Page 4 - 2020 Stein Mart Weekly Benefits
P. 4
BENEFIT INFORMATION
Important Insurance Benefit Eligibility
Terms You are eligible to enroll in Stein Mart's benefits if you are a regular full-
time associate.
Deductible: the amount
of money you are A full-time associate is someone who works at least 30 hours per week. All
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
eligible expenses for the status. This is required during enrollment in order to gain coverage for your
remainder of the plan year eligible dependents.
Network: a group of
providers your plan
contracts with at When Coverage Ends
discounted rates
Status Changes: Under the Affordable Care Act (ACA), if you are
In-Network: when you moved to part-time status you may be able to continue medical
visit an in-network coverage at the same rates through payroll deduction for the remainder
provider, you will almost of the plan year. All other full-time benefits will cease on the Saturday
always pay less following the date of the status change. You will be notified by the Stein
Mart Benefits Department if you are ACA eligible.
Out-of-Network: when
you visit an out-of-network Employment Separation: If you separate from Stein Mart after
provider, you may be January 1, 2020, your coverage will end on the Saturday following your
balance billed, which 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 coverages
reimbursement amount include medical, dental, vision and FSA programs.
Weekly Store and Weekly Corporate Associates 2
Department Merchandise Managers For 2020 Benefits
Important Insurance Benefit Eligibility
Terms You are eligible to enroll in Stein Mart's benefits if you are a regular full-
time associate.
Deductible: the amount
of money you are A full-time associate is someone who works at least 30 hours per week. All
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
eligible expenses for the status. This is required during enrollment in order to gain coverage for your
remainder of the plan year eligible dependents.
Network: a group of
providers your plan
contracts with at When Coverage Ends
discounted rates
Status Changes: Under the Affordable Care Act (ACA), if you are
In-Network: when you moved to part-time status you may be able to continue medical
visit an in-network coverage at the same rates through payroll deduction for the remainder
provider, you will almost of the plan year. All other full-time benefits will cease on the Saturday
always pay less following the date of the status change. You will be notified by the Stein
Mart Benefits Department if you are ACA eligible.
Out-of-Network: when
you visit an out-of-network Employment Separation: If you separate from Stein Mart after
provider, you may be January 1, 2020, your coverage will end on the Saturday following your
balance billed, which 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 coverages
reimbursement amount include medical, dental, vision and FSA programs.
Weekly Store and Weekly Corporate Associates 2
Department Merchandise Managers For 2020 Benefits
