Page 5 - 2015 Benefits Guide
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OPEN ENROLLMENT 2015
Vision
Greenville Regional Hospital also offers you the choice of two vision plans. The Core Plan is provided to you at no
cost. You also have the choice of “buying up” to the Buy-Up Plan which offers richer beneits.
Beneits VSP Provider Out-of-Network
Core Plan Employer Funded
Frequency 12 Months
EXAM Copayment Covered in full $10 Up to $25 allowance
Plan Pays
Buy-Up Plan Employee Funded
Frequency 12 Months
$20 (Applicable to lenses and frames)
LENSES Copayment Single vision, lined bifocal and lined trifocal lenses lined bifocal up to $35 allowance,
Single vision up to $30 allowance,
are covered in full *
Plan Pays
lined trifocal up to$45 allowance
Frequency 24 Months
FRAMES Frame Retail Cost Structure (3 to 4 times wholesale cost)
Allowance
Covered up to $130 allowance. Amounts excess
Plan Pays
of allowance are available at a 20% discount Up to $45 allowance
12 Months
CONTACT LENSES Frequency amounts in excess of allowance are available at Copay for lens itting and lens evaluation may
Plan Pays
Covered up to $130 allowance towards lenses;
apply (up to $60)
a 20% discount
Up to $105 allowance
* For additional lens options, please refer to the vision beneit summary
Basic Life Insurance
All full-time and part-time beneit eligible employees will receive a basic life beneit of 1x annual salary. Spouses of
employees will continue to receive a $5,000 beneit, and dependent children (age 6 months to age 19) will continue to
receive a $2,500 beneit. Dependent children under the age of 6 months will receive a $100 beneit.
Optional Life Insurance/Optional Accidental Death & Dismemberment
Insurance
Greenville Regional Hospital partners with Prudential to offer an optional life insurance plan and optional AD&D
plan to all employees. You have the option to increase your election by $10,000 increments to an additional $40,000,
not to exceed the plan maximum of 5x your annual earnings or $500,000 without answering medical questions. See
Prudential for an enrollment form. Late enrollees will need to answer medical questions for all amounts elected. Please
contact Human Resources if you have any questions regarding this great beneit!
Short Term Disability
Full-time and part-time beneit eligible employees have the opportunity to participate in a voluntary short-term
disability plan. Two options are available. Option 1 is a 40% beneit up to $500 per week. Option 2 is a 60% beneit
up to $2,000 per week. If you are enrolling in STD for the irst time, you will need to submit EOI to Prudential. Let
Human Resources know if you have any questions.
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Vision
Greenville Regional Hospital also offers you the choice of two vision plans. The Core Plan is provided to you at no
cost. You also have the choice of “buying up” to the Buy-Up Plan which offers richer beneits.
Beneits VSP Provider Out-of-Network
Core Plan Employer Funded
Frequency 12 Months
EXAM Copayment Covered in full $10 Up to $25 allowance
Plan Pays
Buy-Up Plan Employee Funded
Frequency 12 Months
$20 (Applicable to lenses and frames)
LENSES Copayment Single vision, lined bifocal and lined trifocal lenses lined bifocal up to $35 allowance,
Single vision up to $30 allowance,
are covered in full *
Plan Pays
lined trifocal up to$45 allowance
Frequency 24 Months
FRAMES Frame Retail Cost Structure (3 to 4 times wholesale cost)
Allowance
Covered up to $130 allowance. Amounts excess
Plan Pays
of allowance are available at a 20% discount Up to $45 allowance
12 Months
CONTACT LENSES Frequency amounts in excess of allowance are available at Copay for lens itting and lens evaluation may
Plan Pays
Covered up to $130 allowance towards lenses;
apply (up to $60)
a 20% discount
Up to $105 allowance
* For additional lens options, please refer to the vision beneit summary
Basic Life Insurance
All full-time and part-time beneit eligible employees will receive a basic life beneit of 1x annual salary. Spouses of
employees will continue to receive a $5,000 beneit, and dependent children (age 6 months to age 19) will continue to
receive a $2,500 beneit. Dependent children under the age of 6 months will receive a $100 beneit.
Optional Life Insurance/Optional Accidental Death & Dismemberment
Insurance
Greenville Regional Hospital partners with Prudential to offer an optional life insurance plan and optional AD&D
plan to all employees. You have the option to increase your election by $10,000 increments to an additional $40,000,
not to exceed the plan maximum of 5x your annual earnings or $500,000 without answering medical questions. See
Prudential for an enrollment form. Late enrollees will need to answer medical questions for all amounts elected. Please
contact Human Resources if you have any questions regarding this great beneit!
Short Term Disability
Full-time and part-time beneit eligible employees have the opportunity to participate in a voluntary short-term
disability plan. Two options are available. Option 1 is a 40% beneit up to $500 per week. Option 2 is a 60% beneit
up to $2,000 per week. If you are enrolling in STD for the irst time, you will need to submit EOI to Prudential. Let
Human Resources know if you have any questions.
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