Providence Engineering - 2023 Benefits Guide

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MEDICAL INSURANCE CARRIER:: Blue Cross Blue Shield of Louisiana BCBS Digital ID Card If you do need to see a doctor in person, you now have the option to present a digital ID card. You can access your ID card from your mobile device and online through the member portal. You’ll need to have an online account to access your digital ID card. If you don’t have an online account, register today at www.bcbsla.com/login. ● ● From the BCBSLA mobile app, first make sure you have the latest update of the app. Once you log in, click My ID Card to see the ID cards available to you. From the Blue Cross member portal, log into your online account at bcbsla.com. You’ll see My ID Card with a drop down menu of the ID cards available for viewing. You can also save these as PDF files. Sample 10
HEALTH SAVINGS ACCOUNT CARRIER: HealthEquity If you enroll in the high-deductible health (HDHP) plan, you may be eligible to fund a Health Savings Account (HSA). An HSA is a personal health care savings account you can use to pay out-of-pocket health care expenses with pre-tax dollars. Your contributions are tax free and the money remains in the account for you to spend on eligible expenses no matter where you work or how long it stays in the account. WHO IS ELIGIBLE? You are eligible to open and fund an HSA if: ● You are enrolled in the High-Deductible Health Plan ● You are not covered by a non-HSA plan, health care FSA, or health reimbursement arrangement ● You are not eligible to be claimed as a dependent on someone else’s tax return ● You are not enrolled in Medicare ● You have not received Veterans Administration Benefits in the last three months HSA EMPLOYER CONTRIBUTIONS ● Providence will help you save by contributing $50 per month. ● Contributions to a health savings account (including the employee contributions) cannot exceed the annual IRS contribution maximums. ● Employees age 55+ by 12/31/2022 may contribute additional funds to their HSA (up to $1,000 in 2023). ● You must open your HSA through Healthequity to receive contributions. PROVIDENCE CONTRIBUTES $50 TO YOUR HSA EACH MONTH $3,850 INDIVIDUAL $7,750 ALL OTHER TIERS $1,000 AGE 55+ CATCH-UP CONTRIBUTION 11
Page 1 and 2: 2023 BENEFITS ENROLLMENT GUIDE
Page 3 and 4: CONTENTS 4-5 Benefits Overview 6-10
Page 5 and 6: BENEFITS OVERVIEW ELIGIBILITY Full-
Page 7 and 8: WHICH MEDICAL INSURANCE PLAN IS RIG
Page 9: TELEMEDICINE / VIRTUAL VISITS When
Page 13 and 14: FLEXIBLE SPENDING ACCOUNTS CARRIER:
Page 15 and 16: DENTAL INSURANCE CARRIER: Sun Life
Page 17 and 18: VISION INSURANCE CARRIER: Sun Life
Page 19 and 20: GROUP LIFE INSURANCE CARRIER: Sun L
Page 21 and 22: EMPLOYEE VOLUNTARY LIFE INSURANCE R
Page 23 and 24: VOLUNTARY ACCIDENT INSURANCE CARRIE
Page 25 and 26: VOLUNTARY CRITICAL ILLNESS INSURANC
Page 27 and 28: DEPENDENT VOLUNTARY CRITICAL ILLNES
Page 29 and 30: OPEN ENROLLMENT INSTRUCTIONS During
Page 31 and 32: COMPLIANCE DISCLOSURES PLEASE NOTE:
Page 33 and 34: COMPLIANCE DISCLOSURES PREMIUM ASSI
Page 35 and 36: COMPLIANCE DISCLOSURES HIPAA PRIVAC
Page 37 and 38: COMPLIANCE DISCLOSURES HIPAA PRIVAC
Page 39 and 40: COMPLIANCE DISCLOSURES Model Genera
Page 41 and 42: GLOSSARY Coinsurance: Your share of

Providence Engineering - 2023 Benefits Guide

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