Page 8 - Great Circle 2021 Benefits Guide
P. 8
Wellness Medical and Rx
We are happy to provide the opportunity to earn Contributions
a wellness premium discount again this year. Your
health is important and Great Circle wants to reward Your Per Pay Your Per Pay
you for taking steps toward a healthier life. For 2021 Medical Plan 1 Period Premium Period Premium
Without
we have three ways to engage in our wellness program With Wellness Wellness
and earn a wellness premium discount for your health Employee Only $97 .19 $122 .19
insurance coverage. Employee + Spouse $318 .37 $343 .37
Employee + Child(ren) $244 .90 $269 .90
A Note About Privacy Employee + Family $485 .14 $510 .14
Your Per Pay
Your Per Pay
Your privacy is very important to us. Your Medical Plan 2 Period Premium Period Premium
participation in our wellness program is truly private. With Wellness Without
Wellness
For reporting purposes to ensure you receive your Employee Only $45 .53 $70 .53
discount, one administrator receives a notiication Employee + Spouse $163 .89 $188 .89
that you completed logging your participation Employee + Child(ren) $122 .91 $147 .91
but not the speciic details about your log or the Employee + Family $249 .71 $274 .71
information entered.
Your Per Pay Your Per Pay
Medical Plan 3 Period Premium Period Premium
Wellness Program Details With Wellness Without
Wellness
Step 1: Complete video and answer the questions Employee Only $25 .29 $50 .29
in the LMS365 System before August 1, 2021 Employee + Spouse $120 .94 $145 .94
Step 2: Attend biometric screening event on Employee + Child(ren) $91 .03 $116 .03
campus in May 2021 Employee + Family $184 .29 $209 .29
Step 3: Complete activity in the LMS365 System
before August 1, 2021
8
We are happy to provide the opportunity to earn Contributions
a wellness premium discount again this year. Your
health is important and Great Circle wants to reward Your Per Pay Your Per Pay
you for taking steps toward a healthier life. For 2021 Medical Plan 1 Period Premium Period Premium
Without
we have three ways to engage in our wellness program With Wellness Wellness
and earn a wellness premium discount for your health Employee Only $97 .19 $122 .19
insurance coverage. Employee + Spouse $318 .37 $343 .37
Employee + Child(ren) $244 .90 $269 .90
A Note About Privacy Employee + Family $485 .14 $510 .14
Your Per Pay
Your Per Pay
Your privacy is very important to us. Your Medical Plan 2 Period Premium Period Premium
participation in our wellness program is truly private. With Wellness Without
Wellness
For reporting purposes to ensure you receive your Employee Only $45 .53 $70 .53
discount, one administrator receives a notiication Employee + Spouse $163 .89 $188 .89
that you completed logging your participation Employee + Child(ren) $122 .91 $147 .91
but not the speciic details about your log or the Employee + Family $249 .71 $274 .71
information entered.
Your Per Pay Your Per Pay
Medical Plan 3 Period Premium Period Premium
Wellness Program Details With Wellness Without
Wellness
Step 1: Complete video and answer the questions Employee Only $25 .29 $50 .29
in the LMS365 System before August 1, 2021 Employee + Spouse $120 .94 $145 .94
Step 2: Attend biometric screening event on Employee + Child(ren) $91 .03 $116 .03
campus in May 2021 Employee + Family $184 .29 $209 .29
Step 3: Complete activity in the LMS365 System
before August 1, 2021
8
