Children’s Hope International

ADP Total Source

Benefit Package

What’s In It For Me?

Enhanced benefits package including:– Multiple Medical & Dental Plans – Vision coverage– Life and Long Term Disability– World Class 401(k) plan– Employee Service Center– Employee Assistance Program– Direct Deposit– Online Access to Personal Information/Changes– Optional Supplemental Insurance– Flexible Spending Accounts (2)– Discounts on Childcare, Movie Tickets, Theme Parks & and many

more to come!

Employee Service Center

Payroll Issues (direct deposit, check reprints, garnishments explanation of deductions & verification of employment.)

Benefit Election Explanation Assistance with Benefit Claims COBRA issues W-2 Issues Status Change 401(k) Questions

Call 800-554-1802Mon- Fri 8:00 am to 8:00 pm EST

Employee Assistance Program

All employees and the dependents are eligible for the services of the Employee Assistance Program

EAP is a confidential service designed to help employees with a variety of personal problems: stress, alcohol, drug abuse, marriage and family problems

EAP offers 3 one-on-one counselor appointments at NO CHARGE

EAP 24/7 help line: 800-756-5792

Employee Perks

Current Discounts:– AMC Movie Tickets- $5.50 each– Bally Total Fitness– A T&T Wireless– La Petite Academy and Childtime Childcare– Gateway Computers– Sam’s Club

www.workingadvantage.com

Benefit Summary Plan Description

This booklet summarizes the available benefit plan options.

It will also include pertinent information about enrollment processes, Flexible Spending Accounts, COBRA, etc.

Focus on HMO/PPO Hybrid:– Wider range of providers– In and Out of Network Options– Levels of coverage are higher, while your out of pocket

expenses are lower.

When Can I Change My Health Plan?

During open enrollment, Spring months enrollment, for an effective date of June 1st.

Qualifying events under Section 125 of the IRS Codes:– Change in Status such as:

Marital- marriage, divorce, separation, etc. Dependents- birth, adoption, etc.

United Healthcare Medical Options

Choice Plus – NL-I (90/10 plan)– Deductible In Network $500 ind/ $1000 family– Deductible Out of Network $1500 ind / $3000 family– Out of Pocket Max In-Network $2500 ind/$5000 family– Physician office visit $15– Specialist office visit $15 no referral needed– Prescriptions: Co pays

Generic $10 Preferred Brand $30 Non-Preferred Brand $50 Mail Order Option available ($25/$75/$125)

– Hospital In-Patient subject to deductible, then 90%– Emergency Room $100 co-pay (waived if admitted)

United Healthcare continued

Choice Plus – NL-M (80/20 plan) (CHI covers this plan)– Deductible In Network $1000 ind/ $2000 family– Deductible Out of Network $2000 ind / $4000 family– Out of Pocket Max In-Network $2000 ind/$4000 family– Physician office visit $25– Specialist office visit $25 no referral needed– Prescriptions: Co pays

Generic $10 Preferred Brand $30 Non-Preferred Brand $50 Mail Order Option available ($25/$75/$125)

– Hospital In-Patient subject to deductible, then 80%– Emergency Room $100 co-pay (waived if admitted)

What are Pre-Existing Conditions?

Only applicable with PPO– Pre-existing conditions will be covered if you have

had continuous coverage with no longer than a 63 day break

– May need to provide Carrier with HIPAA certificate to show previous coverage

myuch.com

UCH helps their members make good health care choices– Award winning website that puts in-depth

information at your fingertips Find extensive information on thousands of health topics Research subjects of interest Participate in interactive health forums with leading

medical experts across the country

– Browse through an online directory of the physicians and hospitals network

365wellstreet.com

Access Pharmacy info and services 24/7 View personal benefits and prescription history Search preferred drug list Order prescriptions and over the counter drugs

through the mail Find safe, relevant information on prescription drugs Locate neighborhood pharmacies by zip code Shop for health and beauty products Set up e-mail reminders for prescription refills

Aetna Dental

www.aetna.com Plan 1: DMO/Managed Care Plan

– No deductible or calendar year maximum– $5 co pay for office visits– Coinsurance:

Preventative services 100% Basic Services 100$ Major services 60%

– Must obtain a PCP# from Dentist** must obtain a referral from your primary care dentist to visit

a specialist

Aetna Dental continued

Plan 2: PPO PlanIn network and Out network

Deductible $50/$150Calendar year max. $1500Coinsurance:

Preventative 100%Basic 100%Major 50%Orthodontic 50%

**Deductible apply to Basic and Major services

Vision Care

www.visioncare.comBenefits In-NetworkNote: Members must call Vision Care to obtain benefits form before

seeing a provider, as there are no cards issued to members– Vision Examination:

1 every 12 months $10 co pay

– Lenses and Frames 1 every 12 months for lenses 1 every 24 months for frames $15 co pay

– Contact Lenses 1 every 12 months Allowance of $120 in lieu of eyeglasses

Vision Care

Benefits Out-Network– Vision exam: up to $35– Frames: up to $60– Lenses: from up to $25 to $100 (depending on

what kind)– Contact lenses $120 (Elective- Exam & Lenses)/

(Necessary $210)– Available nationwide

Life and AD&D

Life Plan Types: Basic $10,000 plan Offered to all eligible employees at No

charge

Long Term Disability (LTD)

LTD Plan Types: 50% up to $1000/month Offered to all eligible employee at No Charge Waiting period: 180 days

FSA- Medical Reimbursement Account

Allows you to pay for certain medically necessary expenses with pre-tax dollars

Contribute up to $3500 per plan year ($50.00 minimum)

You may us the $$ even if not yet in the account Examples: co-pays, eye glasses/contacts,

orthodontia, X rays, etc. Over the counter medications Direct Deposit Reimbursements

FSA-Dependant Care Account

Allows you to pay for dependent care with pre-tax dollars

Contribute up to $5000.00 per plan year per household ($50 minimum)

Worksite Solutions/Marsh

Provides you with voluntary benefits programs that can be added to your current benefits package. You may purchase life, health and other personal insurance provided at special rates.

What is available to you:– Universal Life Insurance– Level Term Life Insurance of up to $250,000– Disability Income of up to 60% current gross wages– Health Coverage for Cancer and Critical Illness– Accident Products– Legal Services– Veterinary Pet Insurance– Long Term Care Insurance