Phillips & Jordan offers access to medical benefits through Cigna Health and Life Insurance Company. You may choose between two different medical plans: High Deductible Health Plan (HDHP) and Preferred Provider Organization (PPO) Plan. The HDHP offers lower premiums and generally covers 100% of medical expenses after the annual deductible has been met. Due to the higher out-of-pocket costs associated with the HDHP, Phillips & Jordan offers employees a Health Savings Account (HSA), which we will explain in more detail below. To receive the maximum benefit from your chosen plan, make sure your medical provider is a member of the network. • In-network providers will file your claims for you. • By using an out-of-network physician or facility, you will be subject to a higher deductible and responsible for a larger percentage of the charges. You may also have to pay for charges over the usual and customary rate. To find an in-network provider, download the MyCigna app or go to the online directory at www.cigna.com and click on the “Find a Doctor” button to begin your search. Please be sure to carefully review the online directory or call Cigna to confirm that your provider participates in the network. HDHPWeekly Premiums Non-Wellness Wellness Employee Only $62.81 $49.37 EMP + Spouse $119.59 $106.16 EMP + Child(ren) $104.78 $91.34 EMP + Family $161.56 $148.12 Medical Benefits - HDHP with HSA Ci gna - Open Access P l us Ne twor k 1-800-244-6224 www.myc i gna. com Group Number : 3332287
Heal th Savings Account HSA Bank 1-855-731-5225
If you are enrolled in the HDHP, you are eligible to participate in a Health Savings Account (HSA) through HSA Bank. A HSA is established to pay for future qualified medical, dental and vision expenses that are incurred by you or your dependents enrolled in the plan. Phillips & Jordan contributes to the HSA quarterly on your behalf, so it is to your advantage to make the most of your HSA. Youmaymake tax-free payroll contributions to the account topay for subsequent future qualifiedmedical expenses.Your
contributions to the HSA will be payroll deducted and the funds deposited into your HSA. You may change the amount you contribute to your HSA at any time during the plan year. When a qualified expense is incurred, you simply use your HSA debit card or request reimbursement for the expense from the custodial account. Unused account dollars are yours to keep, even if you retire or leave the company. Also, if you are 55 years of age or older you may contribute an additional $1,000 catch up contribution to your HSA.
Annual Maximum Contributions to your HSA
Total Amount You May Contribute
IRS Annual Maximum Contribution
Phillips & Jordan's Contribution $225 Quarterly, $900 Annually $400 Quarterly. $600 Annually $400 Quarterly. $600 Annually $500 Quarterly, $2,000 Annually
Employee Only
$2,650
$3,550
Emp + Spouse
$6,500
$7,100
Emp + Child(ren)
$6,500
$7,100
Emp + Family
$5,100
$7,100
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