Page 2 of 22 Table of Contents Introduction ........................................................................................................................................................ 3 Medical Insurance ............................................................................................................................................. 4 Medical Plan Comparison .................................................................................................................................. 5 Health Savings Account ..................................................................................................................................... 6 Flexible Spending Account ................................................................................................................................ 7 Connecting Care Clinic ...................................................................................................................................... 8 Connecting Care Clinic List of Services ............................................................................................................. 9 Voluntary Medical Benefits .............................................................................................................................. 10 Dental Insurance ............................................................................................................................................. 11 Vision Insurance .............................................................................................................................................. 12 Vision Benefit Details ....................................................................................................................................... 13 Life Insurance .................................................................................................................................................. 14 Disability Insurance ......................................................................................................................................... 15 Voluntary Voya Financial Benefits ................................................................................................................... 16 Wisconsin Retirement System ......................................................................................................................... 17 Post Employment Health Plan (HRA) .............................................................................................................. 18 Paid Holiday Leave .......................................................................................................................................... 19 Vacation and Paid Time Off (PTO) .................................................................................................................. 20 Employee Assistance Program ........................................................................................................................ 21 Miscellaneous Benefits .................................................................................................................................... 22 Summary of Benefits Booklet Disclaimer This booklet provides highlights of the City of Appleton’s 2024 benefit plans. While every effort has been made to ensure accuracy, if any discrepancies exist between this booklet and governing plan documents, the governing plan document will prevail. If you need legal, financial, or other professional advice, you should seek the services of a competent professional. “Summary Plan Descriptions” and “Summary of Benefits and Coverage” can be found at www.appleton.org or by contacting the City of Appleton’s Benefits Coordinator. Information in this document is from the City of Appleton Fringe Benefit Policy and is subject to change based on Appleton Common Council approval. City of Appleton, Department of Human Resources 100 N. Appleton Street, Appleton, WI 54911 O: (920) 832-6458 | F: (920) 832-5845 | humanresources@appleton.org
Page 3 of 22 Introduction This booklet will provide a glance of the benefits the City of Appleton has to offer. You can also access overviews of our benefit plans at www.appleton.org/government/human-resources/employee-benefits. Benefits Meeting Your supervisor will arrange for you to meet with our Benefits Coordinator, Blia Vang, on or near your first day to review the benefit enrollment options. Eligibility You may enroll in the City of Appleton Employee Benefits Program if you are in an eligible position working 30+ hours per week for medical insurance and 20+ hours per week for dental and vision insurances. If you are eligible for our benefits, then your dependents are too. In general, eligible dependents include your spouse, and children up to the age of 26. If your child is mentally or physically disabled, coverage may continue beyond age 26 once proof of the ongoing disability is provided. Children may include natural, adopted, stepchildren, and children obtained through court-appointed legal guardianship. When Coverage Begins The effective date for your benefits is the 31st day of employment for newly hired employees and dependents. All elections are in effect for the entire plan year and can only be changed during open enrollment unless you experience a family status event in the middle of a plan year. Family Status Event A change in family status is a change in your personal life that may impact your eligibility or dependent’s eligibility for benefits. Examples include: ▪ Change of legal marital status ▪ Change in number of dependents ▪ Change in employment or job status If an event occurs, you must notify our Benefits Coordinator within 30 days of the event date. Failure to request a change of status within 30 days of the event may result in you having to wait until the next open enrollment period to make your change. Blia Vang Benefits Coordinator City of Appleton, Human Resources 100 N. Appleton Street, Appleton, WI 54911 O: (920) 832-6455 | F: (920) 832-5895 Blia.Vang@appleton.org
Page 4 of 22 Medical Insurance The City of Appleton offers two medical insurance plans: High Deductible Health Plan and Standard Plan. See page 5 for plan overviews. Health Risk Screenings The City of Appleton provides employees and their spouses the opportunity to participate in a bio-metric health risk screening at no cost to participants. This benefit allows employees to receive a medical insurance premium discount and review their personal, confidential screening results. The bio-metric health risk screening consists of: ▪ Hemoglobin A1c Test (best predictor of diabetes) ▪ Test for liver and kidney disease ▪ Complete cholesterol panel ▪ Height and Weight ▪ Blood Pressure ▪ Health questionnaire and Composition Assessment New employees will be grandfathered in for the medical insurance premium discount for their year of hire. Employees/spouses then must participate during the next scheduled screenings to receive the discount for the following year. Bi-Monthly Employee Contributions High Deductible Health Plan With Health Risk Screening Discount Without Health Risk Screening Discount Coverage Employee Cost Employee Cost Single $16.75 $33.51 Family $43.42 $86.84 Standard Health Plan With Health Risk Screening Discount Without Health Risk Screening Discount Coverage Employee Cost Employee Cost Single $105.74 $126.89 Family $287.96 $345.56 Please note: Rates listed are for 1.0 FTE employees. Premiums will be prorated for employees less than 1.0 FTE. Download the UMR App Access benefits information, announcements, alerts, and live chat support. Plan Administrator UMR PO Box 30541 Salt Lake City, UT 84130 (800) 826-9781 www.umr.com
Page 5 of 22 Medical Plan Comparison UMR High Deductible Health Plan 708762/ 767000414647 UMR Standard Plan 708762/ 767000414647 In-Network Benefits Out-of-Network Benefits In-Network Benefits Out-of-Network Benefits Annual Deductible* Individual $2,000 $4,000 $2,000 $4,000 Family $4,000 $8,000 $4,000 $8,000 Coinsurance 90% 70% 90% 70% Maximum Out-of-Pocket* Individual $3,000 $5,000 $3,100 $6,200 Family $6,000 $10,000 $6,200 $12,400 Physician Office Visit Primary Care 90% after deductible 70% after deductible $25 copay per visit 70% after deductible Specialty Care 90% after deductible 70% after deductible $40 copay per visit 70% after deductible Preventive Care Adult Periodic Exams 100% 70% after deductible 100% 70% after deductible Well-Child Care 100% 70% after deductible 100% 70% after deductible Diagnostic Services X-ray and Lab Tests 90% after deductible 70% after deductible 90% after deductible 70% after deductible Complex Radiology 90% after deductible 70% after deductible 90% after deductible 70% after deductible Urgent Care Facility 90% after deductible 70% after deductible $50 copay 70% after deductible Emergency Room Facility Charges* 90% after deductible 90% after deductible $100 copay then 90% after deductible $100 copay then 90% after deductible Inpatient Facility Charges 90% after deductible 70% after deductible 90% after deductible 70% after deductible Outpatient Facility and Surgical Charges 90% after deductible 70% after deductible 90% after deductible 70% after deductible Mental Health Inpatient 90% after deductible 70% after deductible 90% after deductible 70% after deductible Outpatient 90% after deductible 70% after deductible 90% after deductible 70% after deductible Substance Abuse Inpatient 90% after deductible 70% after deductible 90% after deductible 70% after deductible Outpatient 90% after deductible 70% after deductible 90% after deductible 70% after deductible Other Services Chiropractic 90% after deductible 70% after deductible 90% after deductible 70% after deductible Retail Pharmacy (30 Day Supply) Generic (Tier 1) $10 copay after deductible $10 copay Preferred (Tier 2) $25 copay after deductible $25 copay Non-Preferred (Tier 3) $50 copay after deductible $50 copay Preferred Specialty (Tier 4) 30% after deductible 30% coinsurance Mail Order Pharmacy (90 Day Supply) Generic (Tier 1) $30 copay after deductible $30 copay Preferred (Tier 2) $75 copay after deductible $75 copay Non-Preferred (Tier 3) $150 copay after deductible $150 copay Preferred Specialty (Tier 4) 30% after deductible 30% coinsurance *Important HSA Plan Notice for those enrolled in Family Coverage: No individual members' deductible or out-of-pocket is considered satisfied until the FULL FAMILY deductible and out-of-pocket has been met for the plan year.
Page 6 of 22 Health Savings Account Eligibility To be eligible for a health savings account (HSA) employees must: ▪ Be enrolled in the High Deductible Health Plan ▪ Not be enrolled in another medical plan that has a deductible lower than $2,800 family or $1,400 individual ▪ Not be enrolled in Medicare or Tricare How it Works HSA’s are like personal savings accounts, but the money in them is used to pay for healthcare expenses. You – not your employer or insurance company – own and control the money in your HSA. Benefits of an HSA Any unused HSA dollars will roll over from year to year, making an HSA a convenient and easy way to save and invest for future eligible expenses. Some benefits include: ▪ Contributions made into an HSA are not taxed. ▪ The money you take out of your HSA to pay for qualified healthcare expenses is not taxed. ▪ You can earn tax-free interest on the money you keep in your HSA. You also have options to invest the money in your account through Associated Bank. 2024 Contribution Limits This is the total amount that may be deposited into your HSA. Plan Max. Contribution Single $4,150 Family $8,300 Catch-Up (age 55 or older) Additional $1,000 If you would like to take advantage of the catch-up provision, please email our Benefits Coordinator. Download the HSA Plus Mobile App Access your HSA, submit claims, and upload receipts at any time. Plan Administrator Associated Bank (800) 270-7719 www.AssociatedBank.com
Page 7 of 22 Flexible Spending Account Eligibility The Flexible Spending Account (FSA) is available to all benefited employees. The FSA allows you to set aside pre-tax dollars to cover qualified expenses you would normally pay out of pocket with post-tax dollars. This plan is comprised of a dependent care account only. You pay no federal or state income taxes on the money you place in an FSA. How it Works ▪ Choose a specific amount of money to contribute each pay period, pre-tax, to your account. ▪ The amount is automatically deducted from your pay each pay period. ▪ As you incur eligible expenses you may submit a claim to be reimbursed by the plan. Important Rules ▪ The IRS has a strict “use it or lose it” rule. If you do not use the full amount in your FSA by the end of the calendar year, you will lose any remaining funds. ▪ Once you enroll in the FSA you cannot change your contribution amount during the year unless you experience a qualifying life event. ▪ You cannot transfer funds from one FSA to another. At the start of a new plan year, there is a 90-day runout period. Participants can submit prior year expenses within the runout period for reimbursement. Please plan your FSA contributions carefully as any funds not used by the end of the year will be forfeited. Re-enrollment is required each year. 2024 Contribution Limit Plan Max. Contribution Dependent Care FSA $5,000 Plan Administrator Diversified Benefit Services, Inc. PO Box 260 Hartland, WI 53029 (800) 234-1229 Fax: (262) 367-5938 www.DBSbenefits.com
Page 8 of 22 Connecting Care Clinic Employees, spouses, and dependents over the age of 12 months who are covered on the City’s medical plan are eligible to use the Connecting Care Clinic (CCC). The CCC provides primary and acute care services and physical therapy at no cost to the patient. See page 9 for a comprehensive list of services. Lab Services CCC offers multiple lab services at no cost to the patient. View the list of no cost labs at www.appleton.org/government/human-resources/employee-medical-clinic. Physical Therapy CCC has two Physical Therapists who can identify, diagnose, and treat movement problems. They design treatment plans for each person’s individual needs and empower people to be active participants in their care. No referral needed! Health Coach From reviewing your health screening results to weight or stress management, the CCC Health Coach can help you identify, set, and achieve your wellness goals. Primary Care Provider Eligible patients 18 and older may set up an initial evaluation to review your medical conditions and history to determine if it's appropriate to establish your primary physician through the clinic (eligibility will be based on complexity of medical conditions and the ability to safely manage your care at the clinic). Clinic Hours of Operation Monday 7:00 AM – 5:30 PM Tuesday 7:00 AM – 5:30 PM Wednesday 7:00 AM – 6:00 PM Thursday 7:00 AM – 6:00 PM Friday 7:00 AM – 4:00 PM Contact Information Gateway Building 3925 N. Gateway Drive Appleton, WI 54913 (920) 225-1467 my.thedacare.org
Page 9 of 22 Connecting Care Clinic List of Services
Page 10 of 22 Voluntary Medical Benefits PrudentRx PrudentRx is a specialty drug copay program that optimizes savings for certain specialty drugs at zero cost to its members. This program works directly with manufacturers to find copay card assistance to offset the medication cost. If no copay card is found, members still receive the medication at $0. Only specific prescriptions are eligible for copay card assistance. PrudentRx contacts eligible individuals directly to enroll in this program. Enrollment is required to participate. Eligible individuals enrolled in the High Deductible Health Plan (HDHP) must fully satisfy their deductible before they are eligible for the zero-cost benefit. If an eligible individual on the HDHP chooses not to enroll in this program, they will be subject to the 30% co-insurance after meeting the deductible. Eligible individuals on the Low Deductible Health Plan who choose not to enroll in this program will be subject to the 30% co-insurance. Proximal Proximal is a wellness and preventative care incentive program that rewards you for making smart medical consumer choices if you are on the City’s medical insurance. By choosing a quality provider through Proximal for certain services/care, you may receive up to $1,500 paid directly to you. This program accepts the City’s medical insurance, so all providers are in-network! No enrollment is needed to access this benefit program. Simply go to Proximal.com to register for an account. Through the account you can search for a designated provider, and file a claim directly to Proximal. Contact Information PrudentRx 1-800-578-4403 info@prudentrx.com Contact Information Proximal (612) 453-2199 support@proximal.com
Page 11 of 22 Dental Insurance Delta Dental of WI PPO/Premier 91812 Annual Deductible Individual $50 Family $150 Waived for Preventive Care? Yes Annual Maximum Per Person/Family $1,500 Preventive 100% Basic 80% Major 50% Oral Surgery Annual Maximum per person per year $2,000 Surgical procedures 50% Orthodontia Benefit Percentage 50% Adults (and covered full-time students, if eligible) Covered Dependent eligible to age 19 Lifetime Maximum $2,500 Benefit Waiting Periods N/A Evidence-Based Integrated Care Plan Call Delta Dental to opt-in to this voluntary plan. This option is included in your plan and provides additional benefits for persons with medical conditions that have oral-health implications. Conditions include: ▪ Diabetes ▪ Pregnancy ▪ Specific heart conditions ▪ Suppressed immune system ▪ Cancer therapy ▪ Periodontal disease ▪ Kidney failure or dialysis Bi-Monthly Employee Contributions Coverage Employee Cost Single $5.00 Family $10.00 Please note: Rates listed are for 1.0 FTE employees. Premiums will be prorated for employees less than 1.0 FTE. Plan Administrator Delta Dental of Wisconsin PO Box 828 Stevens Point, WI 54481 (800) 236-3712 www.deltadentalwi.com
Page 12 of 22 Vision Insurance DeltaVision® Full Plan Materials Only Plan Network Insight Insight Frame/Contact Allowance $150/$150 $150/$150 Copay (exams/standard plastic lenses) $10/$10 $10 Frequency (exams/lenses or contact/frames) Based on calendar year 12 months/ 12 months/ 24 months No exam/ 12 months/ 24 months Dependent Age Limit To age 26 See page 13 for more benefit details. Bi-Monthly Employee Contributions Coverage Full Plan Materials Only Plan Employee $2.87 $2.01 Family $7.14 $5.00 Please note: Rates listed are for 1.0 FTE employees. Premiums will be prorated for employees less than 1.0 FTE. Plan Administrator Delta Dental of Wisconsin PO Box 828 Stevens Point, WI 54481 (800) 236-3712 www.deltadentalwi.com
Page 13 of 22 Vision Benefit Details Full Plan Materials Only Plan In -Network Out-of-Network Reimbursement In-Network Out-of-Network Reimbursement Comprehensive Glasses Exam Member pays $10, plan pays balance $35 N/A N/A Standard Contact Lens* Fit and Follow-Up Member pays up to $40 None N/A N/A Premium Contact Lens** Fit and Follow-Up 10% discount off retail None N/A N/A Frames (any available frame at provider location) $150 allowance, then 20% off balance $75 $150 allowance, then 20% off balance $75 Laser Vision Correction (Lasik or PRK) 15% off retail price or 5% off promotional price None 15% off retail price or 5% off promotional price None Standard Plastic Lenses Single Vision Member pays $10, plan pays balance $25 Member pays $10, plan pays balance $25 Bifocal Member pays $10, plan pays balance $40 Member pays $10, plan pays balance $40 Trifocal Member pays $10, plan pays balance $55 Member pays $10, plan pays balance $55 Standard Progressive Member pays $75 $40 Member pays $75 $40 Premium Progressive Lens Tier 1 $95 copay $60 $95 copay $60 Tier 2 $105 copay $60 $105 copay $60 Tier 3 $120 copay $60 $120 copay $60 Tier 4 $75 copay, 80% of charge less $120 allowance $60 $75 copay, 80% of charge less $120 allowance $60 Lens Options UV Coating Member pays $15 None Member pays $15 None Tint (solid and gradient) Member pays $15 None Member pays $15 None Standard Scratch Resistance Member pays $15 None Member pays $15 None Standard Polycarbonate Member pays $40 None Member pays $40 None Standard Anti-Reflective Coating Member pays $45 None Member pays $45 None Premium Anti-Reflective Coating Tier 1 $57 None $57 None Tier 2 $68 None $68 None Tier 3 80% of charge None 80% of charge None Other Add-Ons & Services 20% off retail None 20% off retail None Contact Lenses – In lieu of glasses (Contact lens allowance covers materials only) Conventional $150 allowance, then 15% off balance $120 $150 allowance, then 15% off balance $120 Disposable $150 allowance $120 $150 allowance $120 Medically Necessary*** Paid in full $200 Paid in full $200 *Lenses that are spherical power only, soft lens materials, including planned replacement and conventional lenses. Lenses are to be used in a daily wear (removed prior to sleep) mode only. **Includes all lens powers and designs other than spherical powers (i.e., toric, multifocal, etc.), modes of wear that are extended or overnight schedules, and rigid or gas-permeable materials. ***Medically necessary contacts require authorization from a vision doctor when some conditions are present. Please contact the plan for more information.
Page 14 of 22 Life Insurance Employer Paid Life Insurance ▪ All benefited employees working 20+ hours per week are automatically enrolled. ▪ 1x your annual salary rounded to the next even thousand up to a maximum of $50,000. Voluntary Life Insurance ▪ Available to all Full and Part-Time benefited employees. ▪ Up to 7x employee’s salary in $10,000 increments to a cap of $500,000. ▪ If this benefit is waived during your initial eligibility, you must submit an Evidence of Insurability to Underwriting for approval. ▪ To request changes to your coverage, contact our Benefits Coordinator. Available Coverage Coverage Benefit Amount Maximum Employee Units of $10,000 Lesser of 7x salary or $500,000 Spouse Units of $10,000 $250,000 Child(ren) $10,000 $10,000 How to Calculate Your Monthly Cost 1. Use the rate chart to find your monthly rate based on your age as of your effective date. (Child cost per $1,000 = $0.200) 2. Multiply this rate by your desired coverage amount, in units of 1,000. 3. The result is the monthly cost. Example: Bob is 27 years old with $100,000 coverage amount. $0.080 x ($100,000)/$1,000 = $8.00/month Rates vary by age and may be subject to change. Benefits will reduce based on age (view the Benefits Reduction Schedule at www.appleton.org/government/human-resources/employee-benefits). Age Employee Cost per $1,000 Spouse Cost per $1,000* 0-19 $0.080 $0.080 20-24 $0.080 $0.080 25-29 $0.080 $0.080 30-34 $0.090 $0.090 35-39 $0.130 $0.130 40-44 $0.210 $0.210 45-49 $0.340 $0.340 50-54 $0.510 $0.510 55-59 $0.770 $0.770 60-64 $1.260 $1.260 65-69 $2.280 $2.280 70-74 $3.230 N/A 75-79 $6.970 N/A Plan Administrator New York Life Insurance Company (CIGNA) (800) 732-1603 www.newyorklife.com Actual pay period premiums may differ slightly due to rounding. The rates above reflect the total cost. *Spouse rates are based on spouse age.
Page 15 of 22 Disability Insurance Long-Term Disability Insurance The City of Appleton provides long-term income protection through New York Life in the event you become unable to work due to a non-work-related illness or injury. This benefit covers 60% of your monthly base salary up to $5,000. Benefit payments begin after meeting the 90-day elimination period. See the Certificate of Coverage for benefit duration and the Summary Plan Description for complete plan details at www.appleton.org/government/human-resources/employee-benefits. Short-Term Disability Insurance All employees are eligible to purchase short-term disability on a voluntary basis. Underwriting approval is required at any time if you don’t elect coverage when initially offered and wish to add at any time in the future. Plan Option One This benefit covers 60% of your weekly base salary up to $750/week. The benefit begins after 14 days of injury or illness and lasts up to 11 weeks. Plan Administrator New York Life Insurance Company (CIGNA) Claim intake: (800) 362-4462 www.newyorklife.com
Page 16 of 22 Voluntary Voya Financial Benefits Accident Insurance Accident insurance is affordable voluntary insurance that can help you pay for out-of-pocket costs you may experience after an accident. It pays you benefits for specific injuries and events resulting from a covered accident. The amount paid depends on the type of injury and care received. Wellness Benefit The wellness benefit is an annual benefit payment if you complete a health screening test. The annual benefit for employee and spouse is $100 each. For a child under 18 that has a well-child check-up, the benefit is $50 per child to an annual child maximum of $200 per family. 2024 Bi-Monthly Premium Rates Policy Type Bi-Monthly Premium Rate Employee only $6.21 Employee & Spouse $10.29 Employee & Children $11.72 Family $15.80 Deferred Compensation The City of Appleton’s retirement savings plan through Voya Financial helps you to set a little aside regularly for the kind of retirement you can look forward to. The earlier you begin to set aside funding, the better it grows. Visit https://appleton.beready2retire.com to: ▪ Enroll in the plan ▪ View plan information ▪ Review investment options and performance ▪ Access retirement articles, seminars, and newsletters ▪ Schedule a meeting with our Voya Financial Representative Roth 457(b) Unlike contributions to a traditional 457(b) plan, which are made on a pre-tax basis, contributions to a Roth 457(b) are made on an after-tax basis. This means your Roth contributions will be subject to income taxes before they’re invested in your 457(b) accounts. Withdrawal of your contributions may be tax-free when you retire (qualifying factors apply). In short, you’d be trading a current tax benefit for a future tax benefit. So, does this trade-off make sense for you? It primarily depends on whether you think your federal income tax rate will be higher at retirement, or lower. Download the Voya Retire App An easy, secure, and convenient way to access and manage your retirement account all in one place. Plan Administrator Voya Financial Advisors, Inc. Julie Rodriguez Financial Professional (708) 691-0468 Julie.Rodriguez@voyafa.com
Page 17 of 22 Wisconsin Retirement System All employees working more than 1200 hours per year are automatically enrolled in the state pension. Both the employee and employer contribute each payroll to this benefit. 2024 Cost Share Rates Contributor % per Payroll Employee 6.9% Employer General 6.9% Educational Videos and Webinars Whether you are a new, mid-career, or nearing retirement employee, the ETF website has many educational videos and webinars you can reference online. Annual Statement of Benefits Your Annual Statement of Benefits is a summary of your year-end Wisconsin Retirement System account information. Statements are distributed in mid-April from the Department of Employee Trust Fund. Carefully review your statement as soon as you receive it. The statement reflects your WRS account information as of January 1, 2024. It's important to note that there are strict time limits that apply to any applicable corrections or appeals. File your statement in a safe place for future reference. Plan Administrator Wisconsin Retirement System Employee Trust Fund PO Box 7931 Madison, WI 53707-7931 (877) 533-5020 www.etf.wi.gov
Page 18 of 22 Post Employment Health Plan (HRA) The City of Appleton’s PEHP/HRA vendor is MidAmerica. All full-time employees have an active account while employed with the City. Each month of service the City contributes $10 to this account. Log into www.myMidAmericaJourney.com to view your account balance at any time and manage the mutual fund(s). The default fund is set to a mutual fund fixed rate, or you can move it to another available fund option in MidAmerica. Once an employee separates from service (quits or retires), the funds in this account can be used to pay for qualified medical expenses. Plan Administrator MidAmerica (855) 329-0095 www.myMidAmericaJourney.com
Page 19 of 22 Paid Holiday Leave Holidays The City shall observe the following holidays (excluding Valley Transit and Library): ▪ New Year’s Day ▪ Memorial Day ▪ Independence Day ▪ Labor Day ▪ Thanksgiving Day ▪ Day after Thanksgiving ▪ Last Working Day before Christmas ▪ Christmas Day ▪ Four (4) Floating Holidays (personal days taken at Employee’s choice) Valley Transit Valley Transit shall observe the following holidays: ▪ New Year’s Day ▪ Memorial Day ▪ Independence Day ▪ Labor Day ▪ Thanksgiving Day ▪ Christmas Day ▪ Six (6) Floating Holidays (personal days taken at Employee’s choice) Library Library shall observe the following holidays: ▪ New Year’s Day ▪ Memorial Day ▪ Independence Day ▪ Labor Day ▪ Thanksgiving Day ▪ Christmas Eve ▪ Christmas Day ▪ New Year’s Eve ▪ Four (4) Floating Holidays (personal days taken at Employee’s choice) Floating Holidays Floating holidays must be used during the calendar year or they will be lost. Regular part-time employees’ floating holidays will be pro-rated based on their approved budgeted position. Proration Floating holidays will be pro-rated in the year of hire and termination as follows: Month Hired Leaving January – March 3 0 April – June 2 1 July – September 1 2 October – December 0 3
Page 20 of 22 Vacation and Paid Time Off (PTO) Vacation Vacation will be accrued every January 1st no matter what date during the year the employee started. Regular part-time employees’ vacation will be pro-rated based on their approved budgeted position. Vacation can be used in one-quarter hour intervals and/or pursuant to departmental work rules. Persons hired prior to July 1st of any year shall receive one week (5 days) of vacation during their year of hire. Non-Exempt Employees Years of Service Vacation After one year One week (5 days) After two years Two weeks (10 days) After six years Two weeks plus two days (12 days) After eight years Three weeks (15 days) After twelve years Four weeks (20 days) After fifteen years Four weeks plus two days (22 days) After twenty years Five weeks (25 days) Exempt Employees Years of Service Vacation After one year Two weeks (10 days) After five years Three weeks (15 days) After eight years Three weeks plus three days (18 days) After twelve years Four weeks plus two days (22 days) After twenty years Five weeks plus four days (29 days) Carry-Over and Pay-Out Up to five (5) days can automatically be carried over each January 1. Up to five (5) additional days can be paid out to the employee’s PEHP account or their personal HSA account on December 31st. Paid Time Off Employees shall receive six (6) PTO days every January of each year. Regular part-time employees’ PTO will be pro-rated based on their approved budgeted position. Year of Hire Proration Month Hired PTO Days January – February 5 March – April 4 May – June 3 July – August 2 September – October 1 November – December 0 Carry-Over Employees can carry-over up to three (3) days (24 hours) not used as of December 31st into the new calendar year.
Page 21 of 22 Employee Assistance Program Life doesn’t always go smoothly. All of us experience times when a personal problem or crisis affects the way we function at work or home. Our Employee Assistance Program (EAP) is a problem-solving resource available to you and your household members. A professional counselor will assist you in assessing your situation, finding options, making choices, or locating further help. EAP is available 24/7. No-Cost The City of Appleton covers the cost of initial assessment, additional problem-solving sessions and referral services. If there is a need for further counseling or treatment, your counselor will help you explore various options. Confidential Your EAP has been set up with ComPsych Corporation, an outside counseling resource, to assure confidentiality. No one at work will know you have chosen to seek help unless you choose to tell them. Nothing concerning your use of EAP will appear in your personnel file. Discounts As a City employee, you receive valuable discounts through our EAP provider. Log into your GuidanceResources account, click on ‘Discounts’, then select ‘Working Advantage’ for exclusive savings on: ▪ Theme parks ▪ Attractions, concerts, and shows ▪ Hotels, flights, and rental cars ▪ Sports and live events ▪ Movie tickets ▪ And much more! Download the GuidanceResources Mobile App Access resources whenever and wherever you need them. Plan Administrator ComPsych GuidanceResources Call: (844) 393-4982 TDD: 1-800-697-0353 www.guidanceresources.com Web ID: CityofAppleton
Page 22 of 22 Miscellaneous Benefits Lactating Employees Room Employees who wish to express milk during working hours should inform their supervisor of their needs so that appropriate accommodations can be made to satisfy the need of the employee and the department. Home and Auto Insurance Savings City of Appleton employees are eligible to receive a 10% discount on auto and home insurance from Liberty Mutual. There are many advantages to being a Liberty Mutual customer, including: ▪ 24-hour Claim Assistance ▪ Accident Forgiveness ▪ Better Car Replacement ▪ 24-Hour Roadside Assistance New York Life Value Added Programs Available programs through New York Life Group Benefit Solutions include: ▪ Employee Assistance and Wellness Support ▪ Financial, Legal and Estate Support ▪ Secure Travel ▪ Survivor Assurance ▪ Healthy Working Life Pre-Disability Services Contact the Department of Human Resources for additional program details. Direct Deposit Employees are paid on a bi-weekly basis and are required to have their payroll checks direct deposited into a bank or credit union of their choice. The full amount must go into one account. Cell Phone Discounts Employees can receive a discount through Verizon for your wireless service just by providing a copy of your payroll statement. HealthSmart HealthSmart is the City of Appleton’s wellness program focused on promoting physical, emotional, and social support for a healthy lifestyle. HealthSmart offers employees fitness challenges, educational lunch ‘n learns, interactive wellness fairs, and more! Plan Administrator Liberty Mutual Insurance Stuart Ninabuck Stuart.Ninabuck@libertymutual.com 1737 N. Casaloma Drive Appleton, WI 54913 (920) 749-9799 ext. 59903 Client #101973