ENROLLING IN YOUR BENEFITS
TABLE OF CONTENTS
Enrolling In Your Benefits
2
Dental Resources
14
Medical Benefits
3
Vision Benefits
15
Medical Resources
4
Benefit Cards
16
Shopping for Care
5
Ambulatory Surgery / Imaging
6
Employee Assistance Program
17
Opt-Out Benefit / Beneficiaries
7
Life / Accidental Death & Dismemberment
18
Disability Benefits
18
Accident Coverage
19-22
Know Your Healthcare Options / Proactive MD
8-9
Cancer Coverage
23-24
Hospital Confinement Coverage
25
Colonial Resources
26
Prescription Benefits and Specialty Medications
10
Retirement Plans – PEBA Employees
27
Retirement Plans – General Employees
28
Wellness Incentive (HRA) / Medical and Dependent Care FSA
11
Supplemental Retirement Options – All Employees
29
HRA / FSA Resources
12
Employee Cost
30
Dental Benefits
13
Contact Information
31
An eligible employee is defined as a full-time employee working 40 hours or more per week. This excludes temporary, seasonal or contract positions. Your benefits become effective on the first of the month following date of hire. You may also elect coverage for your dependents including: your legal spouse and/or your dependent children up to the age of 26 for dependent eligible benefits. Who is Eligible? How & When Do I Enroll? Open Enrollment: Open enrollment is the period each year when changes to your benefit elections are permitted. You may change plans as well as add or drop coverage for you or your eligible dependents. Any changes made during open enrollment must remain until the following open enrollment period, unless you experience a qualifying life event. New employees complete benefit elections during their New Employee Orientation . To make changes to your benefit elections, please schedule an appointment with Christine Scalise , HR Coordinator. Changes can only be made during your open enrollment period unless you have a qualified life event (see list below).
Qualifying Status Changes: Change in employee’s legal marital status Birth, adoption or change in custody of an eligible dependent Change in your or your spouse's employment status (i.e., full-time to part-time)
Gain or Loss of a dependent’s eligibility due to change in age or student status Loss of other coverage (i.e., spouse’s health plan coverage ends, or Medicare or Medicaid eligibility ends) Death of a covered dependent
The change to your benefit elections must be consistent with the life event. You have 30 days from the date of the life event to submit an enrollment change form and documentation of the event to Human Resources. In most cases, your election will become effective the first day of the month following the life event once the paperwork is received. Birth of a child or adoption is an exception and would begin on the day of birth or adoption. Otherwise, you must wait until the next annual enrollment period to make a change to your elections. This guide provides an overview of your benefit plans that take effect July 1, 2025 . The complete provisions of the plans are set forth in the plan documents and insurance contracts. If any information in this guide conflicts with the plan documents and insurance policies, those documents/policies will govern. This guide is not intended as a contract of employment or a guarantee of current or future employment. City of North Myrtle Beach reserves the right to amend, modify or terminate these plans at any time. This guide, together with your other enrollment communications, serves as a Summary of Material Modification (SMM) to the City of North Myrtle Beach Health & Welfare Benefit Plan SPD. It is meant to supplement and/or replace certain information in the SPD, so retain it for future reference, along with your SPD. Please contact Human Resources with questions or to request a copy of the applicable plan documents .
CONMB Employee Benefit Guide 2025
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