Page 3 - Polyventive 2022 Benefits Guide
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2022 Benefits Guide
Welcome to 2022 Benefits



Polyventive, LLC is committed to providing you access to quality and afordable healthcare now and for years
to come. We work diligently every year to provide you and your family the best beneits for the best cost.
Please take time to review this summary.

2022 Benefit Overview Who is Eligible

■ Medical and Prescription Drug Coverage: ■ All regular full-time Employees working a

■ Medical and Prescription coverage will be minimum of 30 or more hours per week;
provided by Aetna this excludes part-time, temporary and
■ Employees and their dependents have a seasonal workers

choice of two plan options ■ Dependents are covered to age 26
■ Dental Coverage: New Hires

■ Dental coverage will be provided by Aetna New hires are eligible for health beneits on the irst
■ Employees and their dependents have the day of the month following 30 days of employment.
choice of two plans: Core and Buy-Up New hires have 30 days to elect beneits; however,

■ Vision Coverage: it is strongly encouraged that all new hires choose
■ Vision coverage will be provided by EyeMed their beneits within the irst week of employment.

■ The vision coverage is voluntary Qualifying Life Events
■ This is an Employee paid beneit The IRS requires that the beneit elections made

■ Employer Paid Beneits either during annual enrollment or during your

■ Basic Term Life and AD&D new hire enrollment window remain in place for
■ Employee Assistance Program (EAP) the entire year, unless you experience an IRS‑

■ Health Savings Account Access deined qualifying life event. A qualifying life
event allows you to make a corresponding change
■ Short Term Disability to your elections within 30 days of the event.

■ Voluntary Employee Beneits: Documentation of the qualifying life event may
■ Anthem Accident Coverage be required.

■ Anthem Voluntary Term Life and AD&D ■ Marriage
■ Anthem Critical Illness ■ Divorce

■ Anthem Voluntary Long Term Disability ■ Legal Separation
■ Birth, adoption, or placement for adoption

■ Death of spouse or dependent
■ Change in eligibility, residency, employment








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