Page 3 - 2020 Stein Mart Benefits Guide - Weekly
P. 3
BENEFIT INFORMATION
Benefit Eligibility Important Insurance
You are eligible to enroll in Stein Mart's benefits if you are a regular full- Terms
time associate.
Deductible: the amount
A full-time associate is someone who works at least 30 hours per week. All of money you are
full-time associates are included in ongoing Benefit Audits to determine responsible for paying up
and monitor hours worked for eligibility. front before insurance
shares your costs
Covering Your Family Members Coinsurance: the
You may cover eligible dependents. Eligible dependents include: percentage you pay for
Spouse: under a legally valid existing marriage as per your state of service(s) after the
residence, not including a common-law spouse deductible is met; on both
Children: up to age 26 (natural, adopted, step-children, or children medical plans, your in-
obtained through court-appointed legal guardianship) network responsibility is
Children age 26 or older who is or becomes disabled and dependent 20%
upon you due to being physically or mentally incapable of self- Copay: a set dollar
support amount you pay for
Any other child whom Stein Mart is required to provide coverage certain services
through a Qualified Medical Support Order Out-of-Pocket Max: the
maximum amount you
Eligibility Documentation could pay during the plan
Please be prepared to provide formal documents as proof of dependent year; once you reach this
status. This is required during enrollment in order to gain coverage for your limit, the plan covers all
eligible expenses for the
eligible dependents. remainder of the plan year
Network: a group of
providers your plan
When Coverage Ends: effective January 1, 2020 contracts with at
discounted rates
Status Changes: Under the Affordable Care Act (ACA), if you are
moved to part-time status you may be able to continue medical In-Network: when you
coverage at the same rates through payroll deduction for the remainder visit an in-network
of the plan year. All other full-time benefits will cease on the Saturday provider, you will almost
following the date of the status change. You will be notified by the Stein always pay less
Mart Benefits Department if you are ACA eligible.
Employment Separation: If you separate from Stein Mart after Out-of-Network: when
January 1, 2020, your coverage will end on the Saturday following your you visit an out-of-network
provider, you may be
date of separation. balance billed, which
COBRA: If any eligible coverage ends, you will receive election means you will be
paperwork from Discovery Benefits with the opportunity to continue responsible for charges
health insurance coverage through COBRA. COBRA eligible coverages above your carrier's
include medical, dental, vision and FSA programs. reimbursement amount
Weekly Store and Weekly Corporate Associates 2
Department Merchandise Managers For 2020 Benefits
Benefit Eligibility Important Insurance
You are eligible to enroll in Stein Mart's benefits if you are a regular full- Terms
time associate.
Deductible: the amount
A full-time associate is someone who works at least 30 hours per week. All of money you are
full-time associates are included in ongoing Benefit Audits to determine responsible for paying up
and monitor hours worked for eligibility. front before insurance
shares your costs
Covering Your Family Members Coinsurance: the
You may cover eligible dependents. Eligible dependents include: percentage you pay for
Spouse: under a legally valid existing marriage as per your state of service(s) after the
residence, not including a common-law spouse deductible is met; on both
Children: up to age 26 (natural, adopted, step-children, or children medical plans, your in-
obtained through court-appointed legal guardianship) network responsibility is
Children age 26 or older who is or becomes disabled and dependent 20%
upon you due to being physically or mentally incapable of self- Copay: a set dollar
support amount you pay for
Any other child whom Stein Mart is required to provide coverage certain services
through a Qualified Medical Support Order Out-of-Pocket Max: the
maximum amount you
Eligibility Documentation could pay during the plan
Please be prepared to provide formal documents as proof of dependent year; once you reach this
status. This is required during enrollment in order to gain coverage for your limit, the plan covers all
eligible expenses for the
eligible dependents. remainder of the plan year
Network: a group of
providers your plan
When Coverage Ends: effective January 1, 2020 contracts with at
discounted rates
Status Changes: Under the Affordable Care Act (ACA), if you are
moved to part-time status you may be able to continue medical In-Network: when you
coverage at the same rates through payroll deduction for the remainder visit an in-network
of the plan year. All other full-time benefits will cease on the Saturday provider, you will almost
following the date of the status change. You will be notified by the Stein always pay less
Mart Benefits Department if you are ACA eligible.
Employment Separation: If you separate from Stein Mart after Out-of-Network: when
January 1, 2020, your coverage will end on the Saturday following your you visit an out-of-network
provider, you may be
date of separation. balance billed, which
COBRA: If any eligible coverage ends, you will receive election means you will be
paperwork from Discovery Benefits with the opportunity to continue responsible for charges
health insurance coverage through COBRA. COBRA eligible coverages above your carrier's
include medical, dental, vision and FSA programs. reimbursement amount
Weekly Store and Weekly Corporate Associates 2
Department Merchandise Managers For 2020 Benefits
