Benefits Aultman Health Foundation Aultman Human Resources Tickets sold in Human Resources • Amusement Parks Cedar Point Wildwater Kingdom • Seasonal Events Yankee Peddler Uniform Shop Scrubs & Uniforms at a discounted rate Located in Morrow House basement Logo Wear 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 Program for employees with a minimum of 5 years service Dinner & award ceremony Pay 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 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 Eligible after six month probation Subject to approval See HR/Manager for details Health Club Subsidy Full Time and Part Time Employees ONLY 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 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 Monday - Friday • 6:00 a.m. - 6:00 p.m. 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” 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 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 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 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 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 23 funds Target Fund = default fund Voluntary 401(k) 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 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 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 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!