Page 4 - 2020 Stein Mart Benefits
P. 4
BENEFIT INFORMATION
Benefit Eligibility
Important Insurance
Terms You are eligible to enroll in Stein Mart's benefits if you are a regular full-
time associate.
Deductible: the amount A full-time associate is someone who works at least 30 hours per week. All
of money you are
responsible for paying up full-time associates are included in ongoing Benefit Audits to determine
front before insurance and monitor hours worked for eligibility.
shares your costs
Covering Your Family Members
Coinsurance: the
percentage you pay for You may cover eligible dependents. Eligible dependents include:
service(s) after the Spouse: under a legally valid existing marriage as per your state of
deductible is met; on both residence, not including a common-law spouse
medical plans, your in- Children: up to age 26 (natural, adopted, step-children, or children
network responsibility is obtained through court-appointed legal guardianship)
20%
Children age 26 or older who is or becomes disabled and dependent
Copay: a set dollar upon you due to being physically or mentally incapable of self-
amount you pay for support
certain services Any other child whom Stein Mart is required to provide coverage
Out-of-Pocket Max: the through a Qualified Medical Support Order
maximum amount you
could pay during the plan Eligibility Documentation
year; once you reach this Please be prepared to provide formal documents as proof of dependent
limit, the plan covers all status. This is required during enrollment in order to gain coverage for your
eligible expenses for the eligible dependents.
remainder of the plan year
Network: a group of When Coverage Ends
providers your plan
contracts with at Status Changes: Under the Affordable Care Act (ACA), if you are
discounted rates moved to part-time status you may be able to continue medical
coverage at the same rates through payroll deduction for the
In-Network: when you
visit an in-network remainder of the plan year. All other full-time benefits will cease on the
provider, you will almost last day of the pay cycle in which your status is changed. You will be
always pay less notified by the Stein Mart Benefits Department if you are ACA eligible.
Employment Separation: Coverage will end on the last day of the
Out-of-Network: when pay cycle in which employment is separated:
you visit an out-of-network Weekly: the Saturday following date of separation
provider, you may be Semi Monthly: either the 15th or last day of month, whichever
balance billed, which comes first, following date of separation
means you will be COBRA: If any eligible coverage ends, you will receive election
responsible for charges paperwork from Discovery Benefits with the opportunity to continue
above your carrier's health insurance coverage through COBRA. COBRA eligible
reimbursement amount coverages include medical, dental, vision and FSA programs.
Assistant Store Managers, Asset Protection and Loss 2
Prevention and Semi-Monthly Associates For 2020 Benefits
Benefit Eligibility
Important Insurance
Terms You are eligible to enroll in Stein Mart's benefits if you are a regular full-
time associate.
Deductible: the amount A full-time associate is someone who works at least 30 hours per week. All
of money you are
responsible for paying up full-time associates are included in ongoing Benefit Audits to determine
front before insurance and monitor hours worked for eligibility.
shares your costs
Covering Your Family Members
Coinsurance: the
percentage you pay for You may cover eligible dependents. Eligible dependents include:
service(s) after the Spouse: under a legally valid existing marriage as per your state of
deductible is met; on both residence, not including a common-law spouse
medical plans, your in- Children: up to age 26 (natural, adopted, step-children, or children
network responsibility is obtained through court-appointed legal guardianship)
20%
Children age 26 or older who is or becomes disabled and dependent
Copay: a set dollar upon you due to being physically or mentally incapable of self-
amount you pay for support
certain services Any other child whom Stein Mart is required to provide coverage
Out-of-Pocket Max: the through a Qualified Medical Support Order
maximum amount you
could pay during the plan Eligibility Documentation
year; once you reach this Please be prepared to provide formal documents as proof of dependent
limit, the plan covers all status. This is required during enrollment in order to gain coverage for your
eligible expenses for the eligible dependents.
remainder of the plan year
Network: a group of When Coverage Ends
providers your plan
contracts with at Status Changes: Under the Affordable Care Act (ACA), if you are
discounted rates moved to part-time status you may be able to continue medical
coverage at the same rates through payroll deduction for the
In-Network: when you
visit an in-network remainder of the plan year. All other full-time benefits will cease on the
provider, you will almost last day of the pay cycle in which your status is changed. You will be
always pay less notified by the Stein Mart Benefits Department if you are ACA eligible.
Employment Separation: Coverage will end on the last day of the
Out-of-Network: when pay cycle in which employment is separated:
you visit an out-of-network Weekly: the Saturday following date of separation
provider, you may be Semi Monthly: either the 15th or last day of month, whichever
balance billed, which comes first, following date of separation
means you will be COBRA: If any eligible coverage ends, you will receive election
responsible for charges paperwork from Discovery Benefits with the opportunity to continue
above your carrier's health insurance coverage through COBRA. COBRA eligible
reimbursement amount coverages include medical, dental, vision and FSA programs.
Assistant Store Managers, Asset Protection and Loss 2
Prevention and Semi-Monthly Associates For 2020 Benefits
