2015 Employee Benefits Summary Healthcare Plans The healthcare plans described below are available to employees and their eligible family members. Required contributions are made through payroll deductions on a pre-tax basis. Medical Benefits Feature (in-network/preferred) BluePreferred PPO (CareFirst) BlueChoice HMO (CareFirst) Kaiser HMO PPO HMO HMO Plan Type Deductible (single/with dependents) $400/$1,200 None None Primary Care or Specialist $30 copay (no deductible) $20 PCP/$35 specialist copay $20 PCP/$35 specialist copay Urgent Care $30 copay (no deductible) $35 copay $35 copay Emergency Room $150 copay, then 80% covered (copay waived if admitted) $150 copay (waived if admitted) $150 copay (waived if admitted) Inpatient Care 80% covered $500 per admission $500 per admission Diagnostic services (e.g., lab, X-ray) 80% covered No charge No charge $2,500/$5,000 Medical $3,500/$7,000 Prescriptions $1,000/$2,000 Medical $4,500/$9,000 Prescriptions $3,500/$9,400 Co-insurance Annual Out –of-Pocket Maximum (single/family) Prescriptions 34 day/90 day 34 day/90 day Plan pharmacy & Mail/ Participating Pharmacy Tier 1 (generic) $10/$20 $10/$20 $15/$20 generic Tier 2 (preferred brand) $30/$60 $35/$70 $35/$55 preferred brand Tier 3 (non-preferred brand) $50/$100 $55/$110 $55/$75 non-preferred brand Specialty Follows tier, except for selfinjectables (50% up to $75/$150 cap) Follows tier, except for selfinjectables (50% up to $75/$150 cap) Dental Benefits Eagle Alliance Dental Plan In-Network Out-of-Network $50/$150 $75/$225 Preventive Care 80% (no deductible) 60% (no deductible) Basic Procedures 80% 60% Major Procedures 50% 30% Annual Maximum Benefits (per covered life) $1,500 $1,000 Orthodontic (children only) Lifetime maximum 50% $1,000 30% $500 Deductible (single/with dependents) Follows tier Vision Benefits: This optional employee-paid plan offers vision benefits including an annual examination after a $10 copay and lenses after a $20 copay; select frames every two years covered at 100%. Discounts available on other eyewear options (e.g., tints). Life Insurance: Eagle Alliance provides employees Basic Life Insurance equal to Base Annual Earnings (BAE). Employees may purchase Supplemental Life Insurance of 1 – 5x BAE. Accidental Death & Dismemberment Insurance (AD&D): Eagle Alliance provides employees Basic AD&D Insurance equal to Base Annual Earnings (BAE). Employees may purchase Supplemental AD&D Insurance of 1 – 5x BAE. Dependent Life Insurance: This optional post-tax employee-paid plan offers up to $100,000 life insurance for your spouse/same-sex partner and up to $25,000 for your dependent children. Disability Income Protection: Eagle Alliance offers optional Short- and Long-Term Disability plans that provide income protection in the event of total disability. These optional post-tax plans pay up to 60% of your base salary, tax-free, to a maximum benefit of $15,000 per month, less income from other sources (Workers’ Compensation, State Disability, and Social Security payments, or benefits from any companysponsored plan, etc.). Business Travel Accident Insurance: All employees are covered for accidental death or dismemberment while on authorized business travel. The benefit for each employee is 3x Base Annual Earnings to plan maximums. Flexible Spending Accounts (FSA): There are two types of FSAs (See IRS Publication 969): A Health Care FSA lets you set aside your money on a pre-tax basis to reimburse yourself for qualified medical expenses that are not reimbursed through any healthcare plan (e.g., medical, prescription drug, dental, vision). The 2015 annual contribution limit for a Health Care FSA is $2,500. A Dependent Care FSA lets you set aside your money on a pre-tax basis to reimburse yourself for qualified dependent care expenses that are necessary to allow you and your spouse (if applicable) to work or look for work. The 2015 annual contribution limit for the Dependent Care FSA is $2,500 if you file taxes separately, $5,000 if you are a single parent or file taxes jointly. Once you enroll in an FSA you cannot change your elections unless you have a qualified change in status (such as a birth or marriage) during the plan year. Benefits as of 1/1/2015 Match Asset Plan (MAP): You are eligible to join the CSC Matched Asset Plan, CSC’s 401(k) retirement savings plan, if you are at least 21 years of age. From 1% to 50% of your eligible compensation (base pay and commissions, subject to IRS limits) may be invested on a pre-tax payroll deduction basis in various investment options. CSC will match 50% of your employee contributions to the plan, up to 6% of your eligible compensation. CSC’s matching contribution is made on an annual basis. You are 100% vested in the company match after 1 year of service. Vacation: Vacation entitlement increases with years of service according to the following schedule: Years of Service Vacation Accrued First year to third anniversary: 13 days per year Third year to fifteenth anniversary: 20 days per year Fifteenth anniversary and beyond: 26 days per year Vacation may be accrued up to a maximum of 240 hours. Holidays: Ten paid holidays per year. Sick Leave: You may accrue a maximum of 13 days of sick leave per year. Any unused sick leave may be carried forward to the next year without any limit. LifeManagement Program: This company-paid service enables Eagle Alliance employees and their eligible dependents to receive help from qualified professionals to deal more effectively with work-life problems that may impact job performance. Work-life specialists can assist with a broad range of issues such as personal counseling, adult/elder care, child care, tobacco cessation, legal, financial, crisis management and more. Educational Assistance: You may receive reimbursement of tuition, registration, and laboratory fees for approved courses upon their successful completion. Relocation Assistance: Allowances are provided for those who are eligible. Credit Union: Membership in the CSC Employees Federal Credit Union is available to Eagle Alliance employees and their families. This summarizes certain Eagle Alliance benefits. It is not intended to confer contractual rights of any kind upon any employee, or to create contractual obligations of any kind for Eagle Alliance. Eagle Alliance may elect to maintain these benefits and policies indefinitely. However, for any reason it believes as necessary or appropriate Eagle Alliance may, in its sole discretion and with or without notice, supplement, revise, amend, discontinue or terminate its policies, procedures, practices, plans.
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