BENEFIT INFORMATION
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CHOOSING YOUR BENEFITS
You must actively choose any benefit that you pay for, or share in the cost with Jagged Peak. Your part of the cost is automatically taken out of your paycheck. There are two ways that the money can be taken out:
WHY DO I PAY FOR BENEFITS WITH BEFORE-TAX MONEY? There is a definite advantage to paying for some benefits with before-tax money: Taking the money out before your taxes are calculated lowers the amount of your pay that is taxable. Therefore, you pay less in taxes.
• BEFORE YOUR TAXES ARE CALCULATED – medical, dental, vision, health savings account (HSA contributions)
• AFTER YOUR TAXES ARE CALCULATED – voluntary life, disability and voluntary products
MAKING CHANGES
Generally, you can only change your benefit choices during the annual benefits enrollment period. However, you may be able to change your benefit choices during the plan year if you have a change in status including:
If you fail to notify Human Resources within 30 days of a family status change, you will be required to wait until the next annual enrollment period to make benefit changes unless you have another family status change.
Your marriage
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Your divorce or legal separation
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Birth or adoption of an eligible child
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• Death of your spouse or covered child
• Change in your spouse’s work status that affects his or her benefits
WHEN COVERAGE ENDS
• Change in your work status that affects your benefits
Coverage will stop on the last day of the month in which employment with the company ends.
• Change in residence or work site that affects your eligibility for coverage
• Change in your child’s eligibility for benefits
• Receiving Qualified Medical Child Support Order (QMCSO)
KEY BENEFIT TERMS
COBRA - A Federal law that allows workers and dependents who lose their medical, dental, or vision coverage to continue any of these coverages for a specified length of time by electing and paying for continuation benefits. Copayment - A flat fee that you pay for medical services, regardless of the actual amount charged by your doctor or another provider. This generally applies to physician office visits and prescription drugs.
Deductible – The amount you pay toward medical and dental expenses each year before the plan begins paying benefits. Out of Pocket Maximum – The maximum amount you will pay in deductibles, copayments and coinsurance during the year. Coinsurance – The amount you pay toward medical and dental expenses each year after you have met your annual deductible. In-patient – services or care received in a hospital that require admittance or a stay of at least 24 hours. Out-patient – services or care received at a medical facility that do not require overnight admittance, or a stay less than 24 hours.
Embedded – a deductible type that means a single member of a family doesn’t have to meet the full family deductible for after-deductible benefits to apply. Instead, the individual’s after-deductible benefits will begin as soon as he/she meets the individual deductible, even if the plan is for family coverage.
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