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2024 - 2025 Liberty Oak Benefits Guide

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EMPLOYEE BENEFITSGUIDE2024 - 2025An overview of the wide array of benefits provided byLiberty Oak, Inc. to help you enjoy increased well-being and financial security.Liberty Oak, Inc.

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This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations and exclusions set forth in each insurance carrier's or provider's contract.Employee Benefits Guide2024 - 2025 Liberty Oak, Inc.As an employee of Liberty Oak, Inc., enjoying your work and making valuable contributions to business are equally vital. The health, satisfaction and security of you and your family are important, not only to your well-being, but ultimately, in terms of achieving the goals of our organization.For the 2024 – 2025 plan year, Liberty Oak, Inc. has worked hard to offer a competitive total rewards package that includes valuable and competitive benefit plans. These programs reflect our commitment to keeping our staff healthy and secure. We understand that your situation is unique, and Liberty Oak, Inc. is offering an overall benefits package that can be shaped and molded by you to fit your needs.This benefits booklet is a summary description of your Liberty Oak, Inc. benefit plans. If there is a discrepancy between these summaries and the written legal plan documents, the plan documents shall prevail. This booklet and plan summaries do not constitute a contract of employment.We hope this benefits booklet, along with our additional communication and decision-making tools, will help you make the best health care choices for you and your family.INTRODUCTIONBenefits Begin Next day following 90 days of employmentBenefits End Last day of employmentDependents Legal spouse, children up to age 26

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This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations and exclusions set forth in each insurance carrier's or provider's contract.Employee Benefits Guide2024 - 2025 Liberty Oak, Inc.Coverage Provided by Blue Cross of NCIn-Network Blue Options Gold 2500Benefit Period Plan Year: 12/1 – 11/30Deductibles (Individual / Family) $2,500/$5,000Preventive Care Covered in fullPrimary Care Visit$25 Copay**Register your PCP on BlueConnectNC.com and 1st three visits’ copay waived.Specialist Visit $50 CopayTelehealth via Teladoc $10 CopayUrgent Care $50 CopayEmergency Room $750 CopayOutpatient Procedure 20% after deductibleInpatient Visit 20% after deductibleEssential QHP FormularyPharmacy / RX (30 Day Supply)Tiers 1-5$4/$15/$35/$50/25%**min $50, max $100Out-of-Pocket Max (Individual / Family)$6,000/$12,000MEDICALThe chart below is an overview of the In-Network benefits. Out-of-Network benefits are available; please review your BCBSNC plan documents for additional details.

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This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations and exclusions set forth in each insurance carrier's or provider's contract.Employee Benefits Guide2024 - 2025 Liberty Oak, Inc.Wellness and Health ManagementUnderstanding the full value of covered benefits allows you to take responsibility for maintaining good health and incorporating healthy habits into your lifestyle. Some examples include getting regular physical examinations, mammograms and immunizations. Through the plans offered by Liberty Oak, Inc. all covered individuals and family members are eligible to receive routine wellness services like these, at no cost; all copays, coinsurance, and deductibles are waived.Which Preventive Care Services Are Covered?The US Preventive Services Task Force maintains a regular list of recommended services that all Affordable Care Act (i.e., Health Care Reform) compliant insurance plans should cover at 100% for in-network providers. Below is a list of common services that are included in the plans offered this year:• Routine physical exam• Well baby and childcare• Well women visits• Immunizations• Routine bone density test• Routine breast exam• Routine gynecological exam• Screening for Gestational diabetes• Obesity screening and counseling• Routine digital rectal exam• Routine colonoscopy• Routine colorectal cancer screening• Routine prostate test• Routine lab procedures• Routine mammograms• Routine pap smear• Smoking cessation• Health education/counseling services• Health counseling for STDs and HIV • Testing for HPV and HIV• Screening/counseling for domestic violencePREVENTIVE CAREYour Cost For the cost of your health plan, please see Employee Navigator or your HR representative.

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This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations and exclusions set forth in each insurance carrier's or provider's contract.Employee Benefits Guide2024 - 2025 Liberty Oak, Inc.Employees and dependents enrolled in our medical have access to telemedicine through Teladoc. Telehealth provides acute and behavioral care 24 hours a day via phone or video by board-certified doctors and behavioral health specialist. Telehealth is a good option for minor health problems when you can’t see your regular doctor. It is also a convenient choice when you want to speak to a counselor or therapist. Some providers will also offer telehealth appointments. Check with your provider on the availability and cost.How Does Telehealth Work?Your virtual visit will take place via phone, video call on a laptop, tablet or cellphone; or through an app. The provider will ask you the same questions you'd be asked at an in-person visit and may recommend treatment based on their findings.What Can’t Telehealth Be Used For?• Life-threatening or emergency situations • Situations in which diagnostic care (e.g., blood work, imaging or lab tests) are required• Situations of severe illness or complex conditionsHow Do I Access Telehealth?There are 3 ways to access Teladoc:• Download the Teladoc mobile app• Go to Teladoc.com and click “Log in/Register”• Call 1-800-835-2362Refer to your plan documentation for more information.TELEHEALTHWhat Can Telemedicine Be Used For?General, non-life-threatening doctor's visits or consultations for acute care, such as:• Allergies• Cough, cold and flu• Diarrhea, nausea and vomiting• Ear problems• Insect bites• Sinus problems• Urinary problems• And moreBehavioral health issues such as:• Addictions• Anxiety• Depression• Grief and loss• Relationship issues• And more

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This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations and exclusions set forth in each insurance carrier's or provider's contract.Employee Benefits Guide2024 - 2025 Liberty Oak, Inc.Summary of CoverageCoverage Provided by Companion Life In-NetworkContract Deductibles $25/$50Preventive Care Covered in fullBasic Procedures (extractions, fillings, etc.)Covered at 80% after deductibleMajor Procedures(crowns, dentures, etc.)Covered at 50% after deductibleContract Year Maximum Benefit $1,000DENTALBelow is a high-level summary of our dental benefits. While Out-of-Network coverage is available, using an In-Network provider will result in less out of pocket expenses. In-Network dentists cannot balance bill you for the amount over the allowable charges. Please review your plan documents for additional details.Pricing Per MonthEmployee $56.56Employee + Spouse $113.10Employee + Child(ren) $120.14Employee + Family $188.55Your Cost

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This booklet provides only a summary of your benefits. All services described within are subject to the definitions, limitations and exclusions set forth in each insurance carrier's or provider's contract.Employee Benefits Guide2024 - 2025 Liberty Oak, Inc.Summary of CoverageCoverage provided by Companion LifePlan FeaturesMaximum Benefit Amount $15,000AD&D Benefit Included in the $15,000Benefit Reductions begin to reduce by 35% at age 65, 50% at age 70, 75% at age 75Companion’s Life and AD&D insurance coverage is an employee paid safety net in case the worst happens. Employees must fill out an EOI form if they exceed the guaranteed issue amount.Voluntary GROUP LIFE and AD&D INSURANCEPricing Per MonthGroup Term Life Group AD&D$0.22 per $1,000 benefit $0.03 per $1,000 benefit

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EMPLOYEE BENEFITS GUIDEPrepared By Sentinel Benefits Consulting | sentinelra.com2024 - 2025Liberty Oak, Inc.