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Employee Benefits Open Enrollment Effective: January 1, 2012. Filice Insurance:. Broker Overview - EBI Partnership Dedicated Account Management Team Melanie Beranek: Client Services Manager Charlie Weckel: Broker Dawn Alvarez: Compliance/Wellness Director
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Employee Benefits Open Enrollment Effective: January 1, 2012
Filice Insurance: • Broker Overview - EBI Partnership • Dedicated Account Management Team • Melanie Beranek: Client Services Manager • Charlie Weckel: Broker • Dawn Alvarez: Compliance/Wellness Director • Patrick Arnold: CEO - Lafayette, CA Division • New Enrollments/Benefits Orientation • Assistance with Claims, Eligibility, Carrier Issues… • Customized Benefits Website: www.filice.com/benefits/EBI
EBI Employee Benefits 2012: • Insurance Carrier Selection: • Kaiser Permanente and MetLife • Employee Premium Contributions: • Full-Time Eligible Employees: $40 per Month • Part-Time Eligible Employees: $75 per Month • Plan Availability - Effective January 1, 2012: • Medical: Kaiser – Deductible HMO (Base Plan) & HMO 15 • Dental: Met Life PPO • Vision: Discount Program (MetLife dental participants only) • Flexible Spending Accounts (FSA): Optum Health Financial • 401K: John Hancock
Medical Plan Alternative: • Alameda Alliance for Health (Public Authority) • Medical, Dental and Vision Benefits for In Home Supportive Services (IHSS) workers in Alameda County • Eligibility: 160 hours of paid employment (issued checks) for two consecutive months. • Benefits: Alameda Alliance Group Care • HMO based medical services administered by contracted medical providers with Alameda County (Medical groups and Hospitals). • Two Dental Options: HMO and PPO plan designs • Vision: Exam and Eyewear coverage. • Monthly Premiums: • $20: Medical and Dental (HMO) • $45: Medical and Dental (PPO) • Enrollment Process: • Contact #: 510-777-4201 (Additional Info/Enrollment Packet Request)
Dental: • MetLife Dental PPO Deductible: • In Network: $50/Individual - $150/Family (Waived for Preventive) • Out of Network: $50/Individual - $150/Family (Waived for Preventive) Annual Maximum: $1,500 per Person Co-Insurance : In NetworkOut of Network (90th % UCR) • Preventive 100% 100% • Basic 80% 80% • Major 50% 50% • Ortho 50% 50% Orthodontics Maximum: $2,000 Lifetime (Child Only)
Flexible Spending Accounts (FSA) • Administered by Optum Health Financial • Medical and Dependent Care Reimbursement • Pre-tax payroll deductions to pay for un-reimbursed medical and dependent care expenses. • Annual Maximums • Medical Reimbursement Account - $2,500 • Dependent Care Reimbursement Account - $5,000 (IRS limit) • To enroll, complete the required election forms: • Cannot change enrollment election during plan year • Funds leftover at the end of the year will be lost. Plan carefully! • For questions and eligible expenses: www.optumhealthfinancial.com