Providence Engineering - 2023 Benefits Guide

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PET INSURANCE CARRIER: Best Pets Pet Insurance reimburses you for vet bills when your pet is sick or injured, to help take the financial worry out of vet visits. • Fast claims processing and payment • Optional direct deposit and direct vet pay options • Use any veterinarian in the U.S., including specialty and emergency clinics • Optional coverage for routine care • Access to a 24/7 pet helpline HOW IT WORKS 1. Choose a Plan: It only takes 5 minutes. Simple, no medical records to enroll, instant approval, and 30-day money back guarantee. 2. Get Treatment: When your pet becomes ill or injured, you have the option to take them to any licensed veterinarian of your choice. 3. File a Claim: You pay their vet bill and then submit a claim. There is no need to send medical records unless Pets Best requests them. 4. Get Reimbursed: Most claims are processed within 5 business days for quick reimbursement. Get reimbursed 70%-90% of the actual vet bill after an annual deductible. Pets Best has setup a custom enrollment path for Providence employees. If you wish to enroll in Pet Insurance, you can enroll by visiting www.petsbest.com/providence or you can call 888-984-8700. You must reference the referral code: PROVIDENCE in order to be eligible to receive the discounted premium. 28
OPEN ENROLLMENT INSTRUCTIONS During the Employee Benefits Enrollment process, representatives from Human Resources and BXS+Cadence Insurance will be available to answer any questions regarding the benefits package Providence Engineering offers to eligible employees. STEP 1: Go to the following link to create an account as an employee: https://www.employeenavigator.com/ben efits/Account/Register Note: It is recommended you use an email address for your user name. STEP 2: You will be asked for personal identifying data as well as the following Company Identifier: PROVENGENV STEP 3: Write down the username and password you created for future reference. STEP 4: You are now ready to make your benefit elections! Please select the “Start Enrollment” button. The system will guide you through the process. Be sure to select ‘Save & Continue’ on every screen. Note: IF you are covering a spouse and /or child, please have their full name, DOB, and SSN available. STEP 5: Choose the “Click to Sign” button to complete your enrollment. Once you have created your account, use the following link anytime to finish or view your benefit elections: https://employeenavigator.com/benefits/Account/Login REMEMBER: Open Enrollment must be completed by the deadline or you may not be able to enroll yourself and/or your eligible dependents until our next open enrollment, or a qualifying event occurs. This summary of benefits is not intended to be a complete description of the terms of Providence Engineering, LLC’s insurance benefit plans. Please refer to the plan document(s) for a complete description. Each plan is governed in all respects by the terms of its legal plan document, rather than by this or any other summary of the insurance benefits provided by the plan. In the event of any conflict between a summary of the plan and the official document, the official document will prevail. Although Providence Engineering, LLC maintains its benefit plans on an ongoing basis, Providence Engineering, LLC reserves the right to terminate or amend each plan, in its entirety or in any part at any time. 29
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 and 10: TELEMEDICINE / VIRTUAL VISITS When
Page 11 and 12: HEALTH SAVINGS ACCOUNT CARRIER: Hea
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: DEPENDENT VOLUNTARY CRITICAL ILLNES
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

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