Page 4 - HM Benefits Guide 2019 CA

Benefits at a Glance

CORE BENEFITS
Free plans and programs that we automatically provide you
Medical • Anthem HMO*
Anthem Blue Cross • Anthem PPO (Low) - buy-up option available
Kaiser Permanente • Kaiser HMO
Dental • PPO (Low) - buy-up option available*
Anthem Blue Cross
Vision • PPO*
Anthem Blue Cross
Employee Assistance • Up to 5 face-to-face, phone, or video consultations with a licensed
Program counselor per household member, per issue, per calendar year
MetLife • Online programs to offer something different than traditional counseling
• Access to quick and confidential help from legal and financial experts
Travel Assistance • Emergency medical assistance, pre-trip information, repatriation and
MetLife more when traveling 100+ miles away from home or work
Basic Life/AD&D • Flat $50,000
Anthem Blue Cross
Short Term Disability • Pays in addition to California State Disability
MetLife • 20% of your pre-disability earnings to a weekly maximum of $1,500
Long Term Disability • 60% of your pre-disability earnings to a monthly maximum of $15,000
MetLife

BENEFIT CHOICES
Plans and programs you can elect to join or purchase

Medical • Anthem PPO (High)
Anthem Blue Cross
Dental • Anthem PPO (High)
Anthem Blue Cross
Supplemental Life/ • Employee: $10,000 increments to a maximum benefit of $500,000
AD&D • Spouse or Domestic Partner: $5,000 increments to a maximum benefit
MetLife of $100,000
• Child(ren): Flat $1,000, $2,000, $4,000, 5,000, or $10,000
Flexible Spending • Health Care Account: Up to $2,700 per year
Accounts • Dependent Care Account: Up to $5,000 per year
IGOE
401(k) • Offering the option of a traditional 401(k) or a Roth up to IRS maximums
Fidelity • Happy Money will match 50% of your contributions up to 6% of your pay
with a maximum Happy Money contribution of $3,000 annually
Supplemental Benefits • Group Accident
MetLife • Critical Illness
• Hospital Indemnity

*You must actively opt-out in PlanSource if you wish to decline medical benefits.
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