Page 3 - HIMSS 2021 Benefits At A Glance
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VISION PLAN LIFE AND ACCIDENTAL
You may elect vision care coverage through EyeMed, which provides DEATH & DISMEMBERMENT
quality vision care nationwide.
VISION PLAN (AD&D) INSURANCE
PARTICIPATING NON-PARTICIPATING To make sure you have financial protection, HIMSS offers several
PROVIDER PROVIDER different types of Life and AD&D insurance.
YOU PAY REIMBURSEMENT • Basic Life Insurance: HIMSS provides basic Life and AD&D
COST insurance in the amount of one times your annual salary
Exam $10 Up to $35 ($50,000 minimum/$350,000 maximum) at no cost.
Contact Lens Coverage is automatic.
Evaluation & $40 N/A • Voluntary Life Insurance: You can also purchase additional
Fitting Life and AD&D insurance for yourself and your eligible
COVERED SERVICES – LENSES AND FRAMES dependents. You may be required to provide proof of good
health – also referred to as Evidence of Insurability (EOI).
Single Lenses $10 copay Up to $25
Bifocals $10 copay Up to $40
Trifocals $10 copay Up to $60
80% of balance over DISABILITY INSURANCE
Frames Up to $48
$120 allowance
COVERED SERVICES – CONTACTS IN LIEU OF FRAMES/LENSES The company provides eligible employees with disability income
Contacts – benefits at no cost as shown below. Coverage is automatic.
Medically $0 Up to $200 Short-Term Disability:
Necessary • 70% of your weekly earnings to a $2,000 maximum
Contacts 15% of balance over Up to $95 for 13 weeks.
– Elective $135 allowance • Benefit begins after 7 days of disability.
BENEFIT FREQUENCY Long-Term Disability
Exams Once every 12 months • 60% of your monthly earnings to a $10,000 maximum.
Lenses Once every 12 months • Benefit begins after 90 days of disability.
Frames Once every 24 months
FLEXIBLE SPENDING ACCOUNTS (FSA)
Flexible Spending Accounts (FSAs) allow you to pay for eligible expenses using tax-free dollars. There are four types of FSAs — the
Healthcare FSA, the Limited Purpose FSA, Dependent Care FSA and Commuter Benefits Program.
HEALTHCARE LIMITED PURPOSE DEPENDENT CARE
Contribute up to $2,750 per year, pretax. Contribute up to $2,750 per year, pretax. Contribute up to $5,000 per year, pretax, or
$2,500 if married and filing separate tax returns.
Eligible expenses include most medical, Available to those with an HSA. Eligible Use for eligible dependent care expenses for
dental and vision expenses that are expenses include most dental and vision children to age 13 including day care and after-
not covered by your health plan. If you care expenses. school programs, as well as elder care programs.
have an HSA, you are not eligible for the
Healthcare FSA.
You elections are effective from January 1 through December 31. You may carry over You elections are effective from January 1
$500 in unused funds to the following plan year. Any money remaining in your FSA through December 31. Any money remaining in
over $500 as of March 31, 2022 will be forfeited per IRS regulations. your FSA as of March 31, 2022 will be forfeited
per IRS regulations (there is no carry over).
COMMUTER BENEFITS ACCOUNT USE FOR CONTRIBUTIONS
PROGRAM
Transportation or Monthly passes, tokens, fare cards/vouchers $270 monthly
Use pretax dollars to pay for your Public Transit (transit and vanpool expenses) for you. maximum
parking or public transportation
expenses while commuting to
work. Any unused funds in any Fees associated with parking at or near your
month are rolled over to the next Parking place of employment, or parking at or near $270 monthly
month’s contribution. public transportation to get to work (e.g., maximum
parking at a bus or subway station)
3
You may elect vision care coverage through EyeMed, which provides DEATH & DISMEMBERMENT
quality vision care nationwide.
VISION PLAN (AD&D) INSURANCE
PARTICIPATING NON-PARTICIPATING To make sure you have financial protection, HIMSS offers several
PROVIDER PROVIDER different types of Life and AD&D insurance.
YOU PAY REIMBURSEMENT • Basic Life Insurance: HIMSS provides basic Life and AD&D
COST insurance in the amount of one times your annual salary
Exam $10 Up to $35 ($50,000 minimum/$350,000 maximum) at no cost.
Contact Lens Coverage is automatic.
Evaluation & $40 N/A • Voluntary Life Insurance: You can also purchase additional
Fitting Life and AD&D insurance for yourself and your eligible
COVERED SERVICES – LENSES AND FRAMES dependents. You may be required to provide proof of good
health – also referred to as Evidence of Insurability (EOI).
Single Lenses $10 copay Up to $25
Bifocals $10 copay Up to $40
Trifocals $10 copay Up to $60
80% of balance over DISABILITY INSURANCE
Frames Up to $48
$120 allowance
COVERED SERVICES – CONTACTS IN LIEU OF FRAMES/LENSES The company provides eligible employees with disability income
Contacts – benefits at no cost as shown below. Coverage is automatic.
Medically $0 Up to $200 Short-Term Disability:
Necessary • 70% of your weekly earnings to a $2,000 maximum
Contacts 15% of balance over Up to $95 for 13 weeks.
– Elective $135 allowance • Benefit begins after 7 days of disability.
BENEFIT FREQUENCY Long-Term Disability
Exams Once every 12 months • 60% of your monthly earnings to a $10,000 maximum.
Lenses Once every 12 months • Benefit begins after 90 days of disability.
Frames Once every 24 months
FLEXIBLE SPENDING ACCOUNTS (FSA)
Flexible Spending Accounts (FSAs) allow you to pay for eligible expenses using tax-free dollars. There are four types of FSAs — the
Healthcare FSA, the Limited Purpose FSA, Dependent Care FSA and Commuter Benefits Program.
HEALTHCARE LIMITED PURPOSE DEPENDENT CARE
Contribute up to $2,750 per year, pretax. Contribute up to $2,750 per year, pretax. Contribute up to $5,000 per year, pretax, or
$2,500 if married and filing separate tax returns.
Eligible expenses include most medical, Available to those with an HSA. Eligible Use for eligible dependent care expenses for
dental and vision expenses that are expenses include most dental and vision children to age 13 including day care and after-
not covered by your health plan. If you care expenses. school programs, as well as elder care programs.
have an HSA, you are not eligible for the
Healthcare FSA.
You elections are effective from January 1 through December 31. You may carry over You elections are effective from January 1
$500 in unused funds to the following plan year. Any money remaining in your FSA through December 31. Any money remaining in
over $500 as of March 31, 2022 will be forfeited per IRS regulations. your FSA as of March 31, 2022 will be forfeited
per IRS regulations (there is no carry over).
COMMUTER BENEFITS ACCOUNT USE FOR CONTRIBUTIONS
PROGRAM
Transportation or Monthly passes, tokens, fare cards/vouchers $270 monthly
Use pretax dollars to pay for your Public Transit (transit and vanpool expenses) for you. maximum
parking or public transportation
expenses while commuting to
work. Any unused funds in any Fees associated with parking at or near your
month are rolled over to the next Parking place of employment, or parking at or near $270 monthly
month’s contribution. public transportation to get to work (e.g., maximum
parking at a bus or subway station)
3
