Page 3 - Harvard Maintenance HSS 2022 Benefits Guide
P. 3
Calendar Year 2022
Benefits Enrollment
Summary of Benefits
Carrier/Vendor Beneits Program Tier Level Deinition
Cigna Medical PPO Employee only The medical program is fully insured and ACA
Employee + spouse approved . The program has major medical,
Employee + child(ren) hospitalization, and prescription . Participant is able
Family to enroll dependents up to family coverage .
Cigna Medical HDHP Employee only The medical program is fully insured and ACA
Employee + spouse approved . The program has major medical,
Employee + child(ren) hospitalization, and prescription . Participant is able
Family to enroll dependents up to family coverage .
Cigna Dental Employee only Company pays 100% of the premium for this dental
Employee + spouse plan . Eligible employees must actively enroll in
Employee + child(ren) beneit.
Family
Cigna Vision Employee only Vision program for employee and family .
Employee + spouse
Employee + child(ren)
Family
MetLife Basic life and AD&D Employee only Life and AD&D insurance is 100% by Harvard .
Long term disability All eligible participants are automatically enrolled .
Optional long term disability program .
MetLife Voluntary term life Employee only Optional supplemental life insurance program .
insurance Spouse
Child(ren)
Guardian Short term disability Employee only Participant receives 60% of annual salary while out
on disability. Maximum payment of beneit is 24
weeks within a 12-month period on disability .
MetLife Accident insurance Employee only This plan is designed to pay cash directly to you,
Employee + spouse the employee . This additional cash support can
Employee + child(ren) be used to help pay any out-of-pocket expenses
Family related to the injury .
MetLife Critical illness Employee only Beneit payment provided to participant for speciic
Employee + spouse critical illness .
Employee + child(ren)
Family
PayFlex FSA Healthcare Employee only Programs for participants to save money to use for
Dependent care eligible out-of-pocket costs . Funds are saved as
Transit pre-tax money .
Parking
PayFlex HSA Health savings account Employee’s HDHP Plan Medical savings plan to use for out-of-pocket cost .
Funds are saved as pre-tax money .
The above information is a summary only. Please refer to your evidence of coverage for complete details of plan beneits, limitations, and exclusions.
3
Benefits Enrollment
Summary of Benefits
Carrier/Vendor Beneits Program Tier Level Deinition
Cigna Medical PPO Employee only The medical program is fully insured and ACA
Employee + spouse approved . The program has major medical,
Employee + child(ren) hospitalization, and prescription . Participant is able
Family to enroll dependents up to family coverage .
Cigna Medical HDHP Employee only The medical program is fully insured and ACA
Employee + spouse approved . The program has major medical,
Employee + child(ren) hospitalization, and prescription . Participant is able
Family to enroll dependents up to family coverage .
Cigna Dental Employee only Company pays 100% of the premium for this dental
Employee + spouse plan . Eligible employees must actively enroll in
Employee + child(ren) beneit.
Family
Cigna Vision Employee only Vision program for employee and family .
Employee + spouse
Employee + child(ren)
Family
MetLife Basic life and AD&D Employee only Life and AD&D insurance is 100% by Harvard .
Long term disability All eligible participants are automatically enrolled .
Optional long term disability program .
MetLife Voluntary term life Employee only Optional supplemental life insurance program .
insurance Spouse
Child(ren)
Guardian Short term disability Employee only Participant receives 60% of annual salary while out
on disability. Maximum payment of beneit is 24
weeks within a 12-month period on disability .
MetLife Accident insurance Employee only This plan is designed to pay cash directly to you,
Employee + spouse the employee . This additional cash support can
Employee + child(ren) be used to help pay any out-of-pocket expenses
Family related to the injury .
MetLife Critical illness Employee only Beneit payment provided to participant for speciic
Employee + spouse critical illness .
Employee + child(ren)
Family
PayFlex FSA Healthcare Employee only Programs for participants to save money to use for
Dependent care eligible out-of-pocket costs . Funds are saved as
Transit pre-tax money .
Parking
PayFlex HSA Health savings account Employee’s HDHP Plan Medical savings plan to use for out-of-pocket cost .
Funds are saved as pre-tax money .
The above information is a summary only. Please refer to your evidence of coverage for complete details of plan beneits, limitations, and exclusions.
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