Page 4 - Benefits Guide BICS 2020 Final
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Benefits at A Glance







                                                    BENEFIT CHOICES


          Medical and Prescription Drugs   •   EPO: $600/$1,800 deductible, $20 PCP, $40 specialist, 20% hospital, prescription
          Anthem Blue Cross                   drugs
                                           •   HSA PPO: $1,500/$3,000 deductible, 20% PCP/specialist, 20% hospital, prescription
                                              drugs
                                           •   HMO (CA employees only): No deductible, $20 PCP, $40 specialist, $250 hospital,
                                              prescription drugs
          Health Savings Account           •   IRS Annual Maximum Contribution Limit: $3,550 Individual / $7,100 Family
          Health Equity                    •   BICS’ Annual Contribution based on salary amount.

          Flexible Spending Accounts       •   Health Care Account: Up to $2,750 per year
          Discovery Benefits               •   Limited Health Care Account: Up to $2,750 per year
                                           •   Dependent Care Account: Up to $5,000 per year


          Dental                           •   PPO: $2,500 calendar year maximum benefit, $50/$150 deductible, no charge
          Anthem Blue Cross                   preventive, 10% basic, 40% major, ortho for children 50% with $1,500 lifetime
                                              benefit maximum

          Vision                           •   PPO: $10 exam copay, $10 materials copay, $130 frames benefit, $130 contact lens
          Anthem Blue Cross                   benefit (cosmetic/elective/disposable)

          Basic Life/AD&D                  •   2x your annual salary to a maximum benefit of $500,000
          Anthem Blue Cross
          Short Term Disability            •   60% of your pre-disability earnings to a maximum benefit of $1,000 per week
          Anthem Blue Cross
          Long Term Disability             •   60% of your pre-disability earnings to a monthly maximum of $10,000
          Anthem Blue Cross
          Voluntary Life/AD&D              •   Employee: $10,000 increments to a maximum benefit of $300,000
          Anthem Blue Cross                •   Spouse or Domestic Partner: $5,000 increments to a maximum benefit of $150,000
                                           •   Child(ren): Flat $5,000 or $10,000

          Employee Assistance Program      •   24/7 unlimited phone consultations
          Anthem Blue Cross                •   Access to legal and financial counseling
          Travel Assistance Program        •   Emergency medical assistance, pre-trip information, repatriation and more when
          Anthem Blue Cross                   traveling 100+ miles away from home or work
          Value-Added Programs             •   Future Moms
          Anthem Blue Cross                •   ConditionCare
                                           •   Estimate Your Cost
                                           •   PayForward Program

          Pet Insurance                    •   5% discount on premiums
          Nationwide                       •   Helps pay for medical treatment costs for pet’s accidents, illnesses, and routine
                                              medical care, including surgeries, prescriptions, hospitalization, diagnostic tests,
                                              and office visits






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