Cheshire Medical Center Recruitment Guide 2023

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2023 Benefits

Cheshire Medical Center Staff

Cheshire Medical Center offers a total compensation package that includes competitive health and wellness benefits.

These benefits consist of “Core Benefits” that are provided by Cheshire Medical Center as well as “Benefit Choices,” allowing you to select additional benefits to meet your personal situation and needs.

■ Health insurance

■ Dental insurance

■ Life insurance

■ Short and long-term disability

■ Earned time off/vacation time

■ Retirement plans

■ Tuition assistance

■ Identity theft protection

■ Employee assistance program

■ Pet insurance

■ Virtual Urgent Care

At Cheshire Medical Center, we understand that having a robust benefits package helps us attract the best employees— sometimes the benefits can be as important as the salary itself. Our employees should know from day one that we are invested in your wellbeing. We believe this creates a happy, healthy workforce, and that is one of the most important assets Cheshire Medical Center can have for our long-term success.

Employees budgeted at least 0.5FTE, and their eligible dependents, may participate in Cheshire Medical Center’s benefit plans on the employee’s first day of employment.

2023 Medical Plans Summary

The Cheshire Medical Center contribution will be deposited into your HRA or HSA account as a pro-rated lump sum contribution in the first pay period of the month following your benefits eligibility.

2023
Benefit Highlights
Plan Features ElevateHealth HSA Plan ElevateHealth HRA Plan Choice Health Plan Preferred Providers ElevateHealth Network Preferred Providers ElevateHealth Network In-Network Out-of-Network Deductible Single: $1,500 Family: $3,000 Single: $1,500 Family: $3,000 Single: $2,000 Family: $4,000 Single: $4,000 Family: $8,000 Co-insurance 10% after deductible 30% after deductible 10% after deductible 30% after deductible 30% after deductible 50% after deductible Preventative Care Covered 100% Covered 100% Covered 100% Covered 100% Covered 100% 50% after deductible Out-of-Pocket Maximum Single: $2,400 Family: $4,800 (Includes RX drugs) Single: $3,400 Family: $6,800 (Includes RX drugs)** Single: $5,600 Family: $11,200 (Includes RX drugs)
(Single = Employee Only coverage; Family = all other coverage levels) Cheshire Medical Center Contribution to HSA Salary of $49,999 or less Single $800 Family $1,600 Salary of $50k - $99,999 Single $600 Family $900 Salary of $100k - $149,999 Single $400 Family $700 Salary of $150k + $0 $0 Cheshire Medical Center Contribution for the HRA Salary of $49,999 or less Single $600 Family $1,200 Salary of $50k - $99,999 Single $300 Family $600 Salary of $100k - $149,999 Single $150 Family $300 Salary of $150k + $0 $0

30 days

- Dartmouth Hitchcock Pharmacy

- Cheshire Medical Center Pharmacy

- The Pharmacy in Bennington & Manchester, VT

- Select CVS Retail Pharmacies

30 days

All Other Retail

- Dartmouth Hitchcock Pharmacy

90 days

- Dartmouth Hitchcock Pharmacy Mail Order

- Cheshire Medical Center Pharmacy

90 days - OptumRx Mail Service Pharmacy

Subject to deductible and 10% co-insurance

Generics $10

Brand 30% co-insurance up to $100

Specialty 50% co-insurance up to $200

Generics $15

Subject to deductible and 10% co-insurance

Subject to deductible and 30% co-insurance

Brand 40% co-insurance up to $100

Specialty 60% co-insurance up to $200

Generics $30

Subject to deductible and 30% co-insurance

Subject to deductible and 10% co-insurance

Subject to deductible and 30% co-insurance

Brand 30% co-insurance up to $300

Generics $45

Brand 40% co-insurance up to $300

Subject to deductible and 10% co-insurance

Subject to deductible and 30% co-insurance

2023 Medical & Prescription Drug Plans

Cheshire Medical Center offers you a choice of three medical plan options—the ElevateHealth HSA Plan, the ElevateHealth HRA Plan, and the Choice Health Plan. Deciding which plan to choose is a personal and financial decision. To help you choose, we have outlined some similarities and differences between the plans.

ElevateHealth Plans

ElevateHealth is an insurance partnership of Dartmouth Health, Elliot Health System, and Harvard Pilgrim Health Care. Employees who enroll in one of the two ElevateHealth plans can expect care from a network of providers and facilities primarily located in New Hampshire and Vermont where most Cheshire Medical Center employees and their families are seeking care today; however, coverage is not provided for service outside the ElevateHealth network. The only exception to this provision is in the event of an emergency situation or a service that is not provided at the facilities in the ElevateHealth network which is medically necessary.

Choice Health Plan

The Choice Health Plan, administered by Health Plans, Inc., offers a national network of providers. In the Choice Health Plan, you have access to the Harvard Pilgrim network of providers. If you choose to see a provider that is out-of-network, you will be responsible for the out-of-network deductible, coinsurance, and plan provisions.

Filling a Maintenance Medication?

After two 30-day fills, employees filling a maintenance medication will be required to order their prescription as a 90-day supply at CMC Pharmacy, or by mail from DH Pharmacy Home Delivery or OptumRX Mail Order. Maintenance medications are prescribed for long-term chronic conditions, like asthma, diabetes, and hlgh-blood pressure. Sign up by calling 855.280.3893 to speak to a pharmacy team member.

Pharmacy Benefits
Days Supply Locations ElevateHealth HSA Plan ElevateHealth HRA Plan Choice Health Plan
90 days All Other Retail Not Available Not Available Not Available

Basic

2023 Dental Plans

Plan pays 50%, no deductible, lifetime maximum benefit of $2,000 per covered member

Plan Features Basic Enhanced Deductible Single: $50; Family: $150 Single: $25; Family: $75 Preventive Care 100%, no deductible (2 annual cleanings) 100%, no deductible (2 annual cleanings)
Restorative
(Fillings,
Plan
Plan
Cheshire Medical Center offers two Dental options for you and your eligible dependents through Northeast Delta Dental. Annual Maximum Benefit $1,000 per covered member $1,500 per covered member Single = Employee Only coverage, Family = all other coverage levels
Care
Extractions, Root Canals)
pays 50%, after deductible
pays 80%, after deductible Major Restorative Care (Crowns, Dentures, Bridges) Plan pays 50%, after deductible Plan pays 50%, after deductible Orthodontia Plan pays 50%, no deductible, lifetime maximum
benefit of $2,000 per covered member

Medical/Prescription Plan

FTE (0.75 or greater)

Base Salary $0 to $49,999

$50,000 to $99,999

Bi-Weekly Premiums for Non-Tobacco Users

ElevateHealth Plan with HSA and HRA and Choice Health Plan

Additional Premiums Or Premium Adjustments May Apply

Tobacco Use Premium: The employee contributions shown on this page are for non-tobacco users only. If you or a covered dependent use tobacco, a $15 tobacco user premium will be added to your contribution each pay period.

Spouse Premium: If you choose to cover your spouse under one of our medical plans, and your spouse has access to group-sponsored health insurance coverage through their own employer, your 2023 medical plan premium will be twice the standard premium for the coverage in which you choose to enroll. The surcharge does not apply if your spouse is employed by and is benefits eligible at Alice Peck Day, Cheshire Medical

Center, Dartmouth Hitchcock Medical Center and the Dartmouth Hitchcock Clinics, New London Hospital, or Visiting Nurse and Hospice for VT and NH.

Salary Level Premium: All salary-based insurance premiums, such as medical insurance, life and disability buy-up insurance, may increase or decrease based on salary adjustments throughout the calendar year. For example, medical insurance premiums are based on salary levels. If an employee has an adjustment in salary, the premium and/or benefit level change will take effect within two pay periods of the date in which Human Resources receives the change.

Employee $42.45 Employee + Children(s) $63.65 Employee + Spouse $89.10 Family $117.50
of
Employee $59.40 Employee + Children(s) $89.10 Employee + Spouse $124.75 Family $164.50 Base Salary of
Employee $63.15 Employee + Children(s) $94.75 Employee + Spouse $132.70 Family $175.00 Base
Employee $94.55 Employee + Children(s) $141.80 Employee + Spouse $198.55 Family $261.85 FTE
Employee $137.40 Employee + Children(s) $210.30 Employee + Spouse $291.50 Family $383.20 Dental Bi-Weekly Premiums FTE (0.5 – 1.0) Basic Enhanced Employee $2.62 $5.77 Employee + Children(s) $11.01 $21.99 Employee + Spouse $11.01 $21.99 Family $20.96 $41.39
Base Salary
$100,000 to $149,999
Salary of $150,000 or greater
(0.5 – 0.74)
2023 Medical, Prescription Drug and
Dental Plan Employee Contributions

Health Care Reimbursement Account (HCRA)

The HCRA is a pre-tax savings account available to employees who waive health care coverage or enroll in the ElevateHealth HRA plan. The HCRA can be used to pay for eligible health care, dental, or vision care expenses that are not covered by insurance, for you and your eligible dependents. The maximum amount you may contribute to your HCRA is $2,850 in 2023. Once you sign up for the HCRA, you will receive a personalized debit card from HealthEquity to use when paying for your eligible health care expenses.

Note: You may not use your HSA, HRA, or HCRA to pay for, or be reimbursed for, over-the-counter medications unless prescribed by a provider.

In order to qualify for reimbursement, expenses must be incurred for the care of “eligible dependents” who the IRS defines as:

■ A child under the age of 13, or a child of any age who is physically or mentally incapable of self-care,

■ Your spouse, if physically or mentally incapable of self-care and living in your home for more than 50% of the year, or

Dependent Care Reimbursement Account (DCRA)

The DCRA is a pre-tax savings account that may be used to pay for eligible elder and child care expenses. You may only use this account if you utilize day care or elder care services so that you and your spouse can work, obtain gainful employment, or attend school full time. It is important to note that your day care or elder care provider must furnish you with his/ her Social Security Number (SSN) or Tax Identification Number (TIN) in order to receive reimbursement for your expenses. IRS regulations limit the amount you may contribute to any DCRA to $5,000 for your family (or $2,500 if married and filing separate tax returns) per calendar year.

■ Any other dependent who is physically or mentally incapable of self-care who meets specific criteria. For more details about who qualifies as eligible dependents under the DCRA, refer to IRS Publication 503, titled Child and Dependent Care Expenses, which is available by calling the IRS at 800.829.1040 or at IRS.gov.

Note: You can only participate in the DCRA if you earn less than the highly compensated limits. For the 2023 plan year, an employee who earns more than $135,000 is considered a highly compensated employee.

Reimbursement Accounts

Cheshire Medical Center cares about your retirement. Therefore, we offer you the opportunity to contribute to a 403(b) plan to which Cheshire Medical Center may contribute.

403(b) Plan

Eligible employees may save for retirement by making voluntary contributions to the Cheshire Medical Center 403(b) plan. Your contributions—and any associated investment earnings—are vested immediately. That means they’re yours to keep, even if you should leave Cheshire Medical Center. You may save up to 100% of your income, subject to IRS annual maximums*, through:

■ 403(b) Pre-tax contributions,

■ 403(b) Roth After-tax contributions, or

■ A combination of both types of savings.

If you are age 50 or older in 2023, you may also make “ catch-up” contributions, subject to IRS annual maximums.*

You may make changes to your contributions at any time throughout the year through Transamerica.

*The 2023 IRS contribution limit is $22,500 for employees under age 50. Employees age 50 or older during the year are able to save up to an additional $7,500 in “catch-up” contributions.

Employees will receive a flatbase contribution of 4 percent of pay (up to the IRS annual compensation limit), PLUS a per pay period match of 50 percent on up to 4 percent of pay saved for a maximum matching contribution of 2 percent of pay.

Employer base and matching contributions are vested based on a three-year vesting service schedule. Employees earn one year of vesting service for each year in which they are credited with at least 1,000 hours worked in a calendar year.

403(b) Roth After Tax Plan

403(b) Roth contributions are taxed in the year they are saved. The investment income on 403(b) contributions remains taxfree if you leave your money in your 403(b) account for at least five years from the first year of contribution.

Cheshire Medical Center Retirement Plans

Additional Benefits

Basic Life/AD&D

Equal to one times annual base pay, up to $200,000 (provided at no charge).

Supplemental Life/AD&D

In addition to the Basic Life and AD&D insurance provided to you at no cost, Cheshire Medical Center offers you the opportunity to purchase additional Supplemental Life and AD&D insurance for yourself and your eligible dependents. Some levels of coverage will require you to provide evidence of your good health or Evidence of Insurability (EOI).

Short-Term Disability Insurance

■ Staff are paid at 70% of annual base salary, after a 14 day elimination period, for up to 24 weeks.

■ The 2023 Benefits program provides Physicians and Advanced Practice Providers with STD coverage equal to 100% of base salary for up to 26 weeks. Sun Life Financial determines eligibility and medical necessity for STD. This benefit begins immediately following determination of disability.

Long-Term Disability Insurance

■ 50% of base salary, to a maximum of $15,000 per month (provided at no charge)

■ You may elect to increase (“buy-up”) your LTD coverage to either 60% or 66 2/3% of base salary, to a maximum of $15,000 per month

Adoption Assistance

Cheshire Medical Center provides a $5,000 assistance benefit to full and half time, benefit eligible employees who have six or more consecutive months of service and adopt an eligible child.

Employee Discount Program

D’Perks is a discount program, offered in conjunction with the Upper Valley Business Alliance, for all employees of the Dartmouth Health system. This program is part of your employee benefits and includes national brand discounts as well as discounts and offers from businesses located in the Upper Valley, Monadnock region, Sunapee region, Concord, Manchester, greater Nashua areas and Vermont. D’Perks is a great resource to check when making purchasing decisions— everything from car rentals, vacation planning and major retailers to goods and services that you use every day to gifts from local shops. Discounts will continually update so, check in with D’Perks regularly.

Cheshire Medical Center Wellness Programs

Dartmouth Health Office of Employee Wellbeing offers a variety of programs to improve and maintain your health, including health and wellness coaching options, fitness programs, life/stress management, and other educational resources.

These programs are available to all employees and immediate family members, regardless of enrollment in a Dartmouth Health medical plan. For more information, contact Dartmouth Health Office of Employee Wellbeing at 603.650.5950.

Organizational & Employee Development (OED)

OED promotes and supports the development of leaders and employees throughout Dartmouth Health by providing professional, leadership, and team development opportunities using programs, tools and interventions grounded in evidencebased practice. The following offerings are available to Dartmouth Health Employees: Professional skills courses and online LinkedIn Learning. For Dartmouth Health Leaders, the following offerings are available: Leadership Development and Experience Programs, Team Development Workshops/ Programs, Leadership Coaching, Performance management and employee engagement initiatives.Protect

Identity Theft Protection

Cheshire Medical Center offers Identity Theft Protection through Allstate Identity Protection Pro Plus. The plan helps protect your identity, online reputation, and credit. You can enroll or cancel at any point in the year. Allstate Identity Protection Pro Plus offers industry leading identity and credit monitoring solutions to alert you of concerns and assist in taking action. The protection includes fraud prevention, proactive monitoring, and real-time alerts via email, text, or phone. In addition, Allstate Identity Protection Pro Plus will provide services to restore your identity. Here’s what you’ll pay for this coverage.

Employee Bi-Weekly Contributions

Employee Only $4.60

Household $8.29

Full and Eligible Part Time Staff at Cheshire Medical Center

Tuition Reimbursement

Full-time employees receive up to $3,000 per calendar year for job-related degree courses. This amount is pro-rated for half-time employees.

Paid Time Off

Traditional time off benefits for vacation, sick time and holidays are combined in a single category called Earned Time. Benefit eligible employees start accruing Earned Time with their first paycheck. The accrual rate is based on hours worked and is pro-rated if you work less than 40 hours per week. The annual accrual rate increases as your years of service increase, as shown in the table.

Other Paid Leave

It is the intention of Cheshire Medical Center that employees who are called to active duty, military service are protected against serious financial hardship that could result from this eventuality. Cheshire Medical Center supplements the employee’s military pay, if necessary, to ensure that the employee’s total income remains equivalent to the employee’s normal straight time pay. This compensation will continue for a maximum of 26 pay periods. Receive your pay plus stipend if you are called to Jury Duty. Bereavement leave is one week of your normally scheduled hours.

Cheshire Medical Center will provide up to two (2) consecutive weeks of paid Parental Leave for all Eligible Employees following the birth or adoption of a child. This policy shall only apply to births or adoptions that occur on or after the employee’s benefit effective date.

Professional Development Funding

Financial support is available for job-related certification exams, continuing education programs, conferences, memberships, and books.

Paid time off accrual for 1.0 FTE employee Years of Service Annual Number of Days Hours/Pay Period 0 – 9 27 8.304 10+ 32 9.84 Earned Time Maximum Accrual: Full-time: 360 hours Part-time: 240 hours
DartmouthHealth.org
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