Page 2 - Franklin Madison 2021 Benefits Guide
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Table of Contents
Introduction ........................ 3
How to Enroll ....................... 4
Important Enrollment Deadlines .......... 5
Making Changes Mid-Year—Life Events ..... 6
Beneits Overview .................... 7
Beneits Eligibility .................... 8
Medical Plan Options .................. 9
Employee Cost of Medical Options ....... 12
Teladoc Service .................... 13
Health Savings Account ............... 14
Prescription Drug Coverage ............ 16
Employee Assistance Program (EAP) ...... 17
Dental Plan Options ................. 19
Employee Cost of Dental Options ........ 20
Vision Plan ........................ 21
Voluntary Beneit Options ............. 22
New—Identity Theft Protection ......... 23
Flexible Spending Accounts ............ 24
This Beneit Guide represents a Summary of Material Modiications to Life Insurance Options ............... 26
the existing Summary Plan Descriptions (“Beneit Summaries”) available
on the online Beneits Portal www.paylocity.com or from your
Human Resources Representative. In addition, this Guide highlights AD&D Options ..................... 28
certain provisions of the welfare beneit plans available to eligible
Franklin Madison employees (and dependents and/or beneiciaries), 401(k) Savings Plan ................. 29
efective January 1, 2021. Complete details are in the respective
Summary Plan Descriptions (“Beneit Summaries”) and plan documents. Contact Information ................. 30
In case of a conlict between the information in this Enrollment Guide
and the wording in either the oicial plan documents or Summary Plan
Descriptions, the plan documents and/or Summary Plan Descriptions
always govern. The Company expects to continue these plans
indeinitely, but reserves the right to terminate, suspend, withdraw,
amend or modify them at any time without prior notice to participants
to the extent permitted by law. Any change, termination of beneits or
increase in costs to participants will be based solely on the decision of
the Company and may apply to active employees, employees on leave
of absence, and former employees with coverage through COBRA.
In addition, the tax treatment of these beneits is subject to change
without notice, as determined by federal, state or local tax authorities.
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Introduction ........................ 3
How to Enroll ....................... 4
Important Enrollment Deadlines .......... 5
Making Changes Mid-Year—Life Events ..... 6
Beneits Overview .................... 7
Beneits Eligibility .................... 8
Medical Plan Options .................. 9
Employee Cost of Medical Options ....... 12
Teladoc Service .................... 13
Health Savings Account ............... 14
Prescription Drug Coverage ............ 16
Employee Assistance Program (EAP) ...... 17
Dental Plan Options ................. 19
Employee Cost of Dental Options ........ 20
Vision Plan ........................ 21
Voluntary Beneit Options ............. 22
New—Identity Theft Protection ......... 23
Flexible Spending Accounts ............ 24
This Beneit Guide represents a Summary of Material Modiications to Life Insurance Options ............... 26
the existing Summary Plan Descriptions (“Beneit Summaries”) available
on the online Beneits Portal www.paylocity.com or from your
Human Resources Representative. In addition, this Guide highlights AD&D Options ..................... 28
certain provisions of the welfare beneit plans available to eligible
Franklin Madison employees (and dependents and/or beneiciaries), 401(k) Savings Plan ................. 29
efective January 1, 2021. Complete details are in the respective
Summary Plan Descriptions (“Beneit Summaries”) and plan documents. Contact Information ................. 30
In case of a conlict between the information in this Enrollment Guide
and the wording in either the oicial plan documents or Summary Plan
Descriptions, the plan documents and/or Summary Plan Descriptions
always govern. The Company expects to continue these plans
indeinitely, but reserves the right to terminate, suspend, withdraw,
amend or modify them at any time without prior notice to participants
to the extent permitted by law. Any change, termination of beneits or
increase in costs to participants will be based solely on the decision of
the Company and may apply to active employees, employees on leave
of absence, and former employees with coverage through COBRA.
In addition, the tax treatment of these beneits is subject to change
without notice, as determined by federal, state or local tax authorities.
2
