At a Glance - Team Acclaim

1 Your 2017 BenefitsAt a G lance I m determined to get to a place of healthy living and be whole. JPS ENLIVEN has helped me do that. Lamonica Miles, Data Liaison Health Center for Women and 2016 Biggest Loser Champion All moms at JPS should participate in the Great Beginnings Program. It was a phenomenally rewarding experience to deliver my first baby at JPS. Danielle Bollinger, HR Data Specialist, and Jonathan Redfield with daughter Kinsey Redfield, born at JPS on April 24, 2016 JPS Health Network / Acclaim Physician Group offers a comprehensive benefits package designed to meet the needs of you and your family. Use this guide to help you make your benefits decisions for THE MOST OF YOUR JPS BENEFITS & WELLNESS PROGRAMMAKE THE MOST OF YOUR JPS BENEFITS & WELLNESS PROGRAMYour BenefitsYour St oriesYou must enroll or provide proof of medical coverage during the election period, or you will be enrolled automatically into the Choice Medical Plan, and your dependents will not be covered for the 2017 plan year.

2 Provide dependent verification and or proof of other medical coverage within 31 days of employment or from the life event to Your Benefits at a GlanceThis benefits summary highlights the important choices you will make. We have designed a benefits package with the flexibility to meet your unique needs. We encourage you to review your options carefully and select the health, dental, vision and other benefits plans that will best help you and your family to stay healthy and live better in to Enroll STEP 1 From the JPS Select Staff Resources and then Computer Apps A Z. Select OnPoint Employees and Leaders. Log in using your normal JPS login information. Click on Employee icon. Select To Do. Click Pay and Benefits. Click 2017 Benefits Enrollment. STEP 2 Use the prompts on the screen to follow each step of the enrollment process. In making your elections, select the plan option of your choice, and then select Continue after you ve made each election until you reach the confirmation page.

3 STEP 3 Once you complete all coverage elections, you will land on the Confirmation Statement. Click the Save button at the bottom of the page to complete your enrollment may print and email yourself a copy of your confirmation statement for your a question? Call (817) 702-2976 or contact THE MOST OF YOUR JPS BENEFITS & WELLNESS PROGRAMYour Benefits Summary ..3 Your Medical, Dental and Vision ..4 Your Prescription Drug Plan ..6 Your Additional Resources .. 7 RetirementJPS offers two retirement options as you plan for your financial future. JPS Pension Plan JPS contributes to the plan, which provides a monthly benefit for your lifetime upon retirement. 403(b) Savings Plan JPS will match 50% of your pre-tax contribution up to 4% of your salary. 457 Deferred Compensation Plan You can defer additional federal income tax by contributing to this account. My son was born at 33 weeks old, and I chose to deliver at JPS.

4 All the doctors and nurses in the NICU are amazing, and we re all still friends today. I always recommend that people come (to JPS) for care. All the care I ve received has been exceptional and personable. Elizabeth Price, Manager of Trauma Advanced Practice, and JPS medical insurance holderYour BenefitsYour St oriesYour FamilyIn addition to providing dependent access to health care insurance, JPS offers several family-friendly benefits. Great Beginnings Program Receive rewards for taking steps to ensure a healthy pregnancy Convenient Care Options -- TeleHealth Solutions offers convenient access to telephone consultations with local care providers. Dependent Day Care FSA You can save tax-free for day care, after school care or summer day InsuranceYou have multiple options that leverage the JPS Health Network. Choice plan Select planYou can also save pre-tax for your medical, dental and vision expenses with a Flexible Spending InsuranceYou receive 2 times your annual salary and can purchase Basic Life, Supplemental Life, Universal Life, Critical Illness and Accident Insurance PPO Plan -- You can go to any dentist you choose, although you might pay more for an out-of-network dentist Dental HMO You must use an in-network dentists for Insurance Signature Plus Plan Your VSP coverage includes exams and two pairs of glasses.

5 Choice Plan Your VSP coverage includes exams, and one pair of glasses Access Plan At no cost to you, receive a 20% discount on exams, frames and Well-Being Employee Assistance Program (EAP) Free, confidential counseling is available for personal concerns and legal issues. JPS ENLIVEN Wellness Program -- You can earn rewards while getting healthy. Time Away from Work JPS provides Paid Time Off (PTO), which includes holiday, vacation and sick Protection Short-Term Disability You pay on an after-tax basis; pays up to 60% of your base salary or up to $52,000. Long-Term Disability JPS provides this benefit with coverage of up to 60% of your salary Workers Compensation JPS pays for this Benefits SummarySee your 2017 Benefits Decision Guide on the JPS intranet for additional a question? Call (817) 702-2976 or contact THE MOST OF YOUR JPS BENEFITS & WELLNESS PROGRAMYour Medical Plan Options Choice plan: Same coverage as the Select plan but offers you greater control over health care spending.

6 This plan has a lower premium up front but higher copays and deductibles. Select plan: Pay a higher premium up front and have lower out-of-pocket costs. The plan has lower copays and deductibles if you use in- network providers. You will receive the highest possible level of coverage for both plans at the lowest cost if you use JPS Health Network/Tier 1 find a JPS Provider, visit or call (800) 244-6224. JPS Network Member ID: NameJPS Health Network (Tier 1)Cigna Open Access (Tier 2)Out-of-Network (Tier 3)Calendar Year Deductible (Individual/Family)$1,500/3,000$2,500/5, 000$4,000/8,000 Office Visit Copay$20$3050% after deductibleCoinsurance*90%70%50%Out-of-Po cket Max (Individual/Family)$3,000/6,000$5,000/10 ,000 UnlimitedSELECTPlan NameJPS Health Network (Tier 1)Cigna Open Access (Tier 2)Out-of-Network (Tier 3)Calendar Year Deductible (Individual/Family)$250/500$500/1,000$1, 000/2,000 Office Visit Copay$15$2550% after deductibleCoinsurance*90%70%50%Out-of-Po cket Max (Individual/Family)$2,250/4,500$4,500/9, 000 Unlimited* Amount paid by the plan after you reach your deductible for most services that don t have a copay.

7 See the 2017 Benefits Guide on the JPS intranet for additional medical plan Plan Premiums (Per Pay Period)Under $ MedicalSelect MedicalTeam Member Only$ $ Member + Spouse$ $ Member + Children$ $ Member + Family$ $ Member + 1 Child$ $ $ to $50 KChoice MedicalSelect MedicalTeam Member Only$ $ Member + Spouse$ $ Member + Children$ $ Member + Family$ $ Member + 1 Child$ $ $50K to $75 KChoice MedicalSelect MedicalTeam Member Only$ $ Member + Spouse$ $ Member + Children$ $ Member + Family$ $ Member + 1 Child$ $ $75K to $100 KChoice MedicalSelect MedicalTeam Member Only$ $ Member + Spouse$ $ Member + Children$ $ Member + Family$ $ Member + 1 Child$ $ $100K +Choice MedicalSelect MedicalTeam Member Only$ $ Member + Spouse$ $ Member + Children$ $ Member + Family$ $ Member + 1 Child$ $ Being enrolled in JPS Health Insurance allows many options for my family s healthcare. It s affordable, and that s important to me. Donna Young-Bob, Senior Staff Coordinator House Operations (JPS medical insurance holder since 1988) and her children Veronica Johnson and Von Young, Trauma RegistrarsYour BenefitsYour St oriesHave a question?

8 Call (817) 702-2976 or contact THE MOST OF YOUR JPS BENEFITS & WELLNESS PROGRAMC ompare the Plan PremiumsJPS Health Network offers you quality care and helps save you and your family money. For example, if you need to receive home health care services that require you to pay toward your deductible, below is an example of the costs you may expect to pay:Choice planJPS Network (Tier 1)Cigna Open Access Plus Network (Tier 2)Actual cost for services$3,000$3,000 You pay the individual deductible$1,500$2,500 Plan pays co-insurance on remainderJPS pays 90% of remaining $1,500 ($1,350)JPS pays 70% of remaining $500 ($350)You pay co-insurance on remainderYou pay 10% ($150)You pay 30% ($150)Your total out-of-pocket costs$1,650$2,650 Select planJPS Network (Tier 1)Cigna Open Access Plus Network (Tier 2)Actual cost for services$1,000$1,000 You pay the individual deductible$250$500 Plan pays co-insurance on remainderJPS pays 90% of remaining $750 (JPS pays $675)JPS pays 70% of remaining $500 (JPS pays $350)You pay co-insurance on remainderYou pay 10% ($75)You pay 30% ($150)Your total out-of-pocket costs$325$650 JPS is tobacco-free, and so am I Thanks to JPS for saving my life and adding years to it.

9 Because it s a no-smoking campus, I quit cold turkey after 50 years of smoking. If it hadn t been for JPS, I would still be smoking. Robert Pribble, Police Communications Dispatch, tobacco-free since August 4, 2014 Reduce Your Medical and Dependent Care Costs with an FSAA flexible spending account (FSA) allows you to pay for certain health, dental, vision and dependent care expenses with pre-tax dollars, reducing your taxable income and saving you money. You must designate how much you want to contribute to your FSA during your enrollment period, and the amount cannot be changed during the year unless you have a qualifying life How Much to Contribute to Your FSATo estimate how much you should contribute to your FSA, use the CONEXIS FSA calculator at The annual limit for a personal FSA is $2,550; for a dependent s FSA the limit is $5,000. Keep in mind your FSA account is use it or lose it, and any unused funds will be forfeited at the end of the plan BenefitsYour St oriesHave a question?

10 Call (817) 702-2976 or contact THE MOST OF YOUR JPS BENEFITS & WELLNESS PROGRAMThis brochure highlights some of the features of the JPS Health Network employee benefits program. It does not include all plan rules, details, limitations and exclusions. The terms of your benefit plans are governed by legal documents, including insurance contracts. Should there be an inconsistency between this brochure and the legal plan documents, the plan documents are the final authority. JPS Health Network reserves the right to change or discontinue its employee benefit plans at any VALUE: JPS Pharmacy (JPS provider or non-JPS provider with JPS documented referral)GREAT VALUE: JPS Main Campus Pharmacy or Mail Order (non-JPS provider)GOOD VALUE: CVS Pharmacy (JPS provider or non-JPS provider)30-Day Supply90-Day Supply30-Day Supply90-Day Supply30-Day Supply90-Day SupplyTier 1: Generic and Some Brands$10$20$15$ $30N/ATier 2: Preferred Brands*$25$50$40$10 0$75N/ATier 3: Non-Pre-ferred Brands*$40$80$65$ $120N/A30-Day Supply90-Day SupplyTier 4.