Return to flip book view

EMPLOYEE BENEFITSGUIDE2023 - 2024An overview of the wide array of benefits provided bySentinel to help you enjoy increased well-being and financial security.Lighthouse Company

INTRODUCTIONThis 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 GuideAs an employee of Sentinel, 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 2023 – 2024 plan year, Sentinel has worked hard to offer a competitive total rewards package that includes valuable and competitive benefits plans. These programs reflect our commitment to keeping our staff healthy and secure. We understand that your situation is unique, and Sentinel 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 Sentinel 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.2023 - 2024Lighthouse CompanyEligibility & EnrollmentBenefits Begin Date of hire (Medical, Dental, Vision, FSA, Disability & Life)Benefits EndEnd of the month following termination; FSA, Life & Disability end on date of terminationDependents Your legal spouse, dependent children up to the age of 26As 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 if you experience a qualifying life event during the year. Qualifying Life Events include 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.

MEDICALThis 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 Guide2023 - 2024Lighthouse CompanyBlue Cross Blue Shield of North Carolina Summary of Coverage: Blue Options HSA 1500IN NETWORK OUT OF NETWORKDeductibles (Individual / Family) $1,500/$3,000 $3,000/$6,000Out-of-Pocket Max (Individual / Family)$3,000/$6,000 $6,000/$12,000Coinsurance 20% 50%Preventive Care Covered in full 30% after deductiblePrimary Care Visit 20% after deductible 50% after deductibleSpecialist Visit 20% after deductible 50% after deductibleDiagnostic Exam 20% after deductible 50% after deductibleX-Rays 20% after deductible 50% after deductibleOutpatient Procedure 20% after deductible 50% after deductibleInpatient Visit 20% after deductible 50% after deductibleEmergency Room 20% after deductible 20% after deductibleUrgent Care 20% after deductible 50% after deductibleTelehealth via Teladoc 20% after deductible Not availablePharmacy / RX (30 Day Supply)Essential FormularyEnhanced Preventive: 20%All Other: 20% after deductibleN/ADeducted Twice Per MonthEmployee $0Employee + Spouse $279.49Employee + Child(ren) $209.67Family $488.93

HEALTH SAVINGS ACCOUNT (HSA)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 Guide2023 - 2024Lighthouse CompanyA health savings account (HSA) is a health care account and savings account in one. The main purpose of this account is to offset the cost of a qualifying high deductible health plan (HDHP) and provide savings for your out-of-pocket eligible health care expenses - those you and your tax dependents may have now, in the future, and during your retirement.Why Is It A Good Idea To Have An HSA?HSAs benefit everyone who is eligible to have this account, including single individuals, families and soon-to-be retirees. You save money on taxes in three ways:• Tax-Free Deposits: The money you contribute to your HSA isn't taxed (up to the IRS annual limit)• Tax-Free Earnings: Your interest and any investment earnings grow tax-free• Tax-Free Withdrawals: The money used toward eligible health care expenses isn't taxed now or in the futureSetting aside pre-tax dollars into your HSA means you pay fewer taxes and increase your take-home pay by your tax savings. You save money on eligible expenses that you are paying for out of your pocket. The amount you save depends on your tax bracket. For example, if you are in the 30% tax bracket, you can save $30 on every $100 spent on eligible health care expenses.HSA funds roll over from year to year and accumulate in your account. There is no "use-it-or-lose-it" rule with HSAs, and you decide how and when to use your HSA funds, which can be used for eligible expenses you have now, in the future, or during retirement. Also, when you have a certain balance in your HSA, investment opportunities are available.Refer to your HSA documentation for more information.HSA Contribution LimitsFor the 2023-2024 plan year, Sentinel will contribute $65 (twice per month) to your Optum Bank HSA up to an annual amount of $1,560. This amount counts to the IRS annual maximum listed below. You can contribute to your HSA on a pre-tax basis through payroll deductions up to the IRS statutory maximums. The IRS has established the following maximum HSA contributions:FOR THE 2023 TAX YEAR: $3,850 Individual / $7,750 FamilyFOR THE 2024 TAX YEAR: $4,150 Individual / $8,300 FamilyIf you are age 55 and over, you may contribute an extra $1,000 catch-up contribution. This is available in 2023 and 2024.

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 GuideEmployees 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.TELEHEALTH2023 - 2024Lighthouse CompanyWhat 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 Guide2023 - 2024Lighthouse CompanyIn addition to a HSA, Sentinel offers a company-sponsored limited purpose Flexible Savings Account (FSA) and a Dependent Care Flexible Savings Account (DCFSA). These accounts are administered by Flores.Flexible Spending Accounts allow you to set aside money 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.Limited Purpose Health FSA • Contribution limit for our 2023-2024 plan year is $3,050• These are use it or lose it accounts, however Sentinel offers a 75-day grace period, which allows participants to use remaining funds following the close of the plan yearLimited Purpose Health FSA Eligible Expenses• Dental expenses: exams, cleanings, X-rays and braces• Vision expenses: exams, contact lenses, eyeglasses and laser eye surgeryDependent Care FSA • Contribution limit for our 2023-2024 plan year is $5,000• These are use it or lose it accountsDependent 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 homeRefer to your FSA documentation for more details.LIMITED-PURPOSE FSA and Dependent Care FSA

DENTALThis 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 Guide2023 – 2024Lighthouse CompanySun Life Summary of CoverageIN NETWORK OUT OF NETWORK1Annual Deductibles(Individual / Family)$50/$150Preventive Care 100% 100% after deductibleBasic Procedures (extractions, fillings, etc.)Covered in full after deductible 20% coinsurance after deductibleMajor Procedures(crowns, dentures, etc.)40% coinsurance after deductible 50% coinsurance after deductibleChild Orthodontics N/A N/ACalendar Year Maximum Benefit $1,250Deducted Twice Per MonthEmployee $18.80Employee + Spouse $37.50Employee + Child(ren) $43.31Family $64.951While 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.

VISIONThis 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 Guide2023 - 2024Lighthouse CompanySun Life VSP Vision Summary of CoverageIN NETWORK OUT OF NETWORKVision Exam (1 per 12 months) $10 Up to $45Lenses (1 per 12 months)Single $25 Up to $30Bifocal $25 Up to $50Trifocal $25 Up to $60Lenticular $25 Up to $100Frames (1 per 24 months) Up to $130, then 20% Up to $70Elective Contact Lenses (1 per 12 months)$60 for exam$130 for lenses$Up to $105Medically Necessary Contact Lenses (1 per 24 months)$25 $Up to $210Standard Progressive Lens Enhancements$55 N/APremium Progressive Lens Enhancements$95-$105 N/ACustom Progressive Lens Enhancements$150-$175 N/ADeducted Twice Per MonthEmployee $3.55Employee + Spouse $6.74Employee + Child(ren) $7.87Family $11.10

DISABILITY INSURANCEThis 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 Guide2023 - 2024Lighthouse CompanySun Life Summary of CoveragePLAN FEATURES Short Term Long TermEmployee Benefit Amount 60% of your weekly earnings* 60% of your monthly earnings*Maximum Benefit Amount $1,500/week $10,000Elimination Period (Accident & Sickness)7 days 90 daysBenefit Duration 12 weeksSSNRA – Age 65Disability Definition “24-month own occupation” Loss of duties and loss of earnings requiredDisability 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. Coverage is provided through Sun Life.*earnings definition vary by position; please see Human Resources for more information

GROUP LIFE INSURANCEThis 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 Guide2023 - 2024Lighthouse CompanySun Life Summary of CoveragePLAN FEATURESEmployee Benefit Amount 1 x annual earnings*Maximum Benefit Amount $150,000Maximum AD&D Benefit $150,000The Following Shows How Much Benefits Are Reduced At Certain AgesAge Benefit Reduction65 Reduced to 65%70 Reduced by 50%Group 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 they exceed the guaranteed issue amount.LIFE BENEFIT EMPLOYEE SPOUSE DEPENDENTAmount Increments of $10,000 Increments of $5,000 $2,000/$4,000/$10,000Minimum Amount $10,000 $5,000$2,000$500 for age 14 days–6mthsMaximum AmountThe lesser of $350,000 or 5 x annual earnings*$100,000 $10,000Guaranteed Issue (Newly Eligible)$150,000 $30,000Notes Benefits reduce at age 65 Benefits end at age 70 Benefits end at age 26VOLUNTARY LIFE INSURANCESun Life Summary of Coverage*earnings definition vary by position; please see Human Resources for more 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 Guide2023 - 2024Lighthouse CompanyVoluntary 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. We offer legal and pet insurance as well.Worksite BenefitsAccidentPays a lump sum benefit if you or a covered family member experience an accident. Coverage can be purchased for employee and dependents.Critical IllnessPays a lump sum benefit should a covered family member experience a heart attack, stroke or other covered serious illnesses.LegalFree and discounted legal care for divorce, traffic ticket defense, document review, etc. This benefit includes free tax return preparation and identity theft solutions.

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 Guide2023 - 2024Lighthouse CompanyWe offer a 401(k) plan through MVP Plan Administrators. You must be 21 years of age to participate. Retirement Savings Employee ContributionCompany Match1% 1%2% 2%3% 3%4% 3.5%5% + 4%InvestmentsYou can make changes to your investments at any time via the MVP website.Under the Manage tab, select Portfolio Rebalance to rebalance using your current allocation, select Investment Transfer to transfer your current assets between funds, or select Manage Contributions > Future Contributions to update your election for new contributions. RolloversThe plan allows previous 401(k) funds to be rolled over into this plan. You can access the Rollover Contribution Form through the MVP website under Participant Forms > Rollover Contribution Form.Beneficiary InformationBe sure to update/review your beneficiary at least once per year. On the MVP website you can locate beneficiary options under the settings icon in the top right corner and then click on Beneficiary.Contribution LimitsThe IRS has established the following maximum contributions:Company MatchSentinel provides a company match of 100% on the first 3% of deferral and then a 50% match on the next 2% deferral. It is a safe Harbor match with immediate vesting. Employee contributions are withheld from all paychecks. You can increase or decrease your contribution through the MVP website.2023 Tax Year 2024 Tax Year$22,500Participants 50 years of age can elect an additional $6,500 in catch-up contributions$23,000Participants 50 years of age can elect an additional $7,500 in catch-up contributions

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 Guide2023 - 2024Lighthouse CompanyCarrier ResourcesBENEFIT CARRIER GROUP # PHONE NUMBER WEBSITEMedical BCBSNC 14175197 888-206-4697 www.bluecrossnc.com Dental Sun Life 949258 800-442-7742 www.sunlife.com/account Vision VSP via Sun Life 949258 800-877-7195 www.vsp.com HSA Optum Bank NA 866-234-8913 www.optumbank.com FSA Flores NA 800-532-3327 www.flores247.com Life Sun Life 949258 800-247-6875 www.sunlife.com/us Disability Sun Life 949258 800-247-6875 www.sunlife.com/us 401(K) MVP Administrators NA 919- 465-2220 www.mvp401k.com Legal Legal Club NA 800 -305 -6816 www.legalclub.com Critical Illness Transamerica G000025622 888-763-7474 www.tebcs.comAccident Transamerica G000025622 888-763-7474 www.tebcs.comHow to access ID CardsBENEFIT HOW TO ACCESSMedicalHard copy ID cards are issued and mailed to your home address;electronic copies can be accessed via www.bluecrossnc.com DentalGeneric ID cards can be accessed via the following link:www.sunlife.com/account Vision Providers should validate coverage with member’s name, date of birth and last four digits of SSN

EMPLOYEE BENEFITS GUIDEPrepared By Sentinel | sentinelra.com2023 - 2024