EMPLOYEE BENEFITS GUIDE 2024 A comprehensive guide to understanding your employee benefits program
Important Contacts Stella Barrow HR Partner Phone 903 763 3063 stella reliablenursestaffing com Medical BlueCross BlueShield of Texas Phone 800 445 2227 Website www bcbstx com Group Medical Dental Vision EMI Health Phone 801 262 7475 Website www emihealth com Group 6998 Basic Life AD D and Voluntary LTD UNUM Phone 866 679 3054 Website www unum com Group 704030 704031 Voluntary Life Voluntary STD Enrollment Support Colonial Life Jamie Pope 409 782 1910 Email jamie colonialtx com Website www coloniallife com Group E5557962 Toni Melton Agent Phone 903 434 4783 tmelton higginbotham net Kerri Moulton Account Manager Phone 903 434 4752 kmoulton higginbotham net NEED to file a claim Have questions on a denied claim or a bill Gayle Peacock ACSR Claim Specialist Phone 903 434 4780 gpeacock higginbotham net
Eligibility R eliable Nurse Staffing is pleased to provide a variety of insurance benefits You may select the insurance that best fits your needs You are eligible for benefits if you are a regular fulltime employee working an average of 30 hours per week Your coverage is effective the first of the month after you have completed 30 days of fulltime employment Enrollment must be completed within 31 days of the date of eligibility Once your enrollment is completed no changes will be allowed until the next annual open enrollment period unless you have a Qualifying Life Event or your hours worked per week drop below the minimum The policy year runs from January 1 2024 to December 31 2024 however the company reserves the right to make changes to the policies at anytime as well as the right to require appropriate documentation to prove your dependent relationship status including marriage birth tax returns and other legal documents You may also enroll eligible dependents for benefits coverage The cost to you for dependent coverage will vary depending on the number of dependents you enroll in the plan and the particular plans you choose When covering dependents you must select the same plans for your dependents as you select for yourself Eligible Dependents include Your legal spouse Children under the age of 26 regardless of student status dependency or marital status Natural Child Legally Adopted Child Step child Child for who you or your spouse are the legal guardian as long as you have the sole legal right and obligation to provide support and medical care Children who are fully dependent on you for support due to a mental or physical disability and who are indicated as such on your federal tax return may continue coverage past age 26 A child of a child who is dependent for federal income tax purposes at the time application for coverage of the child is made Qualifying Life Events Once you elect your benefit options they will remain in effect for the entire plan year until the following Open Enrollment You may only change coverage during the plan year if you have a Qualifying Life Event and you must do so within 30 days of the event You may NOT drop coverage due to financial hardship or dissatisfaction with the plan Qualifying Life Events include Marriage divorce legal separation or annulment Birth adoption or placement for adoption of an eligible child Death of a spouse or child Change in your spouse s employment that affects benefits eligibility Change in your child s eligibility for benefits reaching the age limit Change in residence that affects your eligibility for coverage Significant change in coverage or cost in your your spouse s or child s benefit plans FMLA Leave COBRA event Court Judgment or Decree Becoming eligible for Medicare or Medicaid Receiving a Qualified Medical Child Support Order If you have a Qualifying Life Event and want to request a mid year change you must notify Human Resources and complete your election changes within 30 days following the event Be prepared to provide documentation to support the Qualifying Life Event 1
Benefits In Hand ENROLL IN YOUR BENEFITS One step at a time Step 1 Log In Go to www benefitsinhand com and click Login Returning users Log in with the username and password you selected If you have forgotten your password Click Reset a forgotten password First time users Click on your Registration Link in the email sent to you by your admin or Register as a new user Create an account and create your own username and password Company Identifier Reliable Nurse Staffing LLC Step 2 Welcome After you login click Let s Begin to complete your required tasks Step 3 Onboarding For first time users if applicable Complete any assigned onboarding tasks before enrolling in your benefits Once you ve completed your tasks click Start Enrollment to begin your enrollments T I P if you hit Dismiss complete later you ll be taken to your Home Page You ll still be able to start enrollments again by clicking Start Enrollments Step 4 Start Enrollments After clicking Start Enrollment you ll need to complete some personal dependent information before moving to your benefit elections T I P Have dependent details handy To enroll a dependent in coverage you will need their date of birth and Social Security number 2 Erollment Instructions
Benefits In Hand Step 5 Benefit Elections To enroll dependents in a benefit click the checkbox next to the dependent s name under Who am I enrolling Below your dependents you can view your available plans and the cost per pay To elect a benefit click Select Plan underneath the plan cost Click Save Continue at the bottom of each screen to save your elections If you do not want a benefit click Don t want this benefit at the bottom of the screen and select a reason from the drop down menu Step 6 Forms If you have elected benefits that require a beneficiary designation Primary Care Physician or completion of an Evidence of Insurability form you will be prompted to add in those details Step 7 Review Confirm Elections Review the benefits you selected on the enrollment summary page to make sure they are correct then click Sign Agree to complete your enrollment You can either print a summary of your elections for your records or login at any point during the year to view your summary online T I P If you miss a step you ll see Enrollment Not Complete in the progress bar w ith the incomplete steps highlighted Click on any incomplete steps to complete them Step 8 HR Tasks if applicable To complete any required HR tasks click Start Tasks If your HR department has not assigned any tasks you re finished Enrollment Instructions You can login to review your 3 benefits 24 7
Medical Plan R eliable Nurse Staffing is offering three medical plans provided by BlueCross BlueShield Both plans allow access to both in network and out of network providers but you will receive better discounts and pay less by staying in network All out of network services are subject to Reasonable and Customary R C limitations and you are responsible for all charges over this allowance PPO Preferred Provider Organization PPO plans offers the freedom to see any provider when you need care When you use providers within the BlueCross BlueShield network Blue Choice PPO you will receive benefits at the discounted network cost If you use out of network providers you may pay more for services Plan Name In Network Individual Deduc ble Family Deduc ble Max Out of Pocket Individual Including Deduc ble Max Out of Pocket Family Coinsurance Physician Services Primary Care Specialist Virtual Visits WellVia Simple Lab X ray Other Services Hospital Admission Outpa ent Surgery Emergency Room Urgent Care Complex Imaging Prescrip on Drugs Tier I Tier II Tier III Tier IV Tier V Mail Order 90 day supply Out of Network Deduc ble Maximum Out of Pocket Coinsurance Employee Weekly Payroll Employee Employee Spouse Employee Child ren Employee Family Base Plan HSA MTBCP009H Blue Choice 6 650 13 300 Middle Plan MTBCP039 Blue Choice 5 000 15 000 Buy Up Plan MTBCP020 Blue Choice 2 500 7 500 6 650 13 300 100 0 8 150 16 300 100 0 7 500 15 800 100 0 Deduc ble 35 35 Deduc ble 70 70 Deduc ble 35 35 Deduc ble 0 0 Deduc ble Deduc ble Deduc ble Deduc ble Deduc ble Deduc ble Deduc ble Deduc ble Deduc ble Deduc ble Deduc ble 500 Deduc ble 75 Deduc ble Non Preferred Preferred 0 10 10 20 50 70 100 120 Tier V VI Deduc ble Tier V 150 Tier VI 250 3X Copay 3X Preferred Copay Deduc ble Deduc ble 500 Deduc ble 75 Deduc ble Non Preferred Preferred 0 10 10 20 50 70 100 120 Tier V 150 Tier VI 250 3X Preferred Copay 13 300 26 600 Unlimited 50 50 10 000 20 000 Unlimited 50 50 10 000 20 000 Unlimited 50 50 9 60 102 78 102 51 195 70 4 54 78 191 84 191 44 328 51 67 37 216 65 216 22 365 52
Health Care Resources PREVENTIVE CARE Preventive check ups and screenings can help find illnesses and medical problems early and improve the health of you and everyone in your family Your health plan covers screenings and services with no out ofpocket costs like copays or coinsurance as long as you visit a doctor in your network Be sure to take advantage of your preventive care services covered by BlueCross BlueShield of Texas A few recommended preventive services may include the following Preventive Immunizations Including Flu Shots Wellness and Physical Examinations Well Woman and Mammography Screening Blood Pressure and Cholesterol Screenings Diabetes and Obesity Screening Counseling Certain Cancer Screenings How To Find a Doctor or Hospital 1 Go to https www bcbstx com find a doctor or hospital 2 Login as a member or click the option to Search as Guest 3 If searching as a guest please select Blue Choice PPO as your plan network 4 Next enter your City State or Zip Code 5 Then you may search by the Name or Specialties You may also filter by category including Medical Care Urgent Care Center or Behavioral Health Additional categories will populate and allow you to search by specialty or type of provider 6 More search filters are available on the next screen such as gender language patient ratings and etc Go Mobile with Blue Our mobile tools and apps let you access your health insurance plan details find a doctor and more BCBSTX APP Features Find a doctor hospital or urgent care facility Access your claims coverage and deductible information Ability to view and email your ID Available in Spanish Text BCBSTXAPP to 33633 to download Available for iPhone and Android users Messaging data rates may apply 5
Group Plan Underwritten Administered by Plan Type Benefit Year 5101 SOUTH COMMERCE DRIVE MURRAY UT 84107 Corporate 801 262 7475 Customer Service 800 662 5851 EMIHealth com Reliable Nurse Staffing Plan 6998 Summit Plus Indemnity Educators Health Plans Life Accident and Health Inc Voluntary Fully Insured Calendar Type 1 Preventive Oral Exams Cleanings X rays Fluoride Type 2 Basic Fillings Oral Surgery Type 3 Major Crowns Bridges Prosthodontics Type 4 Orthodontics Dependent children ages 7 through 18 Adults Endodontics Periodontics Sealants Space Maintainers Waiting periods Type 2 Basic Type 3 Major Type 4 Orthodontics Deductible Per Person Family Max Deductible Applies To In Network 100 80 50 Discount Only Discount Only Type 3 Major Type 3 Major Type 2 Basic Type 2 Basic Out of Network 100 up to R C 80 up to R C 50 up to R C No Coverage No Coverage Type 3 Major Type 3 Major Type 2 Basic Type 2 Basic None 12 Month Waiting Period N A In and Out of Network Deductibles are Combined 50 00 50 00 150 00 150 00 Type 2 Type 3 Type 2 Type 3 Annual Maximum Per Person Orthodontic Lifetime Maximum 1 000 00 N A Network Utah Network Texas Outside Utah Fee Schedule Premier EMI Health Summit Plus Cigna Summit Plus N A N A R C 80th Weekly Payroll Deductions Employee Employee Spouse Employee Child ren Employee Spouse Child ren 8 08 16 80 17 26 26 54 Provisions Limitations Exclusions Exams including Periodontal Cleanings and Fluoride 2 per year Fluoride Up to age 16 Sealants Up to age 16 Space Maintainers Up to age 16 Bitewing X Rays Up to 4 twice per year Periapical X Rays 6 per year Panoramic X Ray 1 every 3 years Impacted Teeth Covered in Type 2 Basic Anesthesia Age 8 and over for the extraction of impacted teeth only Covered in Type 3 Major Anesthesia For children age 7 and under once per year Covered in Type 3 Major Implants Implant Abutments Not Covered Crowns Pontics Abutments Onlays and Dentures 1 every 5 years per tooth Fillings on the same surface 1 every 18 months Benefits illustrated are in summary only Refer to your Dental Handbook for a complete description of benefits limitations and exclusions When using a Non participating Provider the insured is responsible for all fees in excess of the Reasonable and Customary Charges R C Anesthesia is not subject to waiting periods EHPL TX D SUMMIT SCH A 6
Corporate 801 262 7475 Customer Service 800 662 5851 EMIHealth com Group Plan Plan Type Reliable Nurse Staffing Plan 6998 VSP Plus 10 130 Voluntary In Network Out of Network Network VSP Choice Plus WellVision Exam 10 Co pay Up to 65 Lenses Glass or Plastic Single Vision Lined Bifocal Lined Trifocal Lenticular Lens Options Progressive Standard no line Premium Progressive Options Custom Progressive Options Plastic Gradient Dye Solid Plastic Dye Photochromic Lenses Polycarbonate for Adults Polycarbonate for Children under 18 Coatings Scratch Resistant Coating Anti Reflective Coating UV Protection Additional lens enhancements Frames Allowance Based on Retail Pricing Additional Pairs of Glasses Elective Contact Lenses In Lieu of Frame Lenses Elective contact lens fitting evaluation services and prescription contact lenses are covered up to plan allowance 15 discount given off contact lens fitting and evaluation services excluding materials 10 Co pay 10 Co pay 10 Co pay 10 Co pay 55 Co pay 95 105 Co pay 150 175 Co pay 17 Co pay 15 Co pay 70 Co pay SV 82 Co Pay Multifocal 31 Co pay SV 35 Co Pay Multifocal 0 Copay 17 Co pay 41 Co pay 16 Co pay Up to 25 Discount 130 Allowance at any VSP doctor or 70 at Costco Sam s Club or Walmart Up to 20 Off Retail 130 Allowance Up to 30 Up to 50 Up to 65 Up to 100 The reimbursement outlined under the Lenses section is a total reimbursement for lenses and any lens enhancements elected The reimbursement outlined under the Lenses section is a total reimbursement for lenses and any lens enhancements elected Up to 80 N A Up to 115 Frequency Exam Lenses Frame or Contacts Refractive Surgery LASIK Every 12 Months Up to 500 in Savings Not Covered Weekly Payroll Deductions Employee Employee Spouse Employee Child ren Employee Spouse Child ren Voluntary 2 40 5 17 5 54 7 94 Notes This is a summary of plan benefits The actual Policy will detail all plan limitations and exclusions 20 discount off unlimited additional pairs of glasses offered through any VSP Choice Providers within 12 months of last covered eye exam Discounts average 15 20 off or 5 off a promotional offer for laser surgery including PRK LASIK Custom LASIK and IntraLase3 Underwritten by Educators Health Plans Life Accident Health EHPL TX V VSP SCH A 7
Reliable Nurse Staffing LLC Life and AD D Insurance Plan Highlights Who is eligible for this coverage All actively employed employees working at least 30 hours each week for your employer in the U S What is the coverage amount Your employer is providing you with 100 000 of term life insurance You will also receive 100 000 of Accidental Death and Dismemberment insurance Is it portable can I keep it if I leave my employer If you retire reduce your hours or leave your employer you can continue coverage at the group rate Portability is not available for people who have a medical condition that could shorten their life expectancy but they may be able to convert their term life policy to an individual life insurance policy When is coverage effective Your coverage is effective on 11 1 2020 or the date your application is approved by underwriting if health questions were required What does my AD D insurance pay for The full benefit amount is paid for loss of Life Both hands or both feet or sight of both eyes One hand and one foot One hand and the sight of one eye Speech and hearing Do my life insurance benefits decrease with age Coverage amounts will reduce according to the following schedule Age 65 70 Insurance amount reduces to 65 of original amount 50 of original amount Coverage may not be increased after a reduction Delayed effective date of coverage Insurance coverage will be delayed if you are not an active employee because of an injury sickness temporary layoff or leave of absence on the date that insurance would otherwise become effective The policy provisions may vary or not be available in all states The policy has exclusions and limitations which may affect any benefits payable For complete details of coverage please refer to Policy Form C FP 1 et al or contact your Unum representative Underwritten by Unum Life Insurance Company of America Portland Maine 2018 Unum Group All rights reserved Unum is a registered trademark and marketing brand of Unum Group and its insuring subsidiaries EN 1771 6 18 FOR EMPLOYEES 8
Voluntary Group Term Life AD D Coverage Plan Design Employee Coverage Benefits available in 1 000 increments from a minimum of 10 000 to a maximum of 200 000 subject to an individual s maximum of 5 0x salary Spouse Coverage Benefits available in 1 000 increments from a minimum of 5 000 to a maximum of 100 of the employee amount Dependent Children Coverage Benefits available in 1 000 increments to a maximum of 10 000 The maximum benefit payable to children less than 6 months of age is 1 000 regardless of the benefit amount purchased One rate covers all children in the same family Accidental Death and Dismemberment AD D Available at the same face amount of Life coverage Will be provided for all covered persons employee spouse and dependent children receiving Life coverage Must have Life coverage to receive AD D coverage Rates All Rates listed are Weekly per 1 000 of coverage The rates above are for the plan s described in this proposal subject to the conditions specified Rates are based on information entered on the quote input screen and final rates may differ if the information changes Guaranteed Issue at Initial Enrollment only 50 000 for Employees 15 000 for Spouses 10 000 for Dependent Children Amounts above Guaranteed Issue up to the plan maximum are available with evidence of insurability 9 Colonial Life Accident Insurance Company 1200 Colonial Life Boulevard Columbia SC 29210
INDIVIDUAL SHORT TERM DISABILITY Colonial Life s Short Term Disability Plan will help replace lost income should an insured employee become disabled due to an off job accident or sickness including pregnancy or complications of pregnancy PRODUCT FEATURES Guarantee Issue Available for up to 4 000 in monthly benefits for up to 60 of income Additional monthly benefits up to 6 500 are available Total Disability and Partial Disability Benefits Partial disability pays 50 of the total disability benefit and for up to 3 months Renewability This policy is guaranteed renewable to age 75 Premiums can be changed only if we change them on all policies of this kind in the state where the policy is issued No Integration There is no coordination of benefits at claim with other coverages Benefits are paid regardless of benefits received from other sources For benefit amounts over 4 000 per month offsetting occurs during the application process Level Premiums Rates are based on issue age and are level not step rated Geographical Limitations Worldwide Coverage Geographical Limitations provision allows coverage for disabilities that occur outside the regularly covered geographical areas for up to 60 days Waiver of Premium available after 90 consecutive days of a covered disability Benefits are paid directly to the insured unless they specify otherwise Coverage is portable An employee may continue this coverage if he changes jobs or leaves your company with no evidence of insurability required DISABILITY BENEFITS Applicable to TX This information is only intended for proposal use with employers For a complete description of benefits limitations and exclusions please refer to an outline of coverage sample policy proposal description or see your Colonial Life benefits counselor Colonial Life products are underwritten by Colonial Life Accident Insurance Company for which Colonial Life is the marketing brand Aug 2015 Colonial Life Accident Insurance Company 1200 Colonial Life Boulevard Columbia South Carolina 29210 PS02090 10
Deductions per year 52 Weekly Rates based on Issue Age and will never increase Individual Short Term Disability ISTD3000 for TX AA Risk Class l Off Job Accident Off Job Sickness 3 Month Benefit Period ELIMINATION PERIOD ISSUE AGE 700 1 000 1 400 7 days Accident 7 days Sickness 17 49 50 64 65 74 4 44 5 10 6 19 6 35 7 29 8 84 8 88 10 21 12 37 7 days Accident 14 days Sickness 17 49 50 64 65 74 3 15 3 75 4 59 4 50 5 35 6 55 6 30 7 50 9 18 14 days Accident 14 days Sickness monthly benefit amount 17 49 50 64 65 74 2 89 3 51 4 36 4 13 5 01 6 23 5 78 7 01 8 72 1 800 11 42 13 13 15 91 8 10 9 64 11 80 7 44 9 01 11 22 2 200 13 96 16 04 19 44 9 90 11 78 14 42 9 09 11 02 13 71 ELIMINATION PERIOD 7 days Accident 7 days Sickness 7 days Accident 14 days Sickness 14 days Accident 14 days Sickness monthly benefit amount ISSUE AGE 17 49 50 64 65 74 17 49 50 64 65 74 17 49 50 64 65 74 2 500 15 87 18 23 22 10 11 25 13 38 16 38 10 33 12 52 15 58 2 800 17 77 20 42 24 75 12 60 14 99 18 35 11 57 14 02 17 45 3 200 20 31 23 34 28 28 14 40 17 13 20 97 13 22 16 02 19 94 3 600 22 85 26 25 31 82 16 20 19 27 23 59 14 87 18 03 22 43 4 000 25 38 29 17 35 35 18 00 21 42 26 22 16 52 20 03 24 92 Important Notice Insurance coverage has exclusions and limitations that may affect benefits payable For a complete description of benefits limitations and exclusions please refer to an outline of coverage sample policy certificate proposal description or see your Colonial Life benefits counselor Coverage type benefits and rates vary by state Coverage may not be available in all states Rates provided are illustrative and your actual premium may be different depending on your particular situation and plan choices Colonial Life products are underwritten by Colonial Life Accident Insurance Company for which Colonial Life is the marketing brand 2020 Colonial Life Accident Insurance Company Colonial Life and the Colonial Life logo separately and in combination are service marks of Colonial Life Accident Insurance Company All rights reserved Jamie Pope jamie colonialtx com 409 782 1910 Underwritten by Colonial Life Accident Insurance Company See page 1 for Important Notice 11
Reliable Nurse Staffing LLC Voluntary Long Term Disability Insurance Plan Highlights Who is eligible You are eligible for Long Term Disability LTD coverage if you are an active employee in the United States working a minimum of 30 hours per week What is my monthly benefit amount You can elect to purchase a benefit of 60 of your monthly earnings to a maximum of 6 000 How long do I have to wait to receive benefits The elimination period is the length of time you must be continuously disabled before you can receive benefits You could begin receiving LTD benefits if after 90 days of disability you are still disabled as described in the definition of disability How long will my benefits last How much does it cost If you return to work while satisfying the elimination period and are no longer disabled you may satisfy the elimination period within the accumulation period you don t have to be continuously disabled through the elimination period if you are satisfying the elimination period under this provision If you don t satisfy the elimination period within the accumulation period a new period of disability will begin Accumulation Period is the period of time from the date the disability begins during which you must satisfy the elimination period The accumulation period is two times your elimination period During your elimination period you will be considered disabled if you are limited from performing the material and substantial duties of your regular occupation due to your sickness or injury and you are under the regular care of a physician You are not required to have a 20 or more earnings loss to be considered disabled during the elimination period due to the same sickness or injury The duration of your benefit payments is based on your age when your disability occurs Your LTD benefits are payable for the period during which you continue to meet the definition of disability If your disability occurs before age 62 benefits could be payable up to the Social Security Normal Retirement Age If your disability occurs at or after age 62 your benefits would be paid according to the benefit duration schedule Rates per 100 of covered monthly payroll Age Rates
When is my coverage effective ________ 100 _____ X ______ _________ ___52______ _________ Annual Your rate Your annual of Cost per paycheck Salary cost paychecks yr Your effective date of coverage is 11 01 2020 If you become eligible after this date please see your plan administrator for your effective date Do I have to take a health exam to get coverage You may receive coverage without answering any medical questions or providing evidence of insurability if you apply for coverage within 31 days after your eligibility date If you apply more than 31 days after your eligibility date your coverage will be medically underwritten You may also have to provide information about routine planned unplanned or ongoing medical care or consultation This review may result in coverage being declined What if I am out of work when the coverage goes into effect Please see your plan administrator for your eligibility date Insurance will be delayed if you are not in active employment because of an injury sickness temporary layoff or leave of absence on the date that insurance would otherwise become effective What is my maximum monthly benefit amount Your total monthly benefit including all benefits provided under this plan will not exceed 100 of your monthly earnings unless the excess amount is payable as a Cost of Living Adjustment However if you are participating in Unum s Rehabilitation and Return to Work Assistance program your total monthly benefit including all benefits provided under this plan will not exceed 110 of your monthly earnings unless the excess amount is payable as a Cost of Living Adjustment Can my benefit be reduced Your disability benefit may be reduced by deductible sources of income and any earnings you have while disabled Deductible sources of income may include such items as disability income or other amounts you receive or are entitled to receive under workers compensation or similar occupational benefit laws state compulsory benefit laws automobile liability and no fault insurance legal judgments and settlements certain retirement plans salary continuation or sick leave plans other group or association disability programs or insurance and amounts you or your family receive or are entitled to receive from Social Security or similar governmental programs When would I be considered disabled During the first 24 months you are disabled when Unum determines You are unable to perform the material and substantial duties of your regular occupation due to sickness or injury and are not working or You have a 20 or more loss of indexed monthly earnings while working After 24 months of payments you are disabled when Unum determines that due to the same sickness or injury You are unable to perform the duties of any gainful occupation for which you are reasonably fitted by education training or experience You must be under the regular care of a physician Unless the policy specifies otherwise as part of the disability claims evaluation process Unum will evaluate your occupation based on how it is normally performed in the national economy not how work is performed for a specific employer at a specific location or in a specific region 13
Worldwide emergency travel assistance services provided by Assist America Inc are available with select Unum insurance offerings Terms and availability of service are subject to change and prior notification requirements Services are not valid after coverage terminates Please contact your Unum representative for details This information is not intended to be a complete description of the insurance coverage available The policy or its provisions may vary or be unavailable in some states The policy has exclusions and limitations which may affect any benefits payable For complete details of coverage and availability please refer to Policy Form C FP 1 et al or contact your Unum representative Underwritten by Unum Life Insurance Company of America Portland Maine 2018 Unum Group All rights reserved Unum is a registered trademark and marketing brand of Unum Group and its insuring subsidiaries EN 1776 6 18 FOR EMPLOYEES 14
15 TOP 4 REASONS to become a MASA MTS Member MASA MTS protects our members and their families from the gaps in group health benefits for emergency transport expenses within the continental United States Alaska Hawaii 2 and while traveling in Canada regardless of in or out of network Worldwide coverage is available with a Platinum Membership for lifesaving transportation at home and far away MASA MTS provides over 2 million members with coverage for BOTH 1 Ground and Air Ambulance transport out of pocket costs regardless of the ambulance provider because MASA MTS is a PAYER and NOT a provider MASA MTS gives you the peace of mind knowing 3 out of pocket costs associated with emergency transport for deductibles co pays or co insurance are covered MASA MTS protects you and your family from unexpected out of pocket costs regardless of any balance billing associated with ground ambulance in addition to the co pays co insurance and deductibles for both ground and 4 air ambulance with One Low Monthly Fee NO Age LImits NO Health Questions Easy Claims Process The information provided in this information sheet is for informational purposes only The benefits listed and the descriptions thereof do not represent the full terms and conditions applicable for usage and may only be offered in some memberships Premiums and benefits vary depending on the benefits selected Commercial Air and Worldwide coverage are not available in all territories For a complete list of benefits premiums and full terms conditions and restrictions please refer to the applicable member services agreement for your territory MASA MTS products and services are not available in AK NY WA ND and NJ MASA MTS utilizes third party transportation service providers for all transportation services MASA Global MASA MTS and MASA TRS are registered service marks of MASA Holdings Inc a Delaware corporation Void where prohibited by law If a member has a high deductible health plan that is compatible with a health savings account benefits will become available under the MASA membership for expenses incurred for medical care as defined under Internal Revenue Code section 213 d once a member satisfies the statutory minimum deductible under Internal Revenue Code section 223 c for high deductible health plan coverage that is compatible with a health savings account VER ROAD_EMP_1SHEET_TOPREASONS_US_V2_031722
TWO PLANS TO PROTECT YOU AND YOUR FAMILY The issue of out of pocket ambulance expenses isn t going away and we ll all continue to require these services A MASA MTS Membership bridges the gap in ambulance transport coverage at an affordable rate for emergency ground and air transportation within the continental United States Alaska Hawaii and while traveling in Canada regardless of whether the provider is in or out of the group healthcare benefits network While our critical benefits are included in both memberships Platinum members enjoy additional services Whether you d like to protect your clients and their family from costly emergency ambulance transports or provide overall peace of mind MASA MTS has them covered Emergency Air Ambulance Coverage Emergency Ground Ambulance Coverage Hospital to Hospital Ambulance Coverage Repatriation to Hospital Near Home Coverage Patient Return Transportation Coverage Companion Transportation Coverage Hospital Visitor Transportation Coverage Minor Return Transportation Coverage Vehicle RV Return Coverage Pet Return Transportation Coverage Organ Retrieval Organ Recipient Transportation Coverage Mortal Remains Transportation Coverage Emergent Plus Platinum Membership Membership Payroll Deduction Payroll Deduction 6 50 19 50 3 3 3 3 3 3 3 1 1 2 2 2 2 2 2 1 16 MASAMTS_WhyYouNeedMASA_EMP_V2_FLR_2_031722
Carrier Specific Services Required Notices 17
BCBS Virtual Visits 18
BCBS Virtual Visits 19
TheBCBSTX App Stay connected with Blue Cross and Blue Shield of Texas BCBSTX and access important health benefit information wherever you are Find an in network doctor hospital or urgent care facility Access your claims coverage and deductible information View and email your member ID card Log in securely with your fingerprint Access Health Care Accounts and Health Savings Accounts Download and share your Explanation of Benefits Get Push Notifications and access to Message Center Text BCBSTXAPP to 33633 to get the app Currently only available on iPhone iPhone is a registered trademark of Apple Inc Message and data rates may apply Terms and conditions and privacy policy at bcbstx com mobile text messaging Available in Spanish bcbstx com mobile Blue Cross and Blue Shield of Texas a Division of Health Care Service Corporation a Mutual Legal Reserve Company an Independent Licensee of the Blue Cross and Blue Shield Association 20 727545 1117
D en t al Vision Search Tip s Go t o em ih eal t h com an d click on Provid er Search alon g t h e u p p er p art of t h e h om e p ag e Select D en t al or Vision an d ch oose you r p lan Plan options are here Pick t h e st at e in w h ich you d like t o search Now en ter you r p rovid er s d et ails an d click t h e Search b u t t on Dent al Vision Premier Choice Opt icar e Advant age Advant age Plus Choice VSP Choice Value VSP Choice Plus Summit Summit Plus Search on t h e g o on t h e m ob ile ap p If you h ave t h e Su m m it or Su m m it Plu s d en t al p lan s you w ill b e red irect ed t o Cig n a s d en t al p rovid er search In ad d it ion t o b ein g an ot h er con ven ien t w ay t o search for p rovid ers an d facilit ies t h e EM I Healt h m ob ile ap p allow s you t o d o even m ore Access you r ID Card f rom anyw here at any tim e View you r EOBs an d search b y p erson service d at e an d m ore View an d d ow n load you r p lan g rid s so you alw ays kn ow t h e b en ef it s you h ave Access cu rren t an d p ast issu es of t h e Hop e Healt h n ew slet t er Up d ate your p rof ile in form at ion like em ail ad d ress p assw ord or secu rit y q u est ion s Sc an t o D o w n l o ad Qu est ion s As alw ays w e are h ere t o h elp Call cu st om er ser vice at 8 0 0 6 6 2 58 51 21 EM I M KTG NATPROVID ERSEARCHES 0 119 1183 EM I Healt h 510 1Sou t h Com m erce D rive M u rray Ut ah 84107 Toll Free 80 0 662 5850 W eb em ih ealt h com
VSP Ch oice Plu s Awesome coverage and easy t o use benefit s 1 Ch oose a VSP p rovid er 2 Give you r EM I Heal t h ID n u m b er 3 VSP d oes t h e rest No claim form s No paperwork It s t h at easy Ch oice Plu s Net w ork Cost co Wal Mart Sam s Club Shopko Visionworks Eye Mast ers Plans include Exams Hardware 22 EM I Healt h 510 1Sou t h Com m erce D rive M u rray Ut ah 84107 Toll Free 80 0 662 5850 EM I M KTG VSPCHOICEPLUS 1218 1171 W eb em ih ealt h com
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Don t forget this travel essential Pack your worldwide emergency travel assistance phone number and leave travel worries at home Whether traveling for business or pleasure one phone call connects you to Multi lingual medically certified crisis management professionals A state of the art global response operations center Qualified medical providers around the world With the Assist America Mobile App you can Call Assist America s Operation Center from anywhere in the world with the touch of a button Access pre trip information and country guides Search for local pharmacies U S only Download a membership card View a list of services Search for the nearest U S embassy Read Assist Alerts Download and activate the app today from the Apple App Store or Google Play Reference Number 01 AA UN 762490 If you experienced a medical emergency while traveling would you know who to call Whenever you travel 100 miles or more from home to another country or just another city be sure to pack your worldwide emergency travel assistance phone number Travel assistance speaks your language helping you locate hospitals embassies and other unexpected travel destinations Add the number to your cell phone contacts so it s always close at hand Just one phone call connects you and your family to medical and other important services 24 hours a day Use your travel assistance phone number to access Hospital admission assistance Emergency medical evacuation Prescription replacement assistance Transportation for a friend or family member to join a hospitalized patient Care and transport of unattended minor children Assistance with the return of a vehicle Emergency message services Critical care monitoring Emergency trauma counseling Referrals to Western trained English speaking medical providers Legal and interpreter referrals Passport replacement assistance 24 7 services anywhere in the world Unum s travel assistance services are provided by Assist America Inc a leading provider of global emergency assistance services through employee benefit plans Assist America s medically certified personnel are ready to help 24 hours a day 365 days a year and can connect you with pre qualified English speaking and Western trained medical providers anywhere in the world EN 1935 7 17 24
MORE You can access travel assistance services through the phone number on your travel assistance wallet card If you have misplaced your card contact your human resources department and ask for a replacement For reference only Not actual card Travel assistance FAQs Q Which countries can I travel to A Assist America s services have no geographical exclusions Its worldwide network stands ready to help wherever your travels take you Q Is my family covered A Your spouse and dependent children up to age 19 or the age specified by your medical plan are covered Spouses and children traveling on business for their employers are not eligible to access these services during those trips Q Are pre existing conditions excluded A No Whether your medical emergency is the result of a new or pre existing condition Assist America s trained representatives will help you find qualified medical care and facilities Q What about sports related injuries A Whether you ve been involved in recreational or extreme sporting worldwide emergency travel assistance will provide support for all your medical needs Q Who pays for the services I use if I have a travel emergency A Assist America arranges and pays for 100 of the services the company provides with no caps or charge backs to either you or your employer But you must call Assist America first you can t be reimbursed for services you arrange on your own Hospital admission is coordinated by Assist America Inc It may require a validation of your medical insurance or an advance of funds to the foreign medical facility You must repay any expenses related to emergency hospital admissions to Assist America Inc within 45 days Worldwide emergency travel assistance services provided by Assist America Inc are available with select Unum insurance offerings Terms and availability of service are subject to change and prior notification requirements Services are not valid after coverage terminates Please contact your Unum representative for details All emergency travel assistance must be arranged by Assist America which pays for all services it provides Medical expenses such as prescriptions or physician lab or medical facility fees are paid by the employee or the employee s health insurance Insurance products underwritten by the subsidiaries of Unum Group unum com 2017 Unum Group All rights reserved Unum is a registered trademark and marketing brand of Unum Group and its insuring subsidiaries EN 1935 7 17 FOR EMPLOYEES 25
Help when you need it most With your Employee Assistance Program and Work Life Balance services confidential assistance is as close as your phone or computer Always by your side Expert support 24 7 Convenient website Short term help Referrals for additional care Monthly webinars Medical Bill SaverTM helps you save on medical bills Who is covered Unum s EAP services are available to all eligible employees their spouses or domestic partners dependent children parents and parents in law Employee Assistance Program Work Life Balance Toll free 24 7 access 1 800 854 1446 multi lingual www unum com lifebalance Turn to us when you don t know where to turn Employee Assistance Program EAP Your EAP is designed to help you lead a happier and more productive life at home and at work Call for confidential access to a Licensed Professional Counselor who can help you A Licensed Professional Counselor can help you with Stress depression anxiety Relationship issues divorce Job stress work conflicts Family and parenting problems Anger grief and loss And more Work Life Balance You can also reach out to a specialist for help with balancing work and life issues Just call and one of our Work Life Specialists can answer your questions and help you find resources in your community Ask our Work Life Specialists about Child care Elder care Legal questions Identity theft Financial services debt management credit report issues Even reducing your medical dental bills And more Help is easy to access Online phone support Unlimited confidential 24 7 In person You can get up to 3 visits available at no additional cost to you with a Licensed Professional Counselor Your counselor may refer you to resources in your community for ongoing support The counselors must abide by federal regulations regarding duty to warn of harm to self or others In these instances the consultant may be mandated to report a situation to the appropriate authority your attorney for guidance Services are not valid after coverage terminates Please contact your Unum representative for details Insurance products are underwritten by the subsidiaries of Unum Group Unum s Employee Assistance Program and Work Life Balance services provided by unum com HealthAdvocate are available with select Unum insurance offerings Terms and availability of service are subject to change Service provider does not provide legal advice please consult 26 2018 Unum Group All rights reserved Unum is a registered trademark and marketing brand of Unum Group and its insuring subsidiaries EN 2058 4 18 FOR EMPLOYEES
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2024 This brochure highlights the main features of Reliable Nurse Staffing s employee benefits program It does not include all plan rules details limitations and exclusions The terms of your benefit plans are governed by legal documents including insurance contracts Should there be an inconsistency between this brochure and the legal plan documents the plan documents are final authority Reliable Nurse Staffing reserves the right to change or discontinue the employee benefits plans at any time Prepared by Higginbotham 1610 Shadywood Ln Mt Pleasant TX 75455 Phone 800 256 1905 www higginbotham com