Page 3 - 2022 Insurity OE Guide FINAL

Table of Contents

2 Welcome Letter 32 VSP – Vision Plan

4 Benefit Overview 32 Monthly Employee Vision Contributions
33 VSP – Vision Plan Summary
5 Qualifying Life Events (QLE)
34 Reliance Standard – Company Paid Basic
6 Benefits and Taxability
Life Insurance and Accidental Death
7 UnitedHealthcare – Health Care Plans & Dismemberment
8 UnitedHealthcare Medical Plan Highlights 35 Reliance Standard – Employee Paid
9 Monthly Medical Employee Contributions Supplemental Life and Accidental Death &
10 UnitedHealthcare – Optum Dismemberment
11 UnitedHealthcare Pharmacy Plan
12 Example Comparisons of Medical Plan Claims 36 Reliance Standard – Supplemental Life and
Accidental Death & Dismemberment Rate Chart
13 Optum Bank – Health Savings Account (HSA)
37 Reliance Standard – Disability Plans
14 Optum Bank – Health Savings Account (HSA)
15 Health Savings Account (HSA) – The Triple Tax Advantage 38 Reliance Standard Voluntary Benefits –
16 Health Savings Account (HSA) – Eligibility Critical Illness Plan
17 Health Savings Account (HSA) Eligibility – Medicare Rules 39 Voluntary Critical Illness Plan Premiums
18 Health Savings Account (HSA) – Investment Options
40 Reliance Standard Voluntary Benefits –
19 UnitedHealthcare – Employee Self Service Portal
Accident Plan
20 How to Search for a Doctor
41 Schedule of Benefits
21 Virtual Visits 42 Reliance Standard – EAP and
22 Behavioral Health Services Work-Life Services
23 Preventive Care Guidelines for Children 43 Reliance Standard – EAP Legal and
Financial Services
24 Preventive Care Guidelines and Counseling
Services for Adults 44 UnitedHealthcare – Global
26 Spine and Joint Solution Business Travel Insurance
27 Right2You Hearing 45 UnitedHealthcare – Wellness Program
28 UnitedHealthcare – Health Care Flexible 46 Principal 401(k) Plan
Spending Account (HCFSA) 47 UKG Pro Notes and FAQs
29 UnitedHealthcare – Dependent Care Flexible 48 Glossary
Spending Account (DCFSA)
50 Where to Find Federal Required Notices
30 Guardian – Dental Plan 51 Contact Information
31 Monthly Dental Employee Contributions

About This Guide
This benefit summary provides selected highlights of the Insurity employee benefits program. It is not a legal document and shall not be construed
as a guarantee of benefits nor of continued employment at the Company. All benefit plans are governed by master policies, contracts and plan
documents. Any discrepancies between any information provided through this summary and the actual terms of such policies, contracts and
plan documents shall be governed by the terms of such policies, contracts and plan documents. Insurity reserves the right to amend, suspend or
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terminate any benefit plan, in whole or in part, at any time. The authority to make such changes rests with the Plan Administrator.