial visit. (Brazers may also be eligible for tinted glasses. Please contact Corporate Benefits for additional information).

You may visit any doctor, but if you use an in-network doctor you pay a co-pay for most services. If you visit a doctor outside of the network, you pay the full amount at the time of the visit and submit a claim form for reimbursement.

In-Network

Co-pay for Exams (Every 12 Months) $10

Co-pay for Frames (Every 24 Months) $5

Co-pay for Lenses (Single/Bifocal/Trifocal) $5

Co-pay for Contacts (Every 12 Months) $24/$45

Out-of-Network

Exams & Materials – Reimbursement of $50

Plan Selected Weekly Premium

Employee Only $0.00

Employee +1 $1.15

Employee +2 or More

$2.07Important Information About Your Benefit Effective DatesThe benefit plans you select during the enrollment period will become effective on your date of hire and will remain in effect for the entire calendar year.

Changes can only be made if you experience a qualified family status change (and make that change within 31 days of the event.)

Important Note Regarding Flexible Spending AccountsIf you would like to continue your participation in the flexible spending plan(s), you must enroll in the plan(s) each subsequent year during open enrollment.

If you do not re-enroll into the flexible spending plan(s) during open enrollment, you will not be eligible to participate for that plan year.

Plan Contribution Limits

$2,600-Unreimbursed Medical Expenses

$5,000-Day Care

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Next Step Review Additional Information on Voluntary Benefits in The ZoneCompany Provided BenefitsBasic Life InsuranceHourly employees are eligible for one times annual salary, up to $50,000 with a minimum of $30,000. This benefit is available to all eligible employees, at no cost.

Accidental Death & Dismemberment InsuranceIn the event of accidental death, your beneficiary will receive two times your annual salary, up to the same maximums as the basic life insurance.

Short-Term Disability (LTD)STD benefits are designed to help replace part of your income when you are temporarily disabled and unable to work. All regular-full time employees are enrolled in STD benefits after 90 days of employment. (Plan provisions apply.) The weekly benefit amount is $350 after a seven-day waiting period. Benefits may be received for up to 13 weeks including the waiting period, based on temporary total disability.

Other BenefitsCritical Illness InsuranceThe Metlife Critical Illness plan protects you and your family from the financial impact of battling cancer, heart attack, stroke, or kidney failure in either a $10,000 or $20,000 increment. Rate information can be found in The Zone under Benefit Enrollment Docs.

401(k) Retirement Plan – Wells FargoAfter 90 days of service, full-time employees may contribute up to 17% of their salaries on a pre-tax basis up to the annual maximum of $18,000. If you are age 50 or older, you may contribute additional catch-up contributions. For employees hired before 12/14/2002, Goodman matches $.50 on each dollar up to a maximum Company contribution of 3.25% of eligible pay. For employees hired after 12/14/2002, Goodman matches $.50 on each dollar up to a maximum contribution of 6% of eligible pay. Employees with five years of service with the Company or three years of plan participation (whichever is earlier) will be automatically vested in the Company contributions. At wellsfargo.com, you may enroll, find information about investment funds, request a loan or hardship withdrawal, change your deferral amount, and designate a beneficiary. Contact Wells Fargo at 800-728-3123 for more information.

2017 Annual LimitsRegular 401(k) contributions are limited to a maximum contribution amount of $8,000.

Catchup contributions for age 50 and older are limited to a maximum additional contribution amount of $6,000.

401(k) Catch Up Contributions401(k) catch up contributions are allowed for those age 50 or older in 2017.

Catch up contribution elections can be made by submitting a request in The Zone. Log into The Zone and select “Benefit Change Request” from the “Benefits” tab and use Reason Code “Update 401k Catchup”.

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(Continued) Review Additional Information on Voluntary Benefits in The ZoneEmployee Assistance ProgramSometimes balancing work and family activities can create stress that is hard to handle on your own. To help you through these times, you can receive confidential counseling and referrals through the EAP at no cost to you. You and your eligible dependents can use the program. No enrollment is necessary and all employees are eligible. Counseling is available through the EAP for personal issues such as:

■■ Family or marital problems■■ Parenting concerns■■ Emotional difficulties like depression, anxiety, guilt or grief■■ Drug and alcohol dependency■■ Stress and burnout

■■ Eating disorders like anorexia or bulimia■■ Conflicts at work■■ Crisis situations■■ Questions about legal or financial concerns■■ Questions on child or elder care

Counselors are available 24 hours a day and Goodman will pay for up to three onsite counseling sessions per person per year with an EAP counselor. For more information, call Lifeworks at 1-877-234-5151 and use the Company Code: GOODMAN GLOBAL or visit www.lifeworks.com; user name: goodman / password: eap.

How to EnrollSTEP 1 - After reviewing this brochure, begin your benefit enrollment by logging in to THE ZONE (https://TheZone.goodmanmfg.com)

STEP 2 - Add any dependents and/or beneficiaries you will need under the MY DEPENDENTS and MY BENEFICIARIES options in the Benefits menu.

STEP 3 - Select BENEFIT CHANGES under the benefits menu. Enter your hire date under BENEFIT CHANGE DATE. Select NEW HIRES from the BENEFIT CHANGE REASON menu and continue.

PRE-TAX BENEFITS

■■ MEDICAL & DENTAL - Select the Buy Up, Core, or Base HDHP plan and the level of coverage.

■■ VISION - Select level of coverage only.■■ FLEX SPENDING - Select Health and/or Dependent Care. You will

designate the annual amount later (see Step 6)

VOLUNTARY BENEFITS

■■ Walk through each of the voluntary benefits. Specific details on each are included in the step-by-step instructions available under Benefit Enrollment Docs in The Zone.

STEP 4 - Select only those dependents to be covered on each plan. When you are done, press RECALCULATE and, if satisfied, CONTINUE.

STEP 5 - Designate beneficiaries for each life insurance plan selected.

STEP 6 - If you selected flex spending, you will add the amounts on the savings plan worksheet. Additionally, you will add the weekly premium for Aflac critical illness if appropriate.

STEP 7 - Confirm your benefit changes. If you need to make changes use the back button on the screen (not on your browser). You will be able to scan and upload any forms needed at this step. When you are ready to submit, hit the SUBMIT icon.

Next Step Enroll

For detailed step-by-step instructions, see the enrollment instructions posted in the Zone under Benefit Enrollment Docs.

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Abenity Discount Program

■■ Provides a collection of local and national discounts from thousands of companies as well as printable and mobile coupons

■■ Company-specific discounts like our Employee Purchase Program or the Whirlpool VIPLink program can be found on the site https://goodmanmfg.abenity.com, code: GOODMAN

VISA Paycards – PayChekPLUS Elite

■■ Provides employees with a direct deposit without a bank account

■■ Access to the full balance at no cost from banks that accept VISA

■■ Free ATM at AllPoint ATM locations■■ Online account access and bill pay■■ Reduce worry over lost/stolen checks■■ Immediate access to your paycheck while

away on payday

Enrollment Completed Other Available Benefits

More DetailsDependent Children Age 19 thru 25

Once a covered dependent child reaches the age of 19, he/she can remain on the healthcare plan as long as no other coverage options are available until he/she reaches age 26. You will be asked to complete an affidavit that certifies the child has no other coverage options each year.

Healthcare Reform

The medical plan continues to be “grandfathered” as defined by the healthcare reform law. Your 2014 W-2 will include the annual portion paid by the Company for your health insurance coverage. This is in compliance with the healthcare reform law. The amount will be listed in Box 12, Code DD.

1999 Women’s Health and Cancer Rights Act

Our plans comply with this act by providing coverage for mastectomies and for reconstructive surgery and prostheses following mastectomies. This coverage will be provided in consultation with the patient and the patient’s attending physician and will be subject to the same annual deductible, co-insurance and/or co-payment provisions otherwise applicable under the Plan.

Making Changes

If you have a family status change this year, you will be able to make changes to your elections. Family status changes include, but are not limited to, new marriage, divorce, legal separation, annulment, birth, adoption or placement for an adoption of an eligible child, death of your spouse or covered child, change in your spouse’s work status that affects his or her benefits eligibility, or change in your work status that affects your benefits eligibility.

If you have a family status change, you must submit a benefit change request through The Zone within 31 days of the event and provide proof of the change (marriage license, birth certificate, etc). Otherwise, you will have to wait until the next annual enrollment period to make benefit changes.

Cigna (Medical)

www.mycigna.com or 1-800-244-6224

Optum Rx

www.optumrx.com or 1-888-869-4600

MetLife Dental

www.metlife.com/mybenefits or 1-800-942-0854

Davis Vision Customer Service

www.davisvision.com or 1-800-999-5431

Amegy Bank

Connect Your Care Flex Spending www.connectyourcare.com or 1-866-326-9232

Wells Fargo Retirement Plan

www.wellsfargo.com or 1-800-728-3123

Abenity Discount Program

https://goodmanmfg.abenity.com code: GOODMAN

Need Additional Assistance?Contact HR Shared Services at (713) 346-6350, option 2 or [email protected]

Need More Information?Links to Benefit Providers can be found in The Zone: https://TheZone.goodmanmfg.com

While you are in the Zone it is a great time to update or confirm your address, make sure your emergency contacts are entered and correct, and update your email address for company communication.

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About this Guide & Benefits Eligibility InformationThis guide describes the benefit plans/policies available to Goodman Union employees. The details of these plans and policies are contained in the official plan and policy documents, including some insurance contracts. This guide is meant only to cover the major points of each plan/policy. It does not contain all of the details that are included in your Summary Plan Description (SPD)*, as described by ERISA.

If there are any questions, or if there is a conflict between the information in this guide and the formal language of the plan or policy documents, the formal wording in the plan or policy documents will govern. Please note that the benefits described in this guide may be changed at any time and do not represent a contractual obligation on the part of Goodman.

Regular, full-time employees working 30 hours or more each week are eligible for the following benefits after 90 days of employment: medical, dental, vision, basic life, short-term disability, flexible spending, critical illness and employee discounts. After 90 days of employment, employees become eligible for the 401(k) retirement plan.

*Summary Plan Descriptions (SPD’s) are available in the Zone under Benefit Enrollment Docs.

Eligibility Information Guide Information & Benefits Eligibility