Page 2 - OrangeTheory Benefits Guide 07-2019_FINAL - NonCA

Welcome to Your West Coast Fitness LLC (DBA Orangetheory® Fitness)

Employee Benefits

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, please contact the Human Resources Department.

Human Resources Manager
Lucy Salermo, West Coast Fitness LLC (DBA Orangetheory® Fitness)
lucy@wecofit.com | (908) 397-5605

Contents

Important Information ………………………………………… 2 Additional Voluntary Benefits ...…………………………... 10

Enrollment Information ……………………………………….. 3 Life Insurance and AD&D ………………..…………………… 11
Medical Benefits ………….….……………….………………….. 4 Employee Assistance Program……..……………….……… 12
Flexible Spending Accounts….……………………………….. 7 Employee Contributions….……………….………………….. 13
Dental Benefits ...………………………………………………….. 8 Resources and Contacts ….……………….………………….. 14

Vision Benefits ...………………………………………………….. 9

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 West Coast Fitness LLC (DBA Orangetheory® Fitness) or another group plan
• Purchase coverage through a health insurance marketplace
• Enroll in coverage through a government-sponsored program if eligible

Because West Coast Fitness LLC (Orangetheory® Fitness)’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.
West Coast Fitness LLC (DBA Orangetheory® Fitness) has posted all federally required annual notices on the Paycom site for
you to download and read at your convenience. West Coast Fitness LLC (DBA Orangetheory® Fitness) will distribute all
federally required annual notices upon hire and during each annual open enrollment period.

Annual notices include the following:
 Medicare Part D Notice of Creditable Coverage  Special Enrollment Rights
 Women's Health and Cancer Rights Act (WHCRA)  Medicaid & Children’s Health Insurance Program
 Newborns’ and Mothers’ Health Protection Act  Summary of Benefits and Coverage (SBC)

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