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New Employee Benefits Orientation Guide - bcn-nshe.org

New Employee Benefits Orientation Guide BCN Benefits Office Contact Information 70 Artemesia Way, MS-0240. Reno, Nevada 89557-1240. Phone: (775) 784-6082. Fax: (775) 784-4221. Employee Title Contact Information Amy Russell Personnel Technician (775) 682-6114. BCN Benefits Tracy Doren Personnel Analyst (775) 784-6263. BCN Benefits Lisa Taylor Benefits Specialist (775) 784-6163. BCN Benefits Migle Valunte Insurance Manager (775) 784-1496. BCN Benefits The information contained in this Guide is a summary of the Benefits you are entitled to as an Employee . In the event of any difference between the terms of this summary document and the plan or governance documents, the terms of the plan or governance documents will prevail.

The information contained in this guide is a summary of the benefits you are entitled to as an employee. In the event of any difference between the terms of this summary document and the plan or governance documents, the terms of the plan or

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Transcription of New Employee Benefits Orientation Guide - bcn-nshe.org

1 New Employee Benefits Orientation Guide BCN Benefits Office Contact Information 70 Artemesia Way, MS-0240. Reno, Nevada 89557-1240. Phone: (775) 784-6082. Fax: (775) 784-4221. Employee Title Contact Information Amy Russell Personnel Technician (775) 682-6114. BCN Benefits Tracy Doren Personnel Analyst (775) 784-6263. BCN Benefits Lisa Taylor Benefits Specialist (775) 784-6163. BCN Benefits Migle Valunte Insurance Manager (775) 784-1496. BCN Benefits The information contained in this Guide is a summary of the Benefits you are entitled to as an Employee . In the event of any difference between the terms of this summary document and the plan or governance documents, the terms of the plan or governance documents will prevail.

2 SECTION I. Health Insurance Health Insurance Benefits at a Glance Public Employees' Benefit Program (PEBP). What is a Self-Funded Plan? What is a Consumer Driven PPO High Deductible Health Plan? What is a Health Maintenance Organization (HMO)? What is a PPO? Out of State Preferred Provider Organization Worldwide Coverage Health Maintenance Organization (HMO). Dental Plan PPO. COBRA Notification HIPAA Federal Regulations Insurance Definitions PEBP Contact Information Group Health Insurance Provider Contact List SECTION II. Retirement Information Retirement Plan Alternatives (RPA) Plan Medical Resident/Postdoctoral Scholar Retirement Plan Public Employees' Retirement System (PERS). FICA Alternative Retirement Plan NSHE Tax Sheltered Annuity and Roth 403(b) Plans State of Nevada Deferred Compensation 457 Plans Retirement Provider Contact List Workers' Compensation Computer Workstation Setup Orientation to Workers' Compensation Workers' Compensation Incident Report SECTION III.

3 Policy Statements and Information NSHE Aids Policy State of Nevada Smoking Policy Holiday Information Payroll Information Equal Opportunity and Affirmative Action Information 05/2016. Benefits at a Glance Plan Year 2019. July 1, 2018 June 30, 2019. Benefit Summary Active Employees Retiree Life Insurance $25,000 per Active Employee $12,500 per Retiree Waiting period is 180 days with a monthly benefit of 60% of monthly earnings up to a maximum benefit of $7,500 per month. Long Term Disability The benefit may be subject to certain taxes. For a complete description refer to the Summary Plan Description. Insurance NOTE: Because we offer a comprehensive medical plan, if you decline medical coverage you also decline vision, dental, term life insurance and long-term disability insurance.

4 Plan Year 2019 Health Plan Comparison PREMIER PLAN. CONSUMER DRIVEN HEALTH PLAN EXCLUSIVE PROVIDER ORGANIZATION. PLAN DESIGN (CDHP - PPO) (EPO). FEATURES. IN-NETWORK OUT-OF-NETWORK IN-NETWORK OUT-OF-NETWORK. Carson City, Churchill, Douglas, Elko, Eureka, Humboldt, Lander, Service Global Global Lincoln, Lyon, Mineral, None Areas Pershing, Storey, Washoe and White Pine. $1,500 Individual $1,500 Individual $3,000 Family $3,000 Family Annual $2,600 $2,600 N/A. Deductible Individual Family Individual Family Member Deductible Member Deductible Medical 20% after 20% to 50% after Deductible Deductible N/A. Coinsurance $3,900 Individual Out-of- Pocket $7,800 Family $7,150. $10,600 Individual Maximum $6,850 Individual N/A.

5 $21,200 Family Individual Family Member $14,300 Family Deductible Specialist Referral No No No N/A. Required 50% after Primary Care 20% after Deductible Office Visit Deductible Subject to Usual $25 Copay N/A. and Customary Limits 50% after Specialist Care 20% after Deductible Office Visit $45 Copay N/A. Deductible Subject to Usual and Customary Limits 50% after Urgent Care 20% after Deductible $50 Copay N/A. Visit Deductible Subject to Usual and Customary Limits PREMIER PLAN. E HMO PLAN. CONSUMER DRIVEN HEALTH PLAN. EXCLUSIVE PROVIDER. n Health and PLAN. DESIGN. (CDHP - PPO) ORGANIZATION n(EPO). of Nevada). FEATURES. IN- OUT-OF- NETWORK. IN-NETWORK OUT-OF-NETWORK. NETWORK IN- NETWORK. 20% after NETWO. Emergency Deductible $300 RK.

6 Copay Room Visit Subject to $300 Copay 20% after Deductible per visit NETWO. U &C Limits per visit RK. 50% after In-Patient Deductible $500 Copay Hospital Subject to per admit N/A. 20% after Deductible U & C Limits 50% after Deductible . 20% after Deductible Subject to Outpatient U & C Limits Surgery Requires $25-$350 Copay N/A. Require Pre- Pre-Authorization Authorization Affordable Care Act Preventive $0 (Covered at 100%) No Benefit $0 (Covered at 100%) No Benefit Services $700 Primary $200 per Dependent HSA/HRA (max 3). Funding N/A N/A N/A. **$200 Primary after completion of PEBP's Prevention Program *The $200 additional HSA/HRA contribution will be credited to the primary participants HSA/HRA when PEBP's Third Party Administrator, HealthScope Benefits , verifies through medical/dental claims that the participant has completed all of the following requirements: 1.

7 Annual Preventive Exam 2. Annual Preventive Lab Work 3. Annual Dental Exam 4. One Dental cleaning (of the 4 available per year). 5. Enrollment in Doctor on Demand 6. Sign up for Health Care Blue Book Primary participants have until June 30, 2019 to complete all four requirements to receive the additional $200 contribution from PEBP. Activities before July 1, 2018 will not count towards these requirements. All four requirements are covered at 100% under the preventive wellness Benefits when using in network providers. Plan Year 2019 Prescription Plan Comparison CONSUMER DRIVEN HEALTH PREMIER PLAN. PLAN (CDHP - PPO) EXCLUSIVE PROVIDER. PLAN DESIGN ORGANIZATION (EPO). FEATURES. IN- OUT-OF- IN- OUT-OF- NETWORK NETWORK NETWORK NETWORK.

8 Preferred 20% after 20% after $7 Copay N/A. Generic Deductible* Deductible Preferred Brand 20% after 20% after $40 Copay N/A. Deductible Deductible Non- Formulary 20% after 20% after $75 Copay N/A. Deductible Deductible 20% after 20% after 30%. Specialty N/A. Deductible Deductible Copay ACA. Preventive $0 $0 $0 N/A. Medications 20% 20%. CDHP. Coinsurance Not Coinsurance after Preventive N/A N/A. subject to Deductible Deductible Medications*. *Preventive Drug Benefit The Preventive Drug Benefit provides plan participants access to certain preventive medications without having to meet a deductible, and will instead only be subject to coinsurance. Coinsurance paid under the benefit will not apply to the deductible, but will apply to the out-of-pocket maximum.

9 The drugs covered under this benefit include categories of prescription drugs that are used for preventive purposes or conditions, such as hypertension, asthma or high cholesterol. This benefit only applies to if using an in-network provider. An example list can be located at For more information on this, contact Express Scripts at (855) 889-7708. Plan Year 2019 Vision Plan Comparison PLAN DESIGN CONSUMER DRIVEN HEALTH. PREMIER PLAN. FEATURES PLAN (CDHP - PPO) EXCLUSIVE PROVIDER. ORGANIZATION (EPO). $25 Copay with a maximum Vision Exam benefit of $95 per annual $10 Copayment every 12. exam* months $10. Hardware Complete pair of prescription (frames, lenses, eyeglasses (including single vision, No Benefit contacts) bifocal and trifocal lenses and prescription contact lenses.)

10 *PEBP does not maintain a network specific to vision care. Out-of-network providers will be paid at Usual and Customary (U&C). One annual vision exam, maximum annual benefit $95 per plan year after the $25 copayment. For Plan Limitations and Exclusions, refer to the CDHP Master Plan Document or the HMO Evidence of Coverage Certificates available at Plan Year 2019 Dental Plan Comparison Dental Plan All PPO, HMO and Medicare Exchange eligible Participants Benefit Category In-Network Out-of-Network Individual Plan Year $1,500 per person for Basic and $1,500 per person for Basic and Maximum Major services Major services Plan Year Deductible $100 per person or $100 per person or (applies to Basic and $300 per family (3 or more) $300 per family (3 or more).)


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