Page 2 - 2023 Employee Benefits Guide

Contents

Benefits eligibility 2
Full-time benefits eligibility ..........................................................2
Part-time benefits eligibility ..........................................................2
Dependent eligibility verification ...................................................3
Changing your pre-tax benefit elections ........................................3
Changing your post-tax benefit elections ......................................3
When benefit coverage begins .....................................................4
Medical, vision & pharmacy benefits 5
Medical benefits summary ...........................................................5
Second medical opinion service ....................................................5
Vision benefits summary..............................................................6
Pharmacy benefits summary ........................................................6
Prescriptions for maintenance medications ....................................6
Prescriptions that are not maintenance medications ......................7
Mail order prescriptions ...............................................................7
Prescription medication tiers ........................................................7
Prescription copayments ..............................................................7
Generic vs. brand-name prescription medications ..........................7
Specialty pharmacy program ........................................................8
Medical premiums for full-time employees ....................................8
Spousal premium surcharge.........................................................8
Wellness program & incentives 9
LiveWell at TXM ..........................................................................9
Premium incentive activities for current enrollees ..........................9
Premium incentive activities for new hires & new plan additions .....9
Tobacco-free incentive ................................................................9
Dental benefits 10
Dental benefits summary ...........................................................10
Dental plan premiums for full-time employees ............................10
Section 125 plan & flexible spending accounts 11
Benefit premiums under section 125 .........................................11
Health care flexible spending account .........................................11
Dependent care flexible spending account ..................................11
FSA rules & regulations .............................................................12
FSA MasrerCard & reimbursements ............................................12
Support, counseling & assistance program 13
SupportLinc counseling services .................................................13
Koa Health - Digital wellbeing support ........................................13
AbleTo - Virtual therapy and coaching .........................................14
UnitedHealthcare virtual counseling ............................................14
Life insurance 14
Company-paid group life insurance.............................................14
Supplemental term life insurance ...............................................14
Monthly cost for supplemental life coverage ................................15
Dependent term life insurance ...................................................15
Record your life insurance beneficiary .........................................15

AFLAC Cancer Insurance 15

ii Employee Benefits Guide