2023BENEFITS GUIDE
INTRODUCTIONPHYSICAL WELL-BEINGWe offer health and wellness benets to help you get the most out of your daily activities by taking care of your body and forming daily habits and behaviors that have a signicant impact on your overall health, well-being and quality of life.EMOTIONAL WELL-BEINGThe mind-body connection is powerful. The benets we offer help you stay productive and cope with the stresses of everyday life including mental health programs and advocacy services for you and your family to reduce stress.FINANCIAL WELL-BEINGOur benets help you control your nancial destiny with tools and resources to manage high medical expenses, save you money and help you grow your savings for the future.SOCIAL WELL-BEINGWe offer benets programs to help you feel authentic, valued, and provide a sense of connectedness and belonging.
CONTENTSThe information in this guide will help you make the best benets choices for you and your family and be a helpful reference throughout the year.Benets Eligibility EnrollmentMedical Insurance4 6 Prescription Drugs7Health Savings Account (HSA) 7Dental Insurance8Vision Insurance9Flexible Spending Accounts (FSAs) Commuter Spending Accounts 11 Life and AD&D Insurance Disability Insurance 401k Retirement Savings 14 Employee Assistance Programs and Mental Wellness15Paid Time Off16 Lifestyle Benets17 Professional Development18 Notications 19 Understanding Benets TermsResources and Contact Information
Proof of Eligibility Who Is Eligible?Making Changes••Common Qualifying Life Events••••••At ERC Pathlight, we know our dedicated employees are key to our overall success as an organization. You work hard to support our mission. Our goal is to help you in your quest for well-being.2
Get the most from your benets.1Consider how you and your family use your coverage.2Review this guide. 3 Enroll using the UKG Benets Center.Ask Emma can help you determine the best medical plan for you and your family. She’s there to help you throughout the enrollment process. Just access the UKG Benets Center.3ERC Pathlight Benets Center | 1-800-619-4957 | ERCBenets@AssuredPartners.com
Coverage Details Choice Plus PPO 5000 Choice Plus HDHP Choice Plus PPO 1000— IN-NETWORK —Annual Deductible1 Annual Out-of-Pocket Maximum Annual ERC Pathlight HSA Contribution2 — WHAT YOU PAY —Preventive Care Telemedicine Visit Primary Care Visit Specialist Visit Urgent Care Visit Emergency Room Visit Lab/X-Ray Inpatient/Outpatient Hospital Inpatient Mental Health/Substance Abuse Outpatient Mental Health/Substance Abuse Nutritional Counseling Chiropractic Acupuncture Massage Therapy 1HOW TO FIND AN IN-NETWORK MEDICAL PROVIDERVisit myuhc.com or call 1-866-633-2446.4
Where to Go for CareGet Care Whenever You Need It — Fastmyuhc.com BENEFIT:•••REASONS TO GO:••••PRIMARY CARE PROVIDER (PCP)Non-Life ThreateningBENEFIT:••REASONS TO GO:••••URGENT CARE OR CONVENIENCE CARENon-Life ThreateningBENEFIT:••REASONS TO GO:••••24/7 VIRTUAL VISITS REDUCED BY:Non-Life ThreateningBENEFIT:•REASONS TO GO:••••EMERGENCY ROOMLife Threatening5ERC Pathlight Benets Center | 1-800-619-4957 | ERCBenets@AssuredPartners.com
Behavioral Health Virtual Therapymyuhc.comFind Care > Virtual Visits Directory > Virtual Behavioral Care > Get Started.AbleToAbleTo.comMaternity Support Programmyuhc.com/maternityYour Medical Plan CostAccess Rally TodayRally is a personalized interactive wellness platform to help you set health goals, develop healthy habits, get guidance on a healthier lifestyle and earn rewards. Visit myuhc.com and log in to learn more about Rally under Health & Wellness.Choice Plus PPO 5000 Choice Plus HDHP Choice Plus PPO 1000Employee Only Employee + Spouse/Partner Employee + Children Employee + Family 6
IRS Publication 502Benets of an HSA•••••The RulesYou must be enrolled in an HDHP to be eligible for the HSA, but you can’t:••••Coverage DetailsChoice Plus PPO 5000 Choice Plus HDHP Choice Plus PPO 1000 — In-Network — Retail (30-day supply) Home Delivery (90-day supply) Express-Scripts.com.7ERC Pathlight Benets Center | 1-800-619-4957 | ERCBenets@AssuredPartners.com
Coverage DetailsBase Plan Buy-Up Plan YOU PAY: YOU PAY:Deductible (individual/family) Annual Benet Maximum Diagnostic/Preventive Services Basic Services Major Services Orthodontia (children and adults) Lifetime Orthodontia Maximum DeltaDentalCo.com Your oral health is connected to your overall health. Researchers have found links between gum disease and systemic health, including associations with heart disease and strokes. That’s why it’s so important to make dental care a priority — it can help you and your family live healthier!Base Plan Buy-Up PlanEmployee Only Employee + Spouse/Domestic Partner Employee + Child(ren) Employee + Family Your Biweekly Dental Plan Cost8
vsp.comCoverage Details In-Network Out-of-NetworkVision Exam (once every 12 months) Lenses (once every 12 months)— Single — Bifocal — Trifocal Frames (once every 24 months)Contact Lenses (once every 12 months) Laser Vision CorrectionVision PlanEmployee Only Employee + Spouse/Domestic Partner Employee + Child(ren) Employee + Family Your Biweekly Vision Cost9ERC Pathlight Benets Center | 1-800-619-4957 | ERCBenets@AssuredPartners.com
WexInc.comMedical FSADependent Care FSAThe RulesFSAs offer many tax advantages but are subject to IRS rules:10
Parking WEX debit cardTransit WEX debit card11ERC Pathlight Benets Center | 1-800-619-4957 | ERCBenets@AssuredPartners.comYOUR HEALTH PLAN
Basic Life and AD&ADVoluntary Life and AD&DEvidence of Insurability (EOI)If you don’t enroll in Voluntary Life when initially eligible, you’ll be required to provide proof of good health for any amount elected. Coverage will take effect once approved by New York Life.Plan FeaturesEmployee Spouse/Partner* Child(ren)Coverage OptionGuarantee Issue Amount 12
Short-Term DisabilityShort-Term Disability (STD)Benet Amount 75%, up to $2,885 per weekElimination Period 0 days for accident / 7 days for illnessMaximum Duration 13 weeksLong-Term Disability (LTD)Benet Amount 60%, up to monthly maximum*Elimination Period 90 daysMaximum DurationYour normal Social Security retirement age or the maximum benet period as dened by the planLong-Term Disability13ERC Pathlight Benets Center | 1-800-619-4957 | ERCBenets@AssuredPartners.com
EnrollmentPrincipal.comPrincipal.com1-800-547-7754Principal.comContributions and Changes1-800-547-7754 Principal.comSMARTMap Financial WellnessIt’s important to your overall well-being to be able to meet your current nancial obligations and feel secure about your nancial future. SMARTMap, provided by Pensionmark, can help you identify your goals, determine where you are and help you get to where you want to be.Take advantage of SMARTMap’s nancial wellness resources, including webinars, seminars, articles, videos and calculators. Get personalized support from a dedicated team of licensed specialists who can help you with your 401(k) plan, including enrollment, rollovers and investment advice, and provide individual consultations to help you achieve your nancial goals. Get started at SmartMap.PensionMark.com.14
With Modern Health you have quick access to personalized mental health support through:••••In addition, you have access to our Employee Assistance Program (EAP) through Workplace Options:•••ModernHealth.HelpWhereYouAre.comEatingRecoveryCenterPrivate & Confidential - Do Not DistributeHow Modern Health works.1. Answer a few simple questions.Share your needs and preferences through a clinically validated self-assessment.2. Learn about your care recommendation.Modern Health will guide you to recommended care to support you in your preferred areas of focus.3. Get connected to care.Get started with your preferred forms of care, whether that’s one-on-one,group, or self-paced.Here’s how you can get started:1my.modernhealth.com234You can invite your family members to Modern Health once you’re signed up.Private & Confidential - Do Not DistributeHow Modern Health works.1. Answer a few simple questionsShare your needs and preferences through a clinically-validated self-assessment.2. Learn about your care recommendationModern Health will guide you to recommended care to support you in your preferred areas of focus.3. Get connected to careGet started with your preferred forms of care, whether that’s one-on-one,group, or self-paced.Private & Confidential - Do Not DistributeHow Modern Health works.1. Answer a few simple questionsShare your needs and preferences through a clinically-validated self-assessment.2. Learn about your care recommendationModern Health will guide you to recommended care to support you in your preferred areas of focus.3. Get connected to careGet started with your preferred forms of care, whether that’s one-on-one,group, or self-paced.15ERC Pathlight Benets Center | 1-800-619-4957 | ERCBenets@AssuredPartners.com
PTO Accrual TableExamples:••When Your Accrual Begins Hours Accrued Per Pay Period Maximum Hours Cap Days Accrued Per YearUpon Hire On Second AnniversaryOn Fourth AnniversaryOn Seventh Anniversary Holiday Administrative and Non-Clinical ClinicalNew Year's Day Memorial Day Independence Day Labor Day Thanksgiving Day Christmas Day HolidaysExtended Illness Bank (EIB)Employee Status Accrual Per Pay Period Maximum AccrualFull-time Part-time 16
With Maven, you have 24/7 support with features like:••••••MavenClinic.com/Join/TakeCareMaven DISCOUNT PROGRAM Tap into thousands of discounts and exclusive offers to money with your favorite national and local merchants. Sign up atERC.PerkSpot.comor on thePerkSpot mobile appInsight Timer @WORK Insight Timer @WORK InsightTimer.comALL TEAMMATES17ERC Pathlight Benets Center | 1-800-619-4957 | ERCBenets@AssuredPartners.com
ERC PATHLIGHTCollaborationIntegrityAccountabilityCompassionInclusivityFlexibilityTuition ReimbursementTraining HoursiPhone AndroidTeammate Recognition ProgramHi5 Recognition platformCore Value Award18
Special Medical Enrollment Rights and Responsibilities Under HIPAASpecial Enrollment ProvisionLoss of Eligibility Under Medicaid or a State Children’s Health Insurance Program (CHIP)Loss of Eligibility for Other CoverageNew Dependent by Marriage, Birth, Adoption or Placement for AdoptionEligibility for Medicaid or CHIP State Premium Assistance SubsidyIf You Decline Coverage, You Must Complete a “Decline Coverage Form” ••••19ERC Pathlight Benets Center | 1-800-619-4957 | ERCBenets@AssuredPartners.com
Medicare Part D Credibility NoticeBelow are highlights to note:The information below indicates whether prescription drug coverage under our plan is creditable. Secondary Payor to Medicare Noticemedicare.gov/Contacts/#resources/shipsWomen’s Health and Cancer Rights Act (WHCRA)••••Non-Grandfathered Medical Plan Appeals ProcessesCreditable Coverage Non-creditable Coverage 20
Premium Assistance Under Medicaid or The Children’s Health Insurance Programhealthcare.gov.1-877-KIDS NOWinsurekidsnow.govou must request coverage within 60 days of being determined eligible for premium assistanceaskebsa.dol.gov1-866-444-EBSA (3272)ALABAMA — MedicaidWebsite: http://myalhipp.com/Phone: 1-855-692-5447ALASKA — MedicaidThe AK Health Insurance Premium Payment ProgramWebsite: http://myakhipp.com/ Phone: 1-866-251-4861Email: CustomerService@MyAKHIPP.comMedicaid Eligibility: https://health.alaska.gov/dpa/Pages/default.aspxARKANSAS — MedicaidWebsite: http://myarhipp.com/Phone: 1-855-MyARHIPP (1-855-692-7447)Email: CustomerService@MyArHIPP.com CALIFORNIA — MedicaidHealth Insurance Premium Payment (HIPP) ProgramWebsite: http://dhcs.ca.gov/hipp Phone: 1-916-445-8322 Fax: 1-916-440-5676 Email: hipp@dhcs.ca.govCOLORADO — Health First Colorado (Colorado’s Medicaid Program) & Child Health Plan Plus (CHP+)Health First Colorado Website: https://www.healthrstcolorado.com/Health First Colorado Member Contact Center: 1-800-221-3943/ State Relay 711CHP+: https://www.colorado.gov/pacic/hcpf/child-health-plan-plusCHP+ Customer Service: 1-800-359-1991/ State Relay 711 Health Insurance Buy-In Program (HIBI): https://hcpf.colorado.gov/health-insurance-buy-programHIBI Customer Service: 1-855-692-6442FLORIDA — MedicaidWebsite: https://www.medicaidtplrecovery.com/medicaidtplrecovery.com/ hipp/index.htmlPhone: 1-877-357-3268GEORGIA — MedicaidGA HIPP Website: https://medicaid.georgia.gov/health-insurance-premium-payment-program-hippPhone: 1-678-564-1162, Press 1GA CHIPRA Website: https://medicaid.georgia.gov/programs/third-party-liability/childrens-health-insurance-program-reauthorization-act-2009-chipraPhone: 1-678-564-1162, Press 2INDIANA — MedicaidHealthy Indiana Plan for low-income adults 19-64Website: http://www.in.gov/fssa/hip/Phone: 1-877-438-4479All other MedicaidWebsite: https://www.in.gov/medicaid/ Phone: 1-800-457-4584IOWA — Medicaid and CHIP (Hawki)Medicaid Website: https://dhs.iowa.gov/ime/members Medicaid Phone: 1-800-338-8366Hawki Website: http://dhs.iowa.gov/HawkiHawki Phone: 1-800-257-8563HIPP Website: https://dhs.iowa.gov/ime/members/medicaid-a-to-z/hippHIPP Phone: 1-888-346-9562KANSAS — MedicaidWebsite: https://www.kancare.ks.gov/ Phone: 1-800-792-4884KENTUCKY — MedicaidKentucky Integrated Health Insurance Premium Payment Program (KI-HIPP) Program (KI-HIPP) Website: https://chfs.ky.gov/agencies/dms/member/Pages/kihipp.aspxPhone: 1-855-459-6328Email: KIHIPP.PROGRAM@ky.govKCHIP Website: https://kidshealth.ky.gov/Pages/index.aspx KCHIP Phone: 1-877-524-4718Kentucky Medicaid Website: https://chfs.ky.gov21ERC Pathlight Benets Center | 1-800-619-4957 | ERCBenets@AssuredPartners.com
LOUISIANA — MedicaidWebsite: www.medicaid.la.gov or www.ldh.la.gov/lahipp Phone: 1-888-342-6207 (Medicaid hotline) or 1-855-618-5488 (LaHIPP) MAINE — MedicaidEnrollment Website: https://www.maine.gov/dhhs/o/applications-formsPhone: 1-800-442-6003TTY: Maine relay 711Private Health Insurance Premium Webpage: https://www.maine.gov/dhhs/o/applications-forms Phone: 1-800-977-6740TTY: Maine relay 711MASSACHUSETTS — Medicaid and CHIPWebsite: https://www.mass.gov/masshealth/paPhone: 1-800-862-4840TTY: 1-617-886-8102MINNESOTA — MedicaidWebsite: https://mn.gov/dhs/people-we-serve/children-and-families/health-care/health-care-programs/programs-and-services/other-insurance.jspPhone: 1-800-657-3739MISSOURI — MedicaidWebsite: http://www.dss.mo.gov/mhd/participants/pages/hipp.htm Phone: 1-573-751-2005MONTANA — MedicaidWebsite: http://dphhs.mt.gov/MontanaHealthcarePrograms/HIPP Phone: 1-800-694-3084Email: HHSHIPPProgram@mt.govNEBRASKA — MedicaidWebsite: http://www.ACCESSNebraska.ne.gov Phone: 1-855-632-7633Lincoln: 1-402- 473-7000Omaha: 1-402-595-1178NEVADA — MedicaidMedicaid Website: http://dhcfp.nv.gov Medicaid Phone: 1-800-992-0900NEW HAMPSHIRE — MedicaidWebsite: https://www.dhhs.nh.gov/programs-services/medicaid/health-insurance-premium-program Phone: 1-603-271-5218Toll-free number for the HIPP program: 1-800-852-3345, ext 5218 NEW JERSEY — Medicaid and CHIPMedicaid Website: http://www.state.nj.us/humanservices/dmahs/clients/medicaid/Medicaid Phone: 1-609-631-2392CHIP Website: http://www.njfamilycare.org/index.html CHIP Phone: 1-800-701-0710NEW YORK — MedicaidWebsite: https://www.health.ny.gov/health_care/medicaid/ Phone: 1-800-541-2831NORTH CAROLINA — MedicaidWebsite:https://medicaid.ncdhhs.gov/Phone: 1-919-855-4100NORTH DAKOTA — MedicaidWebsite: http://www.nd.gov/dhs/services/medicalserv/medicaid/Phone: 1-844-854-4825OKLAHOMA — Medicaid and CHIPWebsite: http://www.insureoklahoma.orgPhone: 1-888-365-3742OREGON — MedicaidWebsite: http://healthcare.oregon.gov/Pages/index.aspx http://www.oregonhealthcare.gov/index-es.htmlPhone: 1-800-699-9075PENNSYLVANIA — MedicaidWebsite: https://www.dhs.pa.gov/Services/Assistance/Pages/HIPP-Program.aspxPhone: 1-800-692-7462RHODE ISLAND — MedicaidWebsite: http://www.eohhs.ri.gov/Phone: 1-855-697-4347 or 1-401-462-0311 (Direct RIte Share Line)SOUTH CAROLINA — MedicaidWebsite: https://www.scdhhs.govPhone: 1-888-549-0820SOUTH DAKOTA — MedicaidWebsite: http://dss.sd.govPhone: 1-605-773-4678TEXAS — MedicaidWebsite: http://gethipptexas.com/Phone: 1-800-440-0493UTAH — Medicaid and CHIPMedicaid Website: https://medicaid.utah.gov/Medicaid Phone: 1-866-435-7414CHIP Website: http://health.utah.gov/chipCHIP Phone: 1-866-435-7414; Menu option option 4; then press 2VERMONT — MedicaidWebsite: http://www.greenmountaincare.org/Phone: 1-800-250-8427VIRGINIA — Medicaid and CHIPWebsite: https://www.coverva.org/en/famis-select https://www.coverva.org/en/hippMedicaid Phone: 1-800-432-5924CHIP Phone: 1-800-432-5924WASHINGTON — MedicaidWebsite: https://www.hca.wa.gov/ Phone: 1-800-562-3022WEST VIRGINIA — MedicaidWebsite: https://dhhr.wv.gov/bms/ Website: http://mywvhipp.com/ Medicaid Phone: 1-304-558-1700CHIP Toll-free phone: 1-855-MyWVHIPP (1-855-699-8447)WISCONSIN — Medicaid and CHIPWebsite: https://www.dhs.wisconsin.gov/badgercareplus/p-10095.htmPhone: 1-800-362-3002WYOMING — MedicaidWebsite: https://health.wyo.gov/healthcaren/medicaid/ programs-and- eligibility/Phone: 1-307-777-7531To see if any other states have added a premium assistance program since July 31, 2022, or for more information on special enrollment rights, contact either:U.S. Department of LaborU.S. Department of Health and Human Services22
Knowing and understanding your benets is important to choosing the path that is best for you and your family. These denitions will help you understand your coverages and enable you to make informed decisions.Coinsurance Copay Deductible Evidence of Insurability (EOI) Generic Drugs In-Network Provider Out-of-Network Provider Non-Preferred Drugs Out-of-Pocket Maximum Preferred Drugs ERC Pathlight Benets Center | 1-800-619-4957 | ERCBenets@AssuredPartners.com 23
Have a Question About Your Benets?Phone:Email:Hours:Download the STRIVE mobile app Plan Provider Group Number Phone WebsiteMedical myuhc.com Prescription Drugs express-scripts.com Health Savings Account WexInc.comDental DeltaDentalCo.comVision VSP.comFlexible Spending Accounts WexInc.comLife and AD&D myNYLgbs.comShort-Term Disability myNYLgbs.comLong-Term Disability myNYLgbs.comEmployee Assistance Program My.ModernHealth.com ModernHealthHelpWhereYouAre.com401(k) Principal.comCOBRA ||