Return to flip book view

EMPLOYEE BENEFITSGUIDE2024 - 2025An overview of the wide array of benefits provided byIMR to help you enjoy increased well-being and financial security.

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 Institute for Medical ResearchAs an employee of Institute for Medical Research, 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, IMR 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 IMR 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 IMR 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.INTRODUCTIONEligibility & EnrollmentAs a full-time employee working 30+ hours/week you are eligible for benefits. You can enroll or make changes during our annual enrollment period or within 30 days if you experience a qualifying life event during the year. A Qualifying Life Event includes changes in marital status, employment status, birth or adoption of a child, death of a dependent, entitlement to Medicaid or Medicare, loss of other coverage or eligibility of dependents.Benefits Begin First of the Month Following Date of HireBenefits EndMedical, Dental & Vision: End of the Month Following Date of TerminationAll others: End on Date of TerminationDependents Up to age 26

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 Institute for Medical ResearchComparison of PlansCoverage Provided by Blue Cross of NCIn-NetworkLow Plan Blue Options PPO 3500High PlanBlue Options PPO 2000Benefit Period Plan Year: 8/1 - 7/31 Plan Year: 8/1 - 7/31Deductibles (Individual / Family) $3,500 / $10,500 $2,000/$4,000Out-of-Pocket Max (Individual / Family)$9,450 / $18,900 $6,000/$12,000Preventive Care No Charge No ChargePrimary Care Visit $35 Copay* $25 Copay*Specialist Visit $105 Copay $50 CopayTelehealth via Teladoc $10 Copay $10 CopayUrgent Care $105 Copay $75 CopayEmergency Room $500 Copay $500 CopayOutpatient Procedure 30% after deductible 20% after deductibleInpatient Visit 30% after deductible 20% after deductiblePharmacy / RX (30 Day Supply)Essential Formulary$15/$25/$45/$90/25% to a max of $200$4/$15/$30/$45/25% to a max of $100MEDICALThe 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.*Register your PCP in Blue Connect and copay is waived for 1st three visits

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 Institute for Medical ResearchLow Plan Blue Options PPO 3500Monthly PremiumIMR Monthly ContributionEmployee Monthly ContributionEmployee Per Pay DeductionEmployee$601.92 $481.54 $120.38 $55.56Employee + Spouse$1,117.81 $481.54 $636.27 $293.66Employee + Children$1,040.60 $481.54 $559.06 $258.03Employee + Family$1,745.77 $481.54 $1,264.23 $583.49Your Medical Plan Cost High PlanBlue Options PPO 2000Monthly PremiumIMR Monthly ContributionEmployee Monthly ContributionEmployee Per Pay DeductionEmployee$696.96 $557.57 $139.39 $64.33Employee + Spouse$1,270.55 $557.57 $712.98 $329.07Employee + Children$1,184.70 $557.57 $627.13 $289.45Employee + Family$1,968.66 $557.57 $1,411.09 $651.27Annual Deductible - The amount you must pay each year before the plan starts paying a portion of medical expenses. All family members’ expenses that count toward a health plan deductible accumulate together in the aggregate; however, each person also has a limit on their own individual accumulated expenses (the amount varies by plan).Copays and Coinsurance - These expenses are your share of cost paid for covered health care services. Copays are a fixed dollar amount and are usually due at the time you receive care. Coinsurance is your share of the allowed amount charged for a service and is generally billed to you after the health insurance company reconciles the bill with the provider.Out-of-Pocket Maximum - This is the total amount you can pay out of pocket each plan year before the plan pays 100 percent of covered expenses for the rest of the plan year. Most expenses that meet provider network requirements count toward the annual out-of-pocket maximum, including expenses paid to the annual deductible, copays and coinsurance. MEDICAL PLAN INFORMATION

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 Institute for Medical ResearchWellness 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 IMR, 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 CAREAmazon PharmacyBlue Cross NC now offers access to Amazon Pharmacy for your mail order needs. This includes Meds Your Way, a discount card that provides additional savings through Amazon Pharmacy. At check out you’ll see the lowest cost available for your prescription. Sign up and learn more at www.amazon.com/bluecrossnc.

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 Institute for Medical ResearchEmployees and dependents enrolled in our medical plan 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 specialists. 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 855-549-2214Refer 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

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 Institute for Medical ResearchThis Is How An FSA Works:• You set aside money for your FSA from your paycheck before taxes are taken out.• You then use your pre-tax FSA funds throughout the plan year to pay for eligible health care or dependent care expenses.• You save money on expenses you're already paying for.• The plan maximum is $2,500.Our plan through Flores, offers a carry over up to $640 of unused funds to the following year. Unspent funds above this threshold will be forfeited.Refer to your FSA documentation for more details.Health FSA Eligible Expenses• Medical expenses: copays, coinsurance and deductibles• Dental expenses: exams, cleanings, X-rays and braces• Vision expenses: exams, contact lenses, eyeglasses and laser eye surgery• Professional services: physical therapy, chiropractic and acupuncture• Prescription drugs and insulin• Over-the-counter health care items such as bandages, pregnancy tests and blood pressure monitorsDependent Care FSA Eligible Expenses• Care for your child who is under the age of 13• Before-school and after-school care• Babysitting and nanny expenses• Day care, nursery school and preschool• Summer day camp• Care for a relative who is physically or mentally incapable of self-care and lives in your home• Plan maximum is $5,000Refer to your FSA documentation for more information. FLEXIBLE SPENDING ACCOUNT (FSA)

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 Institute for Medical ResearchSummary of CoverageCoverage Provided by BCBSNC In-NetworkBenefit Period Plan Year 8/1-7/31Annual Deductibles(Individual / Family)$50 / $150Preventive Care 100%Basic Procedures (extractions, fillings, etc.)80% after deductibleMajor Procedures(crowns, dentures, etc.)50% after deductiblePlan Year Maximum Benefit $1,000 per covered personDENTALBelow 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 dentist cannot balance bill you for the amount over the allowable charges. Please review your plan documents for additional details.Dental Tier Monthly PremiumIMR Monthly ContributionEmployee Monthly ContributionEmployee Per Pay DeductionEmployee$33.45 $33.45 $0.00 $0.00Employee + Spouse$66.91 $33.45 $33.46 $15.44Employee + Child(ren)$81.76 $33.45 $48.31 $22.30Employee + Family$125.22 $33.45 $91.77 $42.36Your Cost

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 Institute for Medical ResearchSummary of CoverageCoverage provided by Blue 20/20 In-NetworkVision Exam (Once per 12 months) $10 CopayLenses (once per 12 months) $25 Copay (lenses & frame)Frames (Once per 24 months) $130 AllowanceElective Contact Lenses (in lieu of lenses)$130 AllowanceVISIONOur vision coverage is provided by Blue 20/20. Please review your plan documents foradditional details.Vision Tier Monthly PremiumIMR MonthlyContributionEmployee MonthlyContributionEmployee Per PayDeductionEmployee$6.07 $6.07 $0.00 $0.00Employee + Spouse$11.53 $6.07 $5.46 $2.52Employee +Child(ren)$12.14 $6.07 $6.07 $2.80Employee + Family$17.85 $6.07 $11.78 $5.44Your Cost*Out-Of-Network benefits are available. Please review your plan documents for additional details.

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 Institute for Medical ResearchSummary of CoverageCoverage provided by PrincipalPlan FeaturesEmployee Benefit Amount $25,000AD&D Benefit $25,000Benefit Reductions begin at age 65Group life insurance coverage is an employer-sponsored safety net in case the worst happens, with no out-of-pocket costs to you. If you believe you need additional coverage, you may wish to enroll in voluntary life insurance as well. Employees must fill out an EOI form if enrolling after first eligible or of they exceed the guaranteed issue amount.GROUP LIFE and AD&D INSURANCESummary of CoverageLife Benefit Employee Spouse DependentAmount $10,ooo increments $5,000 increments $2,500, $5,000 or $10,000Minimum Amount $10,ooo increments $5,000 increments $2,500Maximum Amount $500,000 $100,000 $10,000Guarantee Issue (Newly Eligible Employees)$100,000 (age 70+10,000) $20,000 (age 70+ $10,000) $10,000Benefits Will Reduce By35% at Age 65, 50% at Age 7035% at Age 65, 50% at Age 70Children under 14 days: $1,000VOLUNTARY LIFE and AD&D INSURANCEFor summary of rate sheet, please see carrier summary or Employee Navigator.

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 Institute for Medical ResearchSummary of CoverageCoverage provided by PrincipalPlan Features Short Term Long TermCoverage Paid By Employee EmployeeTaxation Benefit is not taxed Benefit is not taxedEmployee Benefit Amount 60% of covered earnings 60% of covered earningsMaximum Benefit Amount $500/week $5,000/monthElimination Period 7 days 90 daysPre-Ex 3/12 12/12Benefit Duration 13 weeks SSNRAEvidence of Insurability Required if enrolling after first eligibleRequired if enrolling after first eligibleDisability insurance is coverage that provides you with income protection should you be unable to work due to an injury or illness. With disability coverage, you are compensated for a portion of your lost income. Short-Term disability provides coverage in the near term, while Long-Term coverage is available for extended disabilities. DISABILITY INSURANCEPlease see policy for additional plan information.For summary of rate sheet, please see carrier summary or Employee Navigator.

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 Institute for Medical ResearchHospital IndemnityContact us at 800.450.1327 www.Member.MagellanHealthcare.comProgram Name: Principal CoreEmployee Assistance Program (EAP) Our EAP through Principal offers all employees and their family members free, confidential assistance at no cost to you.• Unlimited phone support 24/7• 3 Face-to-Face or Virtual Counseling sessions• Online Resources (Articles, Website, Online Seminars)Our EAP Provides Support For:• Grief• Anxiety/Stress• Problems with your children• Substance Abuse• Financial Counseling• Legal advice and referrals• And moreVoluntary Benefits are offered to assist employee's personal insurance needs. These programs are designed to fill the gaps in coverage such as your deductibles and co-insurance under your major medical.• Paid for by you• Offers cash payments if you are hospitalized or spend time in the ICU. • Payments occur both on the first day (a higher amount), then daily afterwards up to the benefit limit. • A benefit is also paid for completing your annual preventative care visit.Monthly PremiumEmployee Monthly ContributionEmployee Per Pay DeductionEmployee$17.60 $17.60 $8.13Employee + Spouse$31.66 $31.66 $14.62Employee + Child(ren)$26.99 $26.99 $12.46Employee + Family$42.81 $42.81 $19.76Your Cost

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 Institute for Medical ResearchCarrier ResourcesBENEFIT CARRIER GROUP # PHONE NUMBER WEBSITEMedical, Dental & Vision BCBSNC 14156074 (888) 206-4697 www.bluecrossnc.comLife, Disability, Hospital Indemnity Principal 1095926 (800) 986-3343 www.principal.comEAP PrincipalProgram Name for registration: Principal Core(800) 450-1327 www.Member.MagellanHealthcare.comFSA Flores (800) 532-3327 www.flores247.com How to Access ID CardsBENEFIT CARRIER HOW TO ACCESSMedical, Dental & Vision BCBSNCHard copy ID cards are issued and mailed to your home address; electronic copies can be accessed via www.bluecrossnc.com

EMPLOYEE BENEFITS GUIDEPrepared By Sentinel Benefits Consulting | sentinelra.com2024 - 2025Institute for Medical Research