Page 11 - GLG 2021 Annual Benefits
P. 11
Medical Beneits
Prescription Drugs
If you enroll in a medical plan, you will automatically receive prescription drug coverage.
Coverage is provided through Aetna for both retail and mail order prescriptions. If you have your prescription
illed at a participating retail pharmacy, you may purchase up to a 30-day supply of covered drugs. At the
participating pharmacy, you will need to present your ID card and make the required copayment.
You may obtain information regarding participating pharmacies by visiting www.aetna.com/docind and selecting
the Managed Choice POS (Open Access) network. You also have to select the pharmacy plan “Aetna National
Pharmacy Network.”
The plan also includes a mail order service through CVS Caremark Mail Service. If you are taking a medication for
an extended period of time, you can purchase up to a 90-day supply of covered drugs through CVS Caremark
Mail Service pharmacy. To use the program request a new prescription for up to a 90-day supply of your regular
medication, plus reills, if appropriate. You will also be able to ill a 90-day prescription for maintenance drugs at
your local CVS Pharmacy with same day delivery. All other retail pharmacy will only allow for a 30-day ill.
For more information call Aetna at +1 888.792.3862. You will receive forms for reills and future prescription
orders each time you receive a prescription from the mail order service.
Who Pays for Your Medical Beneits?
You and GLG share the cost of healthcare beneits. Your contribution depends upon the medical plan you choose
and whether you cover dependents. Your contribution is made by paying premiums through payroll deductions.
Your contribution band is based on your salary as of November 1, 2020, or your Date of Hire, if you were hired
after November 1, for the 2021 beneit year.
Medical Plan Rates—You and GLG share the cost of many of your beneits, with GLG paying most of the total cost.
Monthly Contributions—Effective January 1, 2021
Annual Base Salary PPO 500 Plan HSA 1400 Plan
Employee Only Under $75,000 $114.00 $48.00
$75,000–$149,999 $148.00 $77.00
Over $150,000 $171.00 $114.00
Employee + Legal Partner Under $75,000 $239.00 $101.00
$75,000–$149,999 $311.00 $163.00
Over $150,000 $359.00 $239.00
Employee + Child(ren) Under $75,000 $200.00 $85.00
$75,000–$149,999 $259.00 $136.00
Over $150,000 $299.00 $199.00
Family Under $75,000 $348.00 $147.00
$75,000–$149,999 $452.00 $236.00
Over $150,000 $522.00 $347.00
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Prescription Drugs
If you enroll in a medical plan, you will automatically receive prescription drug coverage.
Coverage is provided through Aetna for both retail and mail order prescriptions. If you have your prescription
illed at a participating retail pharmacy, you may purchase up to a 30-day supply of covered drugs. At the
participating pharmacy, you will need to present your ID card and make the required copayment.
You may obtain information regarding participating pharmacies by visiting www.aetna.com/docind and selecting
the Managed Choice POS (Open Access) network. You also have to select the pharmacy plan “Aetna National
Pharmacy Network.”
The plan also includes a mail order service through CVS Caremark Mail Service. If you are taking a medication for
an extended period of time, you can purchase up to a 90-day supply of covered drugs through CVS Caremark
Mail Service pharmacy. To use the program request a new prescription for up to a 90-day supply of your regular
medication, plus reills, if appropriate. You will also be able to ill a 90-day prescription for maintenance drugs at
your local CVS Pharmacy with same day delivery. All other retail pharmacy will only allow for a 30-day ill.
For more information call Aetna at +1 888.792.3862. You will receive forms for reills and future prescription
orders each time you receive a prescription from the mail order service.
Who Pays for Your Medical Beneits?
You and GLG share the cost of healthcare beneits. Your contribution depends upon the medical plan you choose
and whether you cover dependents. Your contribution is made by paying premiums through payroll deductions.
Your contribution band is based on your salary as of November 1, 2020, or your Date of Hire, if you were hired
after November 1, for the 2021 beneit year.
Medical Plan Rates—You and GLG share the cost of many of your beneits, with GLG paying most of the total cost.
Monthly Contributions—Effective January 1, 2021
Annual Base Salary PPO 500 Plan HSA 1400 Plan
Employee Only Under $75,000 $114.00 $48.00
$75,000–$149,999 $148.00 $77.00
Over $150,000 $171.00 $114.00
Employee + Legal Partner Under $75,000 $239.00 $101.00
$75,000–$149,999 $311.00 $163.00
Over $150,000 $359.00 $239.00
Employee + Child(ren) Under $75,000 $200.00 $85.00
$75,000–$149,999 $259.00 $136.00
Over $150,000 $299.00 $199.00
Family Under $75,000 $348.00 $147.00
$75,000–$149,999 $452.00 $236.00
Over $150,000 $522.00 $347.00
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