Benefits
Aultman Health
Foundation
Aultman Human Resources
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Tickets sold in Human Resources
• Amusement Parks
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Cedar Point
Wildwater Kingdom
• Seasonal Events
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Yankee Peddler
Uniform Shop
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Scrubs & Uniforms at a discounted
rate

Located in Morrow House basement
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Logo Wear
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Payroll deduction available
On-Site Fitness Facility
Located in the Morrow House basement
Open 24 Hours / 7 days a week
Employees Only
Annual Service Recognition
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Program for employees with a
minimum of 5 years service
Dinner & award ceremony
Pay
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Paid every other Friday
Direct Deposit Mandatory
Payroll Deduction
• Gift Shop
• Uniform Shop
• Cafeteria
• Pharmacy
• Human Resources
Our employees are
what make Aultman
great!
Welcome to the Aultman
Family!
PTO
* Time eligible after 6 months
* Vacation, Holiday and first 4 days of sick
occurrence = PTO is used
* PTO Plan Accrual Rate:
Yrs of Employment
Rate
1.0 FTE Annual Accrual
0-5 years
.0886
184 Hrs. per year
6-13 years
13 + years
.1078
.127
224 Hrs. per year
264 Hrs per year
(Annual rollover max. is 184 hours)
Hours are accumulated on a per hour worked basis.
Sick Reserve

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40 Hours a year maximum accrual
Sick Bank-Used for sick days, medical leaves
after being off for four days. The first four days
are paid out of the PTO bank before the sick plan
is used.
Bereavement
For death of immediate family members:
mother, father, spouse, children, stepchildren, sister, brother, step-parent,
grandchildren, grandparents, mother-inlaw, father-in-law, brother-in-law, sisterin-law, grandparents-in-law

Full Time
Up to 3 days off with pay
(24hrs)

Part Time
1 day off with pay (8hrs)
Jury Duty


Regular hourly pay continues
while serving required jury duty.
Summons must be given to
manager.
Tuition Reimbursement

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Eligible after six month probation
Subject to approval
See HR/Manager for details
Health Club Subsidy
Full Time and Part Time Employees ONLY

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50% Reimbursement up to $120/calendar
year for a single membership.
Open to all community facilities.
Reimbursement forms in HR (must supply
a copy of your contract).
Aultman Weight Management
Reimbursement

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Up to $1,000 for New Direction or
New Outlook or up to $400 for New
Choices.
Employee’s expenses only
Will reimburse for cost incurred
on/after January 1, 2013.
See HR for details
Adoption Benefit

Eligible after 6 months

Allowance
• Reimburse $4000
• Maximum of three time reimbursement
IVF Benefit
•Invitro-fertilization

Eligible after six months

Allowance
• Reimburse $4000

One time per year for three years maximum
On-Site Child Care
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Monday - Friday
• 6:00 a.m. - 6:00 p.m.


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Based on availability
Infants to age 5
School-age Before & After Care
• Summer camp

Phone (330) 452-2273
Pediatric Interim Care
Bring your child to our pediatric unit
when unable to attend school or day
care if sick:
 Must pre-register your child
 Cost $30 per day (10 hours)
 Communicable diseases not accepted
 Call ahead: 7 children max any shift
 Enrollment forms available in HR
Dependent Care Flexible
Spending Account
“Use it or Lose it”
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Voluntary (Jan. - Dec. IRS Rules)
Set aside pre-tax dollars for day care
expenses
Full and Part Time employees eligible
Can enroll upon employment, Open
Enrollment, or Birth of Child
• Dependent Care = $5000 maximum

Any Child Care Center!
Medical Flexible Spending Account
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Voluntary (Jan. - Dec. IRS Rules)
Extension to use dollars to March
15th of the following year
Set aside pre-tax dollars for medical
expenses not covered under health
plan (deductibles)
Full and Part Time employees eligible
Can enroll upon employment or at
Open Enrollment each year
 $250 minimum
• $2500 maximum
College Advantage


Enroll On-line www.collegeadvantage.com
This plan gives employees and their
families a way to start saving now for a
child’s education

Payroll Deduction can be as low as $15 a
month

Contributions are state tax deductible and
earnings are federally tax exempt
Life Insurance


$10,000 Term Life Insurance
Coverage begins 1 month after hire
date

Beneficiary can be anyone you chose

Aultman pays for premium
Voluntary Life Insurance
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AUL Life Insurance
Guaranteed Amount Up to:
 $100,000 employee
 $25,000 spouse
 $10,000 per child
Coverage available up to maximum of five
times annual salary
• May cover spouse for 100% of
employee amount
Evidence of Insurability required if
requested amount exceeds guaranteed
amount
Leave of Absence
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Medical, maternity, FMLA, military,
workers’ compensation, adoption and
Personal leaves are available.
Must be employed one year to be eligible
SEE HR FOR DETAILS…
Short Term Disability

Employees who are disabled may
receive STD
• Replaces 50% of salary, not to exceed
$300 weekly
• Eligible on 61st day of disability
• Coverage lasts up to 6 months
• Coverage - no cost to employees
Voluntary Long Term Disability

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AUL – Guaranteed coverage as New Hire
Replaces 50% of salary, up to
$5000/month.
Payroll deduction premiums paid with
after-tax dollars; any benefits received are
tax-free.
12-month pre-existing condition.
Effective first of next month after signingup.
Return form to HR within 30 days.
BOST WORKPLACE
VOLUNTARY PLANS
• Personal Short Term Disability, with
Allstate
• Accident Indemnity, with Allstate
• Critical Illness, includes Cancer, with
Lincoln Financial
Aultman 401(k)

Vanguard Record keeper
• Vanguard and non-Vanguard funds available

Contributions
• made by Aultman (only)
• equal to 3% of your gross pay

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23 funds
Target Fund = default fund
Voluntary 401(k)

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Automatic Enrollment of 2% (pre-tax)
Voluntary contributions through payroll
deduction to save for retirement on pretax basis or ROTH (after-tax basis)

1-75% of pay

Can be set up at any time during
employment (internet or phone)

Hardships allowed

Rollovers accepted (401(k) or 403(b))
Health Care Benefits
AULTCARE
Medical
(Pharmacy & Vision)
Dental
Medical
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
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AultCare = Preferred Provider
Organization
No Pre-existing Conditions
Tiered Benefit Levels
*AultCare Service Center
Ext.36360*
Medical
AultCare is your primary insurance
-if you are married and on your
spouse’s/domestic partner’s plan, it
will be your secondary insurance.
-spouse/domestic partner must take
their employer’s medical coverage in
order to have AultCare as secondary
insurance.
Co-ordination of Benefits
Exceptions allowed:
• Spouse/Domestic Partner is self employed
• Spouse/Domestic Partner is working
but not eligible/offered healthcare
benefits
 Letter required from that employer

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Children will be covered until age 26,
regardless of where they reside
Divorce Decree will be followed.
Medical


Coverage begins on the 1st day of
the next month following your first
day of employment.
When you can enroll:
• Upon hire / within 30 days
• During open enrollment (Nov) each
year, which becomes effective the
following Jan. 1st
• Change in Family Status
Gold Plan 80/20 Coverage
Deductible:
$850/$1700
Out of Pocket Maximum:
$1650/$3300
All office visits, ER, Inpatient care is covered
at 80% after deductible is met.
-Pays at 100% after out-of-pocket
maximum is met
Gold Plan - Highlights
Annual max $2,000,000
• Preventative/Wellness covered at 100%
• Physical Therapy at Aultman Facility
paid at 100%
• DME Benefit paid at 90%
• Chiropractic and Podiatry
(10 visits each per year)
Gold Plan
Medical - Employee Premium
FTE
Employee
Emp. & Children
Emp. & Spouse
Family
(premium is taken
PTE
$7.11
$23.27
$13.57
$46.52
$19.39
$69.79
$23.27
$93.69
each pay period)
**Add $9.23 each pay period for six month
probation
Blue Plan
90/10 Coverage
Deductible:
$750/$1500
Out of Pocket Maximum:
$1550/$3100
All office visits, ER, Inpatient care is covered at
90% after deductible is met.
-Pays at 100% after out of pocket max is met
Blue Plan-Highlights
Annual max $2,000,000
• Preventative/Wellness covered at 100%
• Physical Therapy at Aultman Facility
paid at 100%
• DME at 100%
• Chiropractic and Podiatry
(10 visits each per year)
Blue Plan
Medical-Employee Premium
FTE
Employee
$16.16
Emp. & Children
$29.72
Emp. & Spouse
$36.19
Family
$72.37
(premium is taken each pay
PTE
$38.12
$102.09
$113.08
$131.17
period)
**Add $9.23 per pay for six months
probation
Bee Healthy


You will receive reduced premiums if
you participate in the “Bee Healthy”
Wellness initiative.
You must complete Tier 1&2 to
qualify for reduced premiums. These
premiums will be effective for the
following year of coverage.
Pharmacy

List of approved retail pharmacies
Prescription drugs can be purchased:
On Formulary
Aultman Hospital Pharmacy
Generic $10 or 20% / Preferred $12 or 25%
At retail pharmacies
Generic $15 or 30% / Preferred $20 or 35%

Non-Formulary
For $25 or 40% whichever is greater
Vision

Routine eye exam every year - $60 maximum

Any provider

One set of lenses & frames or contacts
(every 2 years)
• Glasses


Frames - $75
Lenses
OR
Contacts
$150
• single vision $35
• bifocals
$55
• trifocals
$85
 *Extras like tints, oversize lenses, etc... not covered.
High Deductible Health Plan with
Health Savings Account
Deductible/Out of Pocket Maximum:
$1800 Single /$3600 Family
-Aultman gives $600 Single / $1100 Family
to your HSA checking account
-Preventative Care is covered at 100%
before meeting deductible.
-All office visits, ER, Inpatient care is
covered at 100% after deductible/OOP is
met.
-Pharmacy/Medical expenses all apply to
deductible
HDHP w/ HSA
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Vision plan included – does not apply to
deductible.
Pharmacy is 100% cost of prescription
until deductible is met.
Can not be covered under another health
care plan.
An account set up in your name thru
Health Equity
Total maximum contribution to HAS from
your paycheck is $2650 single & $5350
family (if 55+ an additional $1,000 per
year)
HDHP w/ HSA Premiums
FTE
Employee
$4.52
Emp. & Children
$7.11
Emp. & Spouse
$10.99
Emp. Sp. & Children
$11.63
(premium is taken each pay period)
PTE
$12.28
$25.84
$38.12
$60.73
**Add $9.23/pay for six month probation
Medical Premium

Taken out of your check each pay
period
• Before federal, state & social security
taxes
Dental



Deducted from each pay period
List of dentists agree not to bill for
costs over the UCR.
3 plans (no probation charge)
Basic Dental
One Cleaning per Year
Preventative
100% UCR
Basic
80% UCR
Major
50% UCR

$1000 Benefit per year per
person
Basic Dental
Employee Premium
FTE
Employee
Emp & Children
Emp & Spouse
Family
$7.75
$8.79
$9.07
$11.89
PTE
$8.79
$10.34
$11.39
$13.44
(premium taken each pay period)
Premier Dental
Two Cleanings per Year
Preventative
100% UCR
Basic
80% UCR
Major
75% UCR

$1500 Benefit per year per person
Premier Dental
Employee Premium
FTE
PTE
Employee
$11.89
$13.44
Emp & Children
$13.44
$14.47
Emp & Spouse
$14.47
$16.03
Family
$18.09
$21.71

(premium taken each pay period)
Premier Dental + Orthodontia


Plan includes Premier Dental and
Orthodontia for adults and children
$1,750 per person lifetime benefit on
orthodontia
Premier + Orthodontia
Employee Premium
Employee
Emp & Children
Emp & Spouse
Family
FTE
PTE
$20.68
$21.71
$23.26
$26.37
$21.71
$23.26
$24.29
$29.46
(premium taken each pay period)
Please return to
Human Resources:
Life Insurance Beneficiary Form
401(k) Retirement Beneficiary Form
Health Care Election Form
Dental Election Form
Thank you for your time & attention!