2013 New . Employee Benefits Orientation – Most Employees. 2013 New . Employee . Benefits Orientation - Most. 2. Benefits Orientation . Topics. Medical. , dental and vision plans, optional insurances, and . ID: 448340
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City of Seattle
2013 New Employee Benefits Orientation – Most Employees
Slide22013 New Employee Benefits Orientation - Most
2
Benefits Orientation Topics
Medical
, dental and vision plans, optional insurances, and
other
work/life benefits.
Answer your
questions
Additional resources.
Slide3Employee Responsibilities
Dependent eligibility verification31 days to enroll.Family status change.
2013 New Employee Benefits Orientation - Most
3
Slide42013 New Employee Benefits Orientation – Most
4
Medical Plan Options
Preventive
Plan (Aetna)
Traditional
Plan (Aetna
)
Group
Health Cooperative
Standard Plan
Group Health
Cooperative
Deductible
Plan
Slide52013 New Employee Benefits Orientation - Most
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Premium Payments
Premium sharing.Pre-tax deductions.Dental, Basic Vision plan, and Vision Buy-Up plan premiums.
Slide62013 New Employee Benefits Orientation - Most
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2013 Monthly Medical Premiums
PlanEE OnlyWith Spouse or Partner*Total PaidCity Preventive$48.12$98.50$1,074.61City Traditional$0.00$32.34$972.32Group Health Standard$48.40$99.90$1,063.65Group Health Deductible$25.00$56.92$979.61
Children are included in all amounts
.
*Provided they are IRS tax dependents.
Slide7Aetna: Preferred Provider Organization
2013 New Employee Benefits Orientation - Most
7
Managed care organization.In- and out-of-network coverage.Self-refer.Aexcel.
Slide82013 New Employee Benefits Orientation - Most
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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.
Slide92013 New Employee Benefits Orientation - Most
9
City of Seattle Preventive Plan
Out-of-network provider:
Deductible.
Co-pays
for selected
services.
Annual out-of-pocket
maximum.
May
pay additional
amounts.
Slide102013 New
Employee Benefits Orientation - Most
10
City of Seattle Traditional Plan
In-network provider:
Deductible.
Annual
out-of-pocket
maximum.
Varied
co-pays
for most
services.
Slide112013 New Employee Benefits Orientation - Most
11
City of Seattle Traditional Plan
Out-of-network provider:Deductible.Annual out-of-pocket maximum.Varied co-pays for most services.
Slide122013 New Employee Benefits Orientation - Most
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Prescription Drug Coverage (Preventive and Traditional)
Retail
31-day supply.
Co-insurances.
Annual out-of-pocket maximum.
Slide132013 New Employee Benefits Orientation - Most
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Prescription Drug Coverage(Preventive and Traditional)
Aetna
Rx
Home
Delivery (Mail Order)
Coinsurance.
Minimum co-pay.
Maximum
co-pay.
Slide14Group Health Cooperative
Integrated system.GH doctors and facilities.Self-refer.
2013 New Employee Benefits Orientation - Most
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Slide152013 New Employee Benefits Orientation - Most
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Group Health Standard Plan
No deductible.Office visit co-pay.
Slide162013 New Employee Benefits Orientation - Most
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Group Health Deductible Plan
Deductible.Office visit co-pay. Similar coverage as Standard Plan.
Slide172013 New Employee Benefits Orientation - Most
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Group Health Standard Plan Prescription Drug Coverage
Retail
Copays
GH Mail Order Program
Copays
Slide182013 New Employee Benefits Orientation - Most
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Group Health Deductible Plan Prescription Drug Coverage
Retail CopaysGH Mail Order ProgramCopays
Slide192013 New Employee Benefits Orientation - Most
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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
Slide20
2013 New Employee Benefits Orientation - Most
20
Accept or Decline Coverage
Slide21Employee 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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Slide222013 New Employee Benefits Orientation - Most
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Dental Plans
Washington Dental
Service
Dental Health Services
Slide23
2013 New Employee Benefits Orientation - Most
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Washington Dental Service
Dental network.Annual Deductible. Annual Maximum.Incentive payment plan.Orthodontia.TMJ not covered.
Slide242013 New Employee Benefits Orientation - Most
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Dental Health Services
Limited network.
No annual
deductible/annual
maximum
.
Copays and fees.
Orthodontia.
TMJ.
Slide252013 New Employee Benefits Orientation - Most
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Vision Services Plan
VSP Provider (in network):
Basic Plan (No Cost)
:
Eye exam.
Lenses and frames.
Special lenses.
Contact lens.
Slide2626
Vision Services Plan
Non VSP provider (out of network):Basic Plan (No Cost):Eye exam.Lenses and frames.Lined/unlined lenses.Contact lenses.
2013 New Employee Benefits Orientation - Most
Slide27Vision 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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Slide28Vision 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.
2013 New Employee Benefits Orientation - Most
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Slide292013 New Employee Benefits Orientation - Most
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Flexible Spending Account Programs
Health
Care Flexible Spending
Account Program.
Dependent Care (day care) Assistance
Program.
Slide302013 New Employee Benefits Orientation - Most
30
Basic and Supplemental Long Term Disability (LTD)
Salary replacement. Basic Long-Term Disability.Supplemental Long-Term Disability.If you don’t elect when hired.
Slide312013 New Employee Benefits Orientation - Most
31
Basic Group Term Life Insurance
Basic GTL plan provisions.
Premiums.
Guaranteed acceptance if enrolled when hired.
Slide322013 New Employee Benefits Orientation - Most
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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.
Slide33Long-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.
2013 New Employee Benefits Orientation
33
Slide342013 New Employee Benefits Orientation - Most
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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.
Slide352013 New Employee Benefits Orientation - Most
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When Can I Change My Benefits?
Open Enrollment.Dropping optional insurances.Change in family status.
Slide362013 New Employee Benefits Orientation - Most
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City Retirement System
Automatic enrollment.
Your retirement contributions.
Retirement Office.
cityofseattle.net/retirement/default.htm
Slide37
2013 New Employee Benefits Orientation - Most
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Deferred Compensation
457 Deferred Compensation Plan.Pre-tax payroll deductions.Contribution minimum and maximums.www.Prudential.com
Slide38Remember…
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
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