Page 6 - Guide
P. 6
2017 Benefits Enrollment





2017 Tobacco Surcharge

As you enroll for your 2017 beneits, you must indicate whether or

not you and your medical plan covered spouse are tobacco users. Your
tobacco attestation will also determine the basis of your critical illness
premium if elected. Tobacco users will pay an additional $46.15 per pay
period for either of the medical plan options. If you and your covered
spouse do not use tobacco you will save $1,200 per year in premium!


If you and/or your covered spouse indicate you do not use tobacco, you
and/or your covered spouse,will be required to complete a cotinine test
between now and December 16, 2016 in order to receive the discounted
medical plan premiums.


If you and/or your covered spouse are currently tobacco users you will
be subject to the tobacco surcharge, however; you and/or your covered
spouse will be provided the opportunity to complete an 8-week tobacco
cessation program which is provided at no cost. An announcement
will be made after the irst of the year with the dates and times of the

tobacco cessation classes. If you and/or your covered spouse complete
the program by June 30, 2017, you will receive a one-time reimbursement
for the January through June tobacco surcharge paid, and you will pay the
discounted medical premium for the remainder of the plan year.


If you do not complete the tobacco cessation program by the June 30,
2017 deadline, you will not be permitted to qualify for the discounted
medical premium until the 2018 annual enrollment period.


If you and/or your covered spouse begin to use tobacco products after
the irst of the year, you must notify Human Resources and you will begin
to pay the tobacco surcharge the following pay period. Franke reserves
the right to test for cotinine if there is “reasonable suspicion” including
observation or reporting by others. An inaccurate representation of

your tobacco status is a violation of company policy and may result in
collection of the applicable premium surcharge by the plan, cancellation
of your medical coverage under the terms of the plan, and/or disciplinary
action up to and including termination of your employment.




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