Page 15 - Great Circle 2022 Benefits Guide
P. 15
2022
Benefits Guide
Critical Illness Accident Coverage
Critical illness coverage is designed to help you Accident coverage pays a beneit to you for a
ofset the inancial efects of a catastrophic illness speciic covered accident to help you cover the
with a lump sum beneit if you or a loved one are healthcare costs associated with that non-work
diagnosed with a covered critical illness. The critical related accident although you may choose to spend
illness beneit is based on the amount of coverage your beneit however you would like. A full list
in efect on the date of diagnosis of a critical illness of covered accidents is available on the myCircle
or the date treatment is received according to the intranet under Beneits. We have included a short
terms and provisions of the policy. Employees have example list in this guide. This coverage does not
a maximum beneit of $10,000, and spouses and cover work-related accidents and your premium is
children have a maximum beneit of $5,000 each. determined when you enroll.
This coverage is based on age and tobacco usage.
See the online enrollment system for rates. Accident Beneit Beneit Amount
Emergency Room $200
Urgent Care $200
401(k) Primary Care Physician $75
You are immediately eligible to contribute to your 401(k) Ground Ambulance $400
plan. After one year of employment the plan matches up Air Ambulance $1,200
to 6% of your contribution. After your 6th year you are Hospital Admission $1,500
100% vested in the matching dollars Great Circle provides.
After 10 years of employment, the plan matches 167% of a Hospital Coninement (per day) $300
6% contribution or approximately 10%. ICU Coninement (per day) $600
Broken Ankle $1,500
You will enroll in this plan through the EPIC Retirement
Plan Services website at www.epicrps.com. Request an Broken Wrist $1,500
online access form from your HR Coordinator. You can also Broken Finger $200
call EPIC at 800.716.3742 for additional guidance. Dislocated Shoulder $750
X-Ray $50
Physical Therapy (per session) $50
Concussion $200
Coma $5,000
Knee Cartilage (Torn/Exploratory) $750/$200
Lodging (per day) $500
Transportation (per trip) $500
This is not a comprehensive list of your
coverage details. Please see plan documents for
more information.
15
Benefits Guide
Critical Illness Accident Coverage
Critical illness coverage is designed to help you Accident coverage pays a beneit to you for a
ofset the inancial efects of a catastrophic illness speciic covered accident to help you cover the
with a lump sum beneit if you or a loved one are healthcare costs associated with that non-work
diagnosed with a covered critical illness. The critical related accident although you may choose to spend
illness beneit is based on the amount of coverage your beneit however you would like. A full list
in efect on the date of diagnosis of a critical illness of covered accidents is available on the myCircle
or the date treatment is received according to the intranet under Beneits. We have included a short
terms and provisions of the policy. Employees have example list in this guide. This coverage does not
a maximum beneit of $10,000, and spouses and cover work-related accidents and your premium is
children have a maximum beneit of $5,000 each. determined when you enroll.
This coverage is based on age and tobacco usage.
See the online enrollment system for rates. Accident Beneit Beneit Amount
Emergency Room $200
Urgent Care $200
401(k) Primary Care Physician $75
You are immediately eligible to contribute to your 401(k) Ground Ambulance $400
plan. After one year of employment the plan matches up Air Ambulance $1,200
to 6% of your contribution. After your 6th year you are Hospital Admission $1,500
100% vested in the matching dollars Great Circle provides.
After 10 years of employment, the plan matches 167% of a Hospital Coninement (per day) $300
6% contribution or approximately 10%. ICU Coninement (per day) $600
Broken Ankle $1,500
You will enroll in this plan through the EPIC Retirement
Plan Services website at www.epicrps.com. Request an Broken Wrist $1,500
online access form from your HR Coordinator. You can also Broken Finger $200
call EPIC at 800.716.3742 for additional guidance. Dislocated Shoulder $750
X-Ray $50
Physical Therapy (per session) $50
Concussion $200
Coma $5,000
Knee Cartilage (Torn/Exploratory) $750/$200
Lodging (per day) $500
Transportation (per trip) $500
This is not a comprehensive list of your
coverage details. Please see plan documents for
more information.
15
