Page 3 - Harvard Maintenance HPS Field Ops 2022 Benefits Guide
P. 3
Calendar Year 2022
Benefits Enrollment
Summary of Benefits
Carrier/Vendor Beneits Program Tier Level Deinition
Reliance Minimum Essential Employee Only Fully insured limited medical plan .
Standard Coverage (MEC) Employee + Spouse
Employee + 1 child
Employee + Children
Family
Cigna Dental Employee Only Dental program for you and your family .
Employee + Spouse
Employee + Child(ren)
Family
Cigna Vision Employee Only Vision program for you and your family .
Employee + Spouse
Employee + Child(ren)
Family
Guardian Short term disability Employee Only Participant receives 60% of annual salary
while out on disability . Maximum payment of
beneit is 12 weeks within a 12-month period
on disability .
MetLife Accident expense Employee Only Beneit provided to participant due to an
Employee + Spouse accident resulting from non-professional
Employee + Child(ren) organized or scholastic sports activity .
Family
MetLife Critical illness Employee Only Beneit payment provided to participant for
Employee + Spouse speciic critical illness.
Employee + Child(ren)
Family
PayFlex FSA Transit parking Employee Only Programs for participants to save money to
use for eligible out-of-pocket costs. 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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Benefits Enrollment
Summary of Benefits
Carrier/Vendor Beneits Program Tier Level Deinition
Reliance Minimum Essential Employee Only Fully insured limited medical plan .
Standard Coverage (MEC) Employee + Spouse
Employee + 1 child
Employee + Children
Family
Cigna Dental Employee Only Dental program for you and your family .
Employee + Spouse
Employee + Child(ren)
Family
Cigna Vision Employee Only Vision program for you and your family .
Employee + Spouse
Employee + Child(ren)
Family
Guardian Short term disability Employee Only Participant receives 60% of annual salary
while out on disability . Maximum payment of
beneit is 12 weeks within a 12-month period
on disability .
MetLife Accident expense Employee Only Beneit provided to participant due to an
Employee + Spouse accident resulting from non-professional
Employee + Child(ren) organized or scholastic sports activity .
Family
MetLife Critical illness Employee Only Beneit payment provided to participant for
Employee + Spouse speciic critical illness.
Employee + Child(ren)
Family
PayFlex FSA Transit parking Employee Only Programs for participants to save money to
use for eligible out-of-pocket costs. 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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