Jefferson County DD7 - Benefits Guide : simplebooklet.com

ContentsKey to our commitment is our Benefits Concierge, Maria Clinkscales. She is available to answer benefits questions and to help direct you to the right resources. Maria can help with questions about the enrollment process, qualified life events, lost ID cards or claims. Maria Clinkscales, Benefits Concierge Benefits@BrightlineDealer.com888-727-8124 Mon – Fri, 8:30 AM – 5:00 PM CSTJefferson County Drainage District No. 7 recognizes the contributions made by each employee and strives to offer a comprehensive program of competitive benefits that will attract and retain the best people. Our goal is to provide employees with tools and resources to help with your decision-making and assist you in accessing care when you need it.ABOUT THE BENEFITS GUIDEThis Benefits Guide describes the highlights of the program in non-technical language. Your specific rights to benefits under the plan are governed solely, and in every respect, by the official Plan Documents, and not information in the Guide. If there is any discrepancy between the description of the program elements as contained in this Guide and the official Plan Documents, the language of the official Plan Documents shall prevail as accurate. Some or all elements of the benefits program may be modified in the future, at any time, to meet required regulations or otherwise as decided by the employer.GETTING STARTED2 Welcome3 Know Before You Go4 Eligibility & EnrollmentMEDICAL & PHARMACY 5 Medical and Rx Benefits6 Where to Access Care7 Telehealth with Lyric8 Verus Rx12 ABA Member Portal13 ABA Mobile AppVALUE-ADDED BENEFITS14 Health Advocate – freshbeniesANCILLARY BENEFITS15 Dental16 Vision17 Cost of Coverage18 Basic and Voluntary Life and AD&D19 Rate Calculations – Vol Life/AD&D21 EAP ProgramVOLUNTARY BENFITS22 Colonial Life productsIMPORTANT CONTACTS23 Contact InformationWelcome to Your 2024- 2025 BenefitsPage 2

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Know Before You GoMedical – United Healthcare Choice Plus network plan administered by Assured Benefits Administrators• Medical coverage will utilize the UHC Choice Plus network and benefits will remain the same.• To create your user account, visit https://portal.abadmin.com/Logon.• Telehealth visits are available with Lyric Health providing 24/7 access to board-certified doctors at no cost.Pharmacy Benefits - VerusRx• The pharmacy program with VerusRx will remain the same. Dental – Sun Life• The dental plan uses one of the nation’s largest PPO networks – Sun Life Dental Network.• The program offers the ability to rollover unused annual maximum dollars to the next year.• Special Note for 10/1/2024-12/31/2024: The 2024 calendar year deductible will reset on 10/1/2024. Anew deductible will apply with Sun Life for you and your covered dependents. However, the 2024calendar year maximum benefit will also reset on 10/1/2024. This means you and your covereddependents each have the full $2,000 benefit from 10/1/2024-12/31/2024. The deductible and calendaryear benefit resets each year on 1/1. The lifetime orthodontics maximum does not reset. Vision – VSP through Sun Life• A traditional vision program utilizing the VSP network.• Benefits include exam services and materials for a low-cost copay; safety frames are included. Group Life/AD&D Insurance and EAP – Sun Life• Employees receive $25,000; Spouses receive $10,000; Dependent Children receive $5,000 – all at no cost.• You may purchase additional amounts of Voluntary Life/AD&D based on your needs.• An Employee Assistance Program provides no cost, confidential resources and someone to talk to 24/7.Voluntary Benefits - Colonial • A variety of voluntary benefits are offered through Colonial Life allowing you to choose as desired.Freshbenies - A Health Advocate is also available to help!The team of Health Pros at Alight through freshbenies can help with locating network providers, reviewing bills and EOBs to ensure accuracy, and can even negotiate with providers, when needed. This valuable service is available to all employees at no cost, even if not enrolled in our group medical plan.Medicare Notice: If you and/or your dependent(s) have Medicare or will become eligible for Medicare in the next 12 months, a federal law gives you more choices about your prescription drug coverage. Please see REQUIRED NOTICES for more detailsREQUIRED NOTICESRegulations require that specific notices are provided to all plan participants of a group health plan. Please review the Notices to see how they +may affect coverages for you and/or your family. To see the Notices, SCAN THIS QR CODE →Your benefits are an important part of your overall compensation. We are pleased to offer a comprehensive array of valuable benefits to protect your health, your family, and your way of life. This Guide answers some of the basic questions you may have about your benefits. Please read it carefully.Page 3

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Who is Eligible?Full-time employees who work 30 hours or more per week are eligible to enroll in the benefits outlined in this Guide. In addition, the following family members are eligible to participate:• Your legal spouse• Your eligible child(ren) up to age 26 for medical, dental or visioncoverages (natural children, stepchildren, legally-adoptedchildren, and child(ren) for whom you are the court-appointedguardian); other coverages may have different age limits.• Physically or mentally disabled children of any age who areincapable of self-support. Proof of disability may be requested.New Hires You will become eligible for medical benefits on the 91st day of employment. For all other plans, you will be eligible on the 1st day of the month following 6 months of employment. The benefits elected will be effective through September 30, 2025.Current EmployeesOpen Enrollment occurs each year; this is the time for you to make any changes. Benefits elected during Open Enrollment will be effective October 1, 2024 – September 30, 2025.Qualified Life Events• Marriage, Divorce, Legal Separation• Birth or adoption of a child• Change in child’s dependent status• Death of a spouse, child or other qualified dependent• Change in employment status or a change in coverage underanother employer-sponsored plan• Dependent loses eligibility due to ageHow to Make ChangesYour elections are intended to remain in place until the next open enrollment. If you experience a qualified life event, you must contact Human Resources within 30 days of the event.Enrollment ProcessJefferson County Drainage District No. 7 will be utilizing enrollment forms to enroll in benefits.Before beginning enrollment, please have all pertinent information available for both yourself and any dependent(s) you will enroll. Information such as dates of birth and Social Security numbers will be required, along with beneficiary designations. During the enrollment process, you will have the opportunity to add the dependents you want to be covered. Each benefit election is independent, meaning you can enroll dependents in certain benefits and not enroll them in others.Please remember that the elections you make must stay in place throughout the entire plan year unless you experience a Qualified Life Event.Eligibility and EnrollmentPage 4

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Aetna Choice POS II NetworkIn-Network(You Pay)Out-of-Network(You Pay)Calendar Year Deductible (Individual | Family) $500 | $1,500 $1,000 | $3,000Coinsurance Percentage20% 40%Out-of-Pocket Maximum (Individual | Family)Includes deductible, coinsurance and copays$2,500 | $7,500then plan pays 100%$5,000 | $15,000then plan pays 100%Preventive CareNo Cost - covered 100% 40% after deductiblePrimary Care Visit | Specialist Visit$20 copay | $20 copay 40% after deductibleTelehealth Visit (Lyric)$0 copay 40% after deductibleUrgent Care$20 copay 40% after deductibleEmergency Room$125 copay per visit–No deductibleInpatient HospitalizationFacility: $100 copay for days 1-3, then 20% after deductible. Physician: 20% after deductible40% after deductibleDiagnostic Lab | Diagnostic X-ray 20% after deductible 40% after deductibleOutpatient Surgical Care20% after deductible 40% after deductibleImaging (CT, PET, MRI)20% after deductible 40% after deductibleRx Benefits (up to 30-day supply)Tier I Generic Retail / Mail Order $5 copay / $10 copayTier II Preferred Brand Name Retail / Mail Order$10 copay / $20 copayTier III Non-Preferred Brand Retail / Mail Order$15 copay / $30 copayMail Order and Retail 90 PharmaciesUp to 90 days for 2 copaysDiabetic Supplies Preferred/Non-Preferred Brand$5 copay / $15 copayMedical coverage will remain with Assured Benefits Administrators, Inc. (ABA), utilizing the United Healthcare (UHC) PPO Choice Plus network. The plan provides comprehensive health coverage for employees and dependent(s). Jefferson County Drainage District No. 7 continues to contribute towards the cost of coverage for our employees and their families. For more detailed information, please see the Summary of Benefits and Coverage (SBC) available from HR. All benefits accumulate on a calendar year basis and start over each January 1st Find a network provider: whyuhc.om/uhss1. Find a Doctor/Hospital2. Select United Healthcare Choice Plus network3. Search by Type of Doctor, Name, or LocationMedical and RxPlease note: VerusRx offers coverage in major pharmacy chains, grocery stores and independent pharmacies. In addition, VerusRx partners with Amazon Pharmacy for mail order prescriptions and with CVS for specialty medications. Page 5

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Hospital Emergency Room $$$$The ER is for life-threatening or very serious conditions that require immediate care. This is also when to call 911.To Find A Provider in the UHC CHOICE PLUS Network:Primary Care Physician $$Go to a doctor’s office for preventive care. They can access your medical records, manage medications, and refer you to a specialist, if needed.Common Issues Treated:Check-ups, preventive services, minor skin conditions, general health management, pregnancy, vaccinationsUrgent Care Clinic $$Urgent care is ideal for when you need care quickly, but it is not an emergency. Urgent care centers treat non-life-threatening issues.Bestmed Urgent Care - Port ArthurMid County Urgent Care - Nederland Orange County Urgent Care - Orange Christus Minor Care Center – BeaumontBeaumont Family Urgent Care - Beaumont Dowlen Urgent Care - BeaumontConvenience Care Clinic $$Visit a convenience care clinic if you cannot see your regular doctor and your health issue is not urgent. These clinics are often inside stores.Common Issues Treated:Common infections, strep throat, poison ivy, vaccinations, pregnancy tests, earachesSTEP 1STEP 2STEP 3STEP 4Go towhyuhc.com/uhssScroll down and click on: Find a Doctor/HospitalSelect the network listed: UnitedHealthcare Choice PlusEnter your location / zip code and search for type of provider... Or look for a specific provider by name in the search barJefferson County Drainage District No. 7’s plan utilizes the UHC Choice Plus network.When using a Choice Plus provider, you are likely to incur less out-of-pocket expenses than going out of network. In the boxes above there are bullet-point lists of some local, in-network facilities and to the left you'll find instructions on searching for a provider.Network ProvidersVirtual Visit $A virtual visit allows you to see a doctor via your smartphone, tablet or computer.Common Issues Treated:Bladder infections, allergies, bronchitis, coughs/colds, diarrhea, pink eye, rashes, seasonal flu, sore throat, feverFree-Standing Emergency Room $$$$Free- standing ER clinics treat most major injured, but not trauma or cardiac services. Often appear as an Urgent Care center, but if open 24 hours/day, typically that is considered a free-standing ER.Common Issues Treated:Minor and major injuries, no trauma or cardiac services, serious medical conditions may require transfer to hospitalMedical Center of Southeast Texas - Port ArthurChristus Mid-County Outpatient Hospital -Port ArthurBaptist Beaumont Hospital - BeaumontWhere to Access CarePage 6

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Simple as 1, 2, 31•Cold & FluSymptoms•Sinus Problems•Ear Infection•Allergies•Urinary Tract•InfectionNausea•PinkEye• Stomach Viruses• Infections• Rashes• Sore Throat• Acne• Recommendation• s Second Opinionsand more70%of low acuity illness can be taken care ofvirtuallyCommon Conditions:Scan to download the Lyric Health AppWhen to useOur goal is to provide you with convenient, affordablehealthcare, when you need it most – 24/7/365.• When you need care now•If you have a health related questions, and just needprofessional guidance•If you're considering the ER or urgent care center fora non-emergency issue• On vacation, a business trip, or away from home1.866.223.8831 | www.getlyric.com2023 MyTelemedicine, Inc dba Lyric Health. All Rights reserved. Lyric Health logo are registered trademarks of MyTelemedicine, Inc. and may not be used without written permission. Lyric Health does not guarantee that a prescription will be written. Lyric Health does not prescribe DEA controlled substances, lifestyle drugs and certain other drugs which may be harmful because of their potential for abuse. Lyric Health physicians reserve the right to deny care for potential misuse of services. Lyric Health operates subject to state regulations.Virtual Urgent Care How to Use24/7/365 a c c e s s to c are. Fa st , C o n v e n i e n t & A ff or da bl e .Doctors can be hard to reach, illness can occur in the middle of the night, and sometimesyou just have a question. In all of those circumstances – and many more – Lyric Health is aconvenient and affordable solution.Call | Tap | or ClickCall 1.866.223.8831, download the Lyric Health App , or visit www.getlyric.com to log into your member portal to schedule a consultation with state licensed physician.2TriageMember speaks to a Care Coordinator who will triage and update the patient's Electronic Health Record (EHR).ConsultMember consults with Physician who recommends a treatment plan, and if medication(s) is prescribed, it's sent electronically.3Page 7

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Tel: 800- 838- 0007W e b : p h a r m a c y . a m a z o n . c o m /h o w - it- w o r k s Ad d r e s s : V e r u s Rx , LLC12221 Merit Drive, S u i t e 1800, Da llas, TX 75251Tel: 800- 838- 0007Fa x : 800- 856- 0327Em a i l:C u s t o m e r S e r v i c e @ v e r u s - r x . c o mW e b : ww w . v e r u s - r x . c o m Ad d r e s s : V e r u s Rx , LLC12221 Merit Drive, S u i t e 1800, Da l l a s, TX 75251MEMBER G U I D EM A N A G I N G Y O U R P H A R M A C Y B E N E F I T , E A R N I N G Y O U R T R U S T . CHECKING ALL THE BOXES.C u s t o m e r Ser v i ceVe ru s R x ' s C u s t o m e r Se r v i c e t e a m is a phone cal l away, ava ila ble 24/7 a n d re a dy toassist you wi t h B e n e ﬁ t Ove rv i e w, Eligib ility, Cl ai m s , Pr ior Auth oriz at ion , a n d m u c hmo re .Ve r u s Pa t h P r o g r a mT h e V e r u s P a t h P r o g r a m is a va ilable to m e m b e r s th at a re t a k i n g S p e c ial t y or c e r t a in h i g h -c o s t non-S pec i a lt y med ica t i o ns . Th is p r o g r a m c a n h e l p to s i g n i ﬁ ca n t l y lowe r y o ur o ut- of- poc k et c os ts, a n d the co s t of the m e d i c a t i o n to your e mp lo ye r. If your d r u g is elig ib le for an y c o m p o n e n t of the V e r u s P a t h P r o gr a m , a P a t i e n t C a r e A d v oc a t e will r e a c h o ut to you dir ec tl y via phone or email.Y o u do not n e e d to c o n t a c t V e r u s R x to enroll.M e m b e r PortalT h e Ve r u s R x Me m b e r Porta l p r o v id es a v ar iety of he lp ful t ools t h at m a k e it e asy to m a n a g eall a s p e c t s of y ou r p res c r ip t ion d r u g b en e ﬁ t .N e w Me m be rs : H a v e y ou r m e m b e r c a r d ready,you'll n e e d your ca r d h o ld e r ID a n d g r o u p n u m b e r to re gist e r.W e b : v er us r x . m y rx p l a n. c o m / l o g inMail O rd e r P h a r m a c yV e r u s R x h a s p a rtn e re d w it h A m a z o n P h a r m a c y to pr o v ide you wit h the f as te st w a y to g e t y o u r pre scr ip ti ons d eliv ered d irectly to y o u r door. E n j o y a n online s h o p p i n g e xp e rie n ce w i t h th e c o n v e n i e n c e of h o m e d eliv ery a n y w he re in the U.S., w i t h free s t a n d ard s h i p p i n g for your90- d a y s u p pl y pr escrip tio ns .Speci a l ty P h a r m a c yV e r u s R x h a s p a r t n e re d w i t h C V S S p e ci a l t y to ﬁll your sp ec i a l ty pres cription s. C V S Spe cia l t y p r o v i d e s spe cia l i z e d c a r e a n d s u p p o rt a l o n g wit h y o u r m e d i c a t i o n for c o m p l e x co n di t i on s : t r ain e d p h a r m a c i s t s a n d n u r s e s in y o u r c o nd i t ion s , a c h o i c e of p i c k up of h o m e de li ve ry at no ext ra c o s t a n d d i g ital to ols to he l p you m a n a g e your pr e s c r i p t i o n s on your own time.Tel: 800- 838- 0007Fa x : 800- 856- 0327Em a i l:C u s t o m e r S e r v i c e @ v e r u s - r x . c o mEm a i l: C u s t o m e r S e r v i c e @ v e r u s - r x . c o mW e b : w w w . C V S s p e c i a l t y . c o m / g o Ad d r e s s : V e r u s Rx , LLC12221 Merit Drive, S u i t e 1800, Da l l a s, TX 75251Tel: 800- 838- 0007Fa x : 800- 856- 0327Em a i l: C u s t o m e r S e r v i c e@ v e r u s -r x . c o mPage 8

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Th ere are three m a i n c o m p o n e n t s to the Ve r u s P ath P ro gra m , w h i c h are i n te n d e d to save yo u a n d your em p l oy er m o n e y on your p h a r m a c y ﬁlls!W e l c o m e toK e y I te m s to Re m e m b e r :If a Patient A d vo cate fro m Ve r u s P a t h calls or e mai l s you, we are try ing to s ave yo u m o n e y on your prescriptions! It is very im p o rta nt to return our call or e mai l as soo n as possible!T h e be s t part?T h e s e m e d i c a t i o n s arrive atn o c o s t to yo u .N o p ay m e n t i nformati on n e e d s to b e provided, a s there is n o c o p a y m e n t a n d no s h i p p i n g or h a n d l i n g fees. If your medicat ion(s) is eligible for this cost -saving opportunity, a Ve r u s P a t h Pat ient A d vo cate will rea c h ou t to yo u directly.This p ro g r a m is b e i n g offered to yo u as a part of your p h a r m a c y b e n e ﬁ t pla n th ro u g hJefferson County Drainage District No. 7CAN-PathTh e C a n P a t h P r o g r a m is available o n select b r a n d - n a m e a n d h i g h - co st S p e c i al ty drugs. O u r Pat ient A d vo ca te s will wo r k wit h yo u a n d your provider to ﬁll your m e d ica t i on (if eligible) t h ro u g h our partnere d C a n a d i a n P h a r m a c y. This is a b r ick - a n d-m o rta r retail p h a rma c y,locate d in Can a d a, th at Veru s R x contract swith to sh ip t h re e - m o nt h supplies of yourm e d i ca t i on directly to your door.Page 9

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The PA P a t h P r o g r a m refers to Pat ient Assistan ce P ro g ra m s th at are available for m o s t S p ec i a l t y m ed i cati o n s . If yo u are currently t a k i n g a Sp eci alty m e d i ca t i o n (these are ge ne ral ly hig h - co st m e d i cat i o n s u s e d to treat com pl ex, ch ro n ic conditions) t hat h a s a Pat ient As sista nce P r o g r a m available, a Ve r u s P a t h Pat ient Ad vocate will rea c h out to yo u directly to di s cuss t h e steps a n d infor mation n e e d e d for s ucc essf ul enrollment.K e y I te m s toRe m e m b e r :P A P athCO- P a t hThe C o Pa t h P r o g r a m refers to c o p a y c a r d s (also k n o w n a s c o u p o n cards) b e i n g a p p lie d to you r m e d i cat i o n at th e p h a rm a cy.If you r d r u g h a s a c o u p o n ca r d available,ou r Ve r u s P a t h Pa t ien t A d vo ca te s will proactively re a ch o u t to you r p h a r m a c y on yo ur be ha lf to ap p l y the c a r d towar d yo ur claim.No action is n e e d e d f ro m you for this p r o g r a m to apply!K e y I te m s to Re m e m b e r :W e are a lways here to h e l p an s we r a ny qu est ions yo u m a y have, or to h elp yo u to feel comfo rtable d u r i n g the process.Ple a se e m ail us atVe r u sPa th @Ve ru s - Rx . co m, or call u s at800- 838- 0 0 0 7.O u r go a l is to ke e p t h e proce ss as q u i c k a n d easy as we possibly can, whi le s a v i n g yo u a n d your e m p l oye r as m u c h m o n e y as possible.C o m m u n i c a t i o n is key to m a ke this p r o g r a m successful!Ple a se note, Pati ent As sistan ce P r o g r a m s will typically coveryour d r u g cost in full, s av ing y ou a n d your em p l oye r m o n e yon ea c h reﬁll.Page 10

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Assured Benefits Administrators (ABA) provides you and your members with a client/member portal. Consider who on your team should have client administration-level access and let your account management representative know who should be added. Once added, use this link to go to the Client Portal: https://portal.abadmin.com/LogonThe portal and mobile app will provide multiple services:For Client Plan Sponsors:• Eligibility Management• Online ID Cards• Easily view and print plan documentation and• forms Find links to other program vendors youselectFor Your Membership: REGISTER HERE:https://portal.abadmin.com/Logon• Access to Claim Statements/Explanations of Benefits• Digital ID Cards• View expenses applied to deductible and out-of-pocket maximums on your• statements Find links to your provider locator websitesFor Providers:• Access to benefits verification• tools View member ID cards• View the status of claimsAs we continuously find ways to improve these tools, we will add additional services and information. We plan to keep you informed of progress as we move forward with portal improvements.For plan questions and technical support please contact the customer service number on the member ID cards or email customerservice@abadmin.com.Page 12

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As we continuously find ways to improve these tools, we will add additional services and information. We plan to keep you informed of progress as we move forward with portal improvements.For plan questions and technical support please contact the customer service number on the member ID cards or email customerservice@abadmin.com.Download the myABA app1.Select the App Store icon on your iPhoneor the Google Play icon on your Androidphone2.In the Search Bar, type Assured BenefitsAdministrators or myABA and select Search3. The myABA app will appear in the results4. Select “Get” or “Install” to download the appFor fast, on-the-go questions about your healthcare benefits, the answers can fit in the palm of your hand with the Assured Benefits Administrators (ABA) mobile app. The mobile app has all the information and resources you would expect, in one convenient place. The free mobile app is a one-stop resource that keeps your benefits always within your reach.The mobile app provides multiple services:Access to Claim Statements/Explanations of Benefits (EOBs)Digital ID CardsView expenses applied to your deductible and out-of-pocket maximumsFind links to your provider locator websitesPage 13

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DentalIn-Network(you pay)Out-of-Network(reimbursement))Calendar Year Deductible (Individual/Family)$50 / $150 $50 / $150Calendar Year Maximum Benefit (per person)$2,000Preventive Services (2 cleanings per year)Exams, cleanings, x-rays0% - no deductible 0% - no deductibleBasic Services Fillings, extractions, periodontics, endodontics, 20% after deductible 20% after deductibleMajor ServicesCrowns, bridges, dentures50% after deductible 50% after deductibleOrthodontia Services(child and adults)50% after deductible$1,500 lifetime max per personRollMax FeatureAnnual Threshold: $800Rollover Amount: $600 Total Rollover Limit: $1,500When the covered individual has paid claims less than $800 on dental services in a year, they can rollover $600 for the next year. A covered individual can rollover up to $1,500 total over multiple years. This allows covered individuals to increase their annual maximum dollars for future treatments.Out-of-Network ReimbursementReimbursement is based on the 90th Percentile of the Usual and Customary Charge . if you choose a non-network provider; you may be billed a higher amount.Dental benefits are offered through Sun Life. This Dental PPO plan allows you to choose the dentist you want. Your costs will be less when you utilize a SunLife network provider. FIND A NETWORK DENTIST:Go to: Find A Dentist1. Select PPO Plan type2. Network: Sun Life Dental Network3. Search by location or name of dentistSET UP AN ONLINE ACCOUNT:Go to SunLife Portal1. Register or Login as a member2. View ID cards - ID cards will not be mailed3. Locate a dentist, check claims status, find formsDentalAll benefits accumulate on a calendar year basis and start over each January 1stPage 15

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Vision In-Network(you pay)Out-of--Network(reimbursement)Payment Amount for Exams $10 copay Up to $45Payment Amount for Lenses Single (Safety) Bifocal (Safety) Trifocal (Safety) Lenticular (Safety) Necessary Contacts$10 copay$10 copay$10 copay$10 copay$10 CopayUp to $30 ($35)Up to $50 ($45)Up to $60 ($60)Up to $100 ($60)Up to $210Elective ContactsContact lenses are in place of lenses and frames$60 for contact lens exam (fitting and evaluation)$150 for contact lensesUp to $105FramesIncludes a wide selection of frames at Walmart$150 allowance and 20% off the amount over allowance*$80 allowance at Costco; may vary, check with Costco for VSP pricingUp to $70Safety Frames$65 allowance and 20% off the amount over allowanceUp to $25Frequency of Services: ExamsLenses / Contact LensesFramesOnce per 12 MonthsOnce per 12 MonthsOnce per 12 monthsOnce per 12 MonthsOnce per 12 MonthsOnce per 12 MonthsVision insurance helps pay the cost of eye exams and necessary lenses and frames, when prescribed.The Vision plan through Sun Life utilizes the VSP Choice network. Benefits will be paid at a higher level when utilizing a provider in the VSP network.All benefits accumulate on a 12 months basis from date of service FIND A NETWORK PROVIDER:1. Go to: SunLife Portal2. Scroll to bottom3. FIND A VISION DOCTOR4. Enter Zip or City/Address5. Advanced Search/CHOICE networkVisionVSP Customer Service - 800-877-7195No ID card needed, providers locate you or your dependents with your social security numberGlasses and contacts may be purchased online at www.eyeconic.com once you link your benefits.Page 16

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You may purchase Voluntary Life and AD&D for yourself, your spouse and/or your dependent child(ren). You must elect coverage for yourself in order to elect for any dependents. Voluntary coverage is paid for via payroll deductions. The cost is based on your age and the amount you elect. During your new-hire enrollment period, you may elect Voluntary Life and AD&D up to the Guarantee Issue amount without having to provide proof of good health. If you want to purchase amounts over the Guarantee Issue amount, or if you decline coverage and want to enroll later, you must submit an Evidence of Insurability form (medical questions); coverage may or may not be approved.Special Open Enrollment for 10/1/2024: During this open enrollment period, you may enroll yourself and your dependents up to the Guarantee Issue amount with no medical questions regardless if enrolled previously. Voluntary Life and AD&DEmployee Spouse Child(ren)Benefit Increments $10,000 $5,000 $1,000Guarantee Issue$50,000 (under age 70)$10,000 (age 70+)$25,000 (under age 65)$10,000 (age 65+)Birth to 6 months$5006 months to age 26 $10,000Maximum BenefitThe lesser of $250,000 or 5X annual earningsLesser of $50,000 or 50% of employee’s amountLesser of $10,000 or 50% of employee’s amountAge Reduction35% at age 6555% at age 7070% at age 7580% at age 80Terminates at age 70 Terminates at age 26Beneficiary DesignationYour beneficiary is the person who will receive your Life and AD&D insurance benefits in the event of your death. It is important that your beneficiary designation be clear so that there will be no questions as to your meaning. You can change your beneficiaries at any time during the year. Basic Life and AD&DVoluntary Life and AD&DJefferson County Drainage District No. 7 provides all full-time employees and eligible dependents with Basic Life and Accidental Death & Dismemberment (AD&D) coverage at no cost through Sun Life. If the loss of life is the result of an accident, the beneficiary will receive double payment under this policy. The dismemberment provision has a scheduled payment of benefits to you for bodily dismemberment, such as loss of an arm or foot, loss of eyesight or hearing.Basic Life and AD&D Employee Spouse Child(ren)Life and AD&D $25,000 $10,000 $5,000Age Reduction35% at age 6555% at age 7070% at age 7580% at age 80N/ABirth to 6 months $1,0006 months to age 26$5,000Page 18

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Your ComPsych®GuidanceResources®program EAPBusiness Class offers someone to talk to and resources to consult whenever and wherever you need them.Call: 877.595.5281TTY: 800.697.0353Your toll-free number gives you direct, 24/7access to a GuidanceConsultantSM, who willanswer your questions and, if needed, referyou to a counselor or other resources.Online: guidanceresources.com App: GuidanceNowSMWeb ID: EAPBusinessLog on today to connect directly with a GuidanceConsultant about your issue or to consult articles, podcasts, videos and other helpful tools.24/7 Support,Resources &InformationConfidential Emotional SupportOur highly trained clinicians will listen to your concerns and help you or your family members with any issues, including:• Anxiety, depression, stress• Grief, loss and life adjustments• Relationship/marital conflictsWork-Life SolutionsOur specialists provide qualified referrals and resources for just about anything on your to-do list, such as:• Finding child and elder care• Hiring movers or home repair contractors• Planning events, locating pet careLegal GuidanceTalk to our attorneys for practical assistance with your most pressing legal issues, including:• Divorce, adoption, family law, wills, trusts and moreNeed representation? Get a free 30-minute consultation and a25%reduction in fees.Financial ResourcesOur financial experts can assist with a wide range of issues.• Retirement, taxes, mortgages, budgeting and moreFor additional guidance, we can refer you to a local financial professional and arrange to reimburse you for the cost of an initial one-hour in-person consult.Online SupportGuidanceResources®Online is your 24/7 link to vital information, tools and support. Log on for:• Articles, podcasts, videos, slideshows• On-demand trainings• “Ask the Expert” personal responses to your questionsHelp for New ParentsParentGuidanceSMsupports you through the process of becoming a biological or adoptive parent, including:• Preparing for the baby emotionally and financially• Finding child care• Planning for back-to-work and other issuesFree Online Will PreparationEstateGuidance®lets you quickly and easily create a will online.• Specify your wishes for your property• Provide funeral and burial instructions• Choose a guardian for your childrenContact EAPBusiness ClassSMAnytimeNo-cost, confidential solutions to life’s challenges.GGFL-1597Contact EAPBusiness Class AnytimeCall: 877.595.5281TTY: 800.697.0353Online: guidanceresources.com App: GuidanceNowSMWeb ID: EAPBusinessWhat happens when I call for counseling support?When you call, you will speak with a GuidanceConsultantSM, a master’s- or PhD-level counselor who will collect some general information about you and will talk with you about your needs. The GuidanceConsultant will provide the name ofa counselor who can assist you. You will receive counseling through the EAP up to 3 sessions per issue, per person, per calendar year. You can then set up an appointment to speak with the counselor over the phone or schedule a face-to-face visit.What counseling services does the EAP provide?The EAP provides free short-term counseling with counselors in your area who can help you with your emotional concerns.If the counselor determines that your issues can be resolved with short-term counseling, you will receive counseling through the EAP. However, if it is determined that the problem cannot be resolved in short-term counseling in the EAP and you will need longer-term treatment, you will be referred to a specialist early on and your insurance coverage will be activated.Page 21

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Colonial Life - Voluntary BenefitsVoluntary Benefts3-17 | NS-16028Jefferson County Drainage District #7ColonialLife.comNS-16028Individual Critical Illness – A critical illness product that provides a lump-sum benefit for the diagnosis of a critical illness.• Choices to protect what you've workedso hard to build.Each individual’s lifestyle and needs are different from the next. Voluntary benefits from Colonial Life — on both an individual and group platform — offer a broad range of financial protection options for employees and their families.• Disability Insurance• Individual Disability – A short-term disability product that replaces a portion ofincome for on/off-job or off-job only disabilities. Optional features includepsychiatric and psychological conditions benefits and waiver of elimination periodfor first day hospital confinement. Guaranteed-issue and simplified-issue optionsare available.Accident InsuranceIndividual Accident – A guaranteed-issue, composite-rated, guaranteed- renewable accident product that offers several coverage levels to fit all budgets. Employer-optional benefits are available to customize the accident product offering. Additional employee- choice riders can create a comprehensive product package.Special Risk InsuranceIndividual Cancer – A cancer product that pays indemnity-based benefits to help cover medical and non-medical expenses related to cancer diagnosis and treatment.Supplemental Health InsuranceIndividual Medical Bridge℠ – A hospital confinement indemnity product that supplements your core medical coverage, offering benefits such as hospital confinement, health screening or wellness, rehabilitation unit confinement and doctor’s office visits. An HSA-compliant plan is available.Bi-Weekly RatesSemi-Monthly RatesScan the QR Codes below to see more detailed information about each benefit.Scan the QR Codes on the left to see the Bi-Weekly and Semi-Monthly rates for each plan. Page 22

Jefferson County DD7 - Benefits Guide

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