Page 2 - California Eye Employee Benefits Guide 2019
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Welcome to California Eye Specialists!
This guide provides a summary of your benefit options and is designed to help you make choices and enroll for coverage. If you
would like more information about any of the benefits described here, please contact Anthem Blue Cross at the number located on
your ID card.
Human Resources Department
For help, simply call 949-427-1675 or email hr@caleyems.com
Contents
Important Information ………………………………………… 2 Employee Assistance Program ……………………………. 12
Enrollment Information ……………………………………….. 3 Life and AD&D Insurance …………………………………... 12
Medical Benefits …………………………………………..…….. 5 Flexible Spending Accounts ………………………………… 13
Additional Medical Benefits ………………………………… 8 Resources and Contacts ….………………………………….. 14
Dental Benefits ……………………………………………………. 11 Employee Contributions ……………………………………... 15
Important Information
The Affordable Care Act and You
The Affordable Care Act (ACA) requires applicable large employers to make affordable coverage available to their employees
or risk paying a penalty. Although the individual mandate is no longer effective beginning January 1, 2019, it is important that
you understand your options for health insurance coverage. You may consider these options below:
• Enroll in a medical plan offered by California Eye Specialist or another group plan
• Purchase coverage through a health insurance marketplace
• Enroll in coverage through a government-sponsored program if eligible
Because California Eye Specialist’s medical plans are considered affordable and meet minimum value under the Affordable
Care Act, you will not generally see lower premiums or out-of-pocket costs through the marketplace. In addition, employer
contributions to your medical benefits will be lost if you choose to purchase coverage through the marketplace, and your
portion of medical premiums will no longer be paid via payroll deductions on a pre-tax basis.
Stay in the know on the Affordable Care Act
To learn more about the ACA, visit www.healthcare.gov
Annual Notices
Various state and federal laws require that employers provide disclosure and annual notices to their plan participants. California
Eye Specialists will distribute all federally required annual notices upon hire and during each annual open enrollment period.
The following is a list of the annual notices:
• Medicare Part D Notice of Creditable Coverage
• Women's Health and Cancer Rights Act (WHCRA)
• Newborns’ and Mothers’ Health Protection Act
• Special Enrollment Rights
• Medicaid & Children’s Health Insurance Program
• HIPAA Notice of Privacy Practices
• Summary of Benefits and Coverage (SBC)
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