city of seattle
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City of Seattle. 2013 New Employee Benefits Orientation – Most Employees. Benefits Orientation Topics. Medical , dental and vision plans, optional insurances, and other work/life benefits. Answer your questions Additional resources. Employee Responsibilities. - PowerPoint PPT PresentationTRANSCRIPT
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City of Seattle
2013 New Employee Benefits Orientation – Most Employees
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2 2013 New Employee Benefits Orientation - Most
Benefits Orientation Topics
Medical, dental and vision plans, optional insurances, and other work/life benefits.
Answer your questionsAdditional resources.
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Employee Responsibilities
Dependent eligibility verification 31 days to enroll. Family status change.
2013 New Employee Benefits Orientation - Most
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4 2013 New Employee Benefits Orientation – Most
Medical Plan Options
Preventive Plan (Aetna)Traditional Plan (Aetna)Group Health Cooperative Standard PlanGroup Health Cooperative Deductible Plan
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Premium Payments
Premium sharing. Pre-tax deductions. Dental, Basic Vision plan,
and Vision Buy-Up plan premiums.
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2013 Monthly Medical Premiums
Plan EE Only With Spouse or Partner*
Total Paid
City Preventive $48.12 $98.50 $1,074.61
City Traditional $0.00 $32.34 $972.32
Group Health Standard
$48.40 $99.90 $1,063.65
Group Health Deductible
$25.00 $56.92 $979.61
Children are included in all amounts.
*Provided they are IRS tax dependents.
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Aetna: Preferred Provider Organization
2013 New Employee Benefits Orientation - Most
• Managed care organization.• In- and out-of-network coverage.• Self-refer.• Aexcel.
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8 2013 New Employee Benefits Orientation - Most
City of Seattle Preventive Plan
In-Network Provider: Deductible. Office visit co-pay. Preventive care coverage. Varied co-pays for selected services. Out-of-pocket maximum.
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9 2013 New Employee Benefits Orientation - Most
City of Seattle Preventive Plan
Out-of-network provider: Deductible. Co-pays for selected services. Annual out-of-pocket maximum. May pay additional amounts.
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10 2013 New Employee Benefits Orientation - Most
City of Seattle Traditional Plan
In-network provider: Deductible. Annual out-of-pocket maximum. Varied co-pays for most services.
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11 2013 New Employee Benefits Orientation - Most
City of Seattle Traditional Plan
Out-of-network provider: Deductible. Annual out-of-pocket
maximum. Varied co-pays for most
services.
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12 2013 New Employee Benefits Orientation - Most
Prescription Drug Coverage (Preventive and Traditional)
Retail 31-day supply. Co-insurances. Annual out-of-pocket maximum.
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13 2013 New Employee Benefits Orientation - Most
Prescription Drug Coverage(Preventive and Traditional)
Aetna Rx Home Delivery (Mail Order) Coinsurance. Minimum co-pay. Maximum co-pay.
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Group Health Cooperative
Integrated system. GH doctors and
facilities. Self-refer.
2013 New Employee Benefits Orientation - Most
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Group Health Standard Plan
No deductible. Office visit co-pay.
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Group Health Deductible Plan
Deductible. Office visit co-pay. Similar coverage as
Standard Plan.
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17 2013 New Employee Benefits Orientation - Most
Group Health Standard Plan Prescription Drug Coverage
Retail Copays
GH Mail Order Program Copays
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18 2013 New Employee Benefits Orientation - Most
Group Health Deductible Plan Prescription Drug Coverage
Retail Copays
GH Mail Order Program Copays
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Where to Find More Information
All Medical Plans seattle.gov/personnel/benefits/health/medical.asp
Preventive & Traditional Plans AetnaNavigator.com
Group Health Plans GHC.org
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20 2013 New Employee Benefits Orientation - Most
Accept or Decline Coverage
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Employee Wellness Programs
Employee Assistance Program. Quit Tobacco Program. Weight Watchers savings. Health seminars and screenings:
personnelweb/benefits/home.aspx.
2013 New Employee Benefits Orientation - Most
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Dental Plans
Washington Dental ServiceDental Health Services
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Washington Dental Service
Dental network. Annual Deductible. Annual Maximum. Incentive payment plan. Orthodontia. TMJ not covered.
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Dental Health Services
Limited network. No annual deductible/annual maximum. Copays and fees. Orthodontia. TMJ.
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Vision Services Plan
VSP Provider (in network): Basic Plan (No Cost): Eye exam. Lenses and frames.
– Special lenses.– Contact lens.
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Vision Services Plan
Non VSP provider (out of network):Basic Plan (No Cost): Eye exam. Lenses and frames.
– Lined/unlined lenses.– Contact lenses.
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Vision Services Plan
If you use a VSP Provider: Buy-Up Plan (Employee Paid Plan): Eye exam. Lenses and frames.
– Lined/unlined lenses.– Contact lens.
2013 New Employee Benefits Orientation - Most
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Vision Services Plan
If you do NOT use a VSP provider:Buy-Up Plan (Employee Paid Plan): Eye exam. Lenses and frames.
– Lined/unlined lenses.– Contact lens.
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Flexible Spending Account Programs
Health Care Flexible Spending Account Program.
Dependent Care (day care) Assistance Program.
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Basic and Supplemental Long Term Disability (LTD)
Salary replacement. Basic Long-Term Disability. Supplemental Long-Term Disability.
– If you don’t elect when hired.
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Basic Group Term Life Insurance
Basic GTL plan provisions. Premiums. Guaranteed acceptance if enrolled when
hired.
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Supplemental Group Term Life Insurance
Supplemental GTL provisions. Spouse/Domestic Partner coverage. Dependent children coverage. If you don’t elect when hired.
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2013 New Employee Benefits Orientation
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Long-Term Care Insurance
Enroll within 31 days of hire. Personal care for an extended period as
result of injury or illness. Premiums direct billed. Eligible family members. Portability.
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Accidental Death and Dismemberment (AD&D)
Death benefit due to accident. Loss of limb or paralysis. Coverage amounts. Dependent coverage. Premiums payments.
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When Can I Change My Benefits?
Open Enrollment. Dropping optional insurances. Change in family status.
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City Retirement System
Automatic enrollment. Your retirement contributions. Retirement Office.
cityofseattle.net/retirement/default.htm
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Deferred Compensation
457 Deferred Compensation Plan.
Pre-tax payroll deductions. Contribution minimum and
maximums.
www.Prudential.com
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Remember…
31 days to enroll from hire date. Benefit related mailings. 31 days for changes in family status. Employee Benefits Guide.
2013 New Employee Benefits Orientation - Most