Page 3 - 2020 Stein Mart Benefits Guide - Semi-Monthly
P. 3
BENEFIT INFORMATION
Benefit Eligibility Important Insurance
You are eligible to enroll in Stein Mart's benefits if you are a regular full-
time associate. Terms
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
You may cover eligible dependents. Eligible dependents include: Coinsurance: the
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 dependents. eligible expenses for the
remainder of the plan year
When Coverage Ends: effective January 1, 2020 Network: a group of
providers your plan
Status Changes: Under the Affordable Care Act (ACA), if you are contracts with at
moved to part-time status you may be able to continue medical discounted rates
coverage at the same rates through payroll deduction for the
remainder of the plan year. All other full-time benefits will cease on the In-Network: when you
last day of the pay cycle in which your status is changed. You will be visit an in-network
provider, you will almost
notified by the Stein Mart Benefits Department if you are ACA eligible. always pay less
Employment Separation: Coverage will end on the last day of the
pay cycle in which employment is separated: Out-of-Network: when
Weekly: the Saturday following date of separation you visit an out-of-network
Semi Monthly: either the 15th or last day of month, whichever provider, you may be
comes first, following 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 above your carrier's
coverages include medical, dental, vision and FSA programs. reimbursement amount
Assistant Store Managers, Asset Protection and Loss 2
Prevention and Semi-Monthly Associates For 2020 Benefits
Benefit Eligibility Important Insurance
You are eligible to enroll in Stein Mart's benefits if you are a regular full-
time associate. Terms
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
You may cover eligible dependents. Eligible dependents include: Coinsurance: the
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 dependents. eligible expenses for the
remainder of the plan year
When Coverage Ends: effective January 1, 2020 Network: a group of
providers your plan
Status Changes: Under the Affordable Care Act (ACA), if you are contracts with at
moved to part-time status you may be able to continue medical discounted rates
coverage at the same rates through payroll deduction for the
remainder of the plan year. All other full-time benefits will cease on the In-Network: when you
last day of the pay cycle in which your status is changed. You will be visit an in-network
provider, you will almost
notified by the Stein Mart Benefits Department if you are ACA eligible. always pay less
Employment Separation: Coverage will end on the last day of the
pay cycle in which employment is separated: Out-of-Network: when
Weekly: the Saturday following date of separation you visit an out-of-network
Semi Monthly: either the 15th or last day of month, whichever provider, you may be
comes first, following 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 above your carrier's
coverages include medical, dental, vision and FSA programs. reimbursement amount
Assistant Store Managers, Asset Protection and Loss 2
Prevention and Semi-Monthly Associates For 2020 Benefits
