Page 3 - Benefits Summary/New Hire Enrollment Guide

Medical Insurance

Third Place – Elizabeth Scott
Who is Eligible and When
Eligibility for medical coverage is effective the first day of the month following 60 days of employment, status
change or if rehired after an absence greater than 13 weeks. Employees have 30 days from date of hire, status
change or rehire to elect medical coverage.

Regular full-time and part-time employees working 30 hours or more per week are eligible to participate in the
Medical Plan with Agency contribution. Regular part-time employees working 20–29 hours per week are
eligible to participate in the Medical Plan by paying 100% of the premium rate.

Spousal Medical Benefits Policy

Employers are constantly struggling with ways to control health care costs while continuing to offer a
competitive and affordable benefit package for employees. Northern Human Services is no exception to this.
Health care cost continue to increase at alarming rates and employers must use innovative methods to control
the increases.

Northern Human Services will allow medical coverage for spouses whose employer does not offer large group
medical insurance (over 50 employees).

If your spouse is not currently eligible for their employer sponsored plan, we will need a letter from their
employer indicating ineligibility for benefits in order to continue/enroll their coverage on the Northern plan.
All newly covered spouses will need to fill out a Spousal Affidavit form. Please direct questions to your local
Office Manager or Human Resources.

Benefits You Receive

In 2020-2021, Northern Human Services will continue to offer comprehensive Medical Benefits to all eligible
employees, unchanged from last year. We will remain with the Cigna Open Access Plus plan which offers
national in-network coverage with no referrals needed. Your primary care and specialist’s visit copays will be
$25. Outpatient labs and x-rays are covered in full. Please note that Emergency Room visits go to your
deductible.

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For the 2020-2021 plan year, your deductible resets (or begins anew) on July 1 and is $5,000 per individual or
$10,000 per family. There is no carryover of your deductible from the last plan year. There is a Health
Reimbursement Account (HRA) to offset some of the deductible expenses. Please see details outlined in the
chart on the next two pages.

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