WELCOME TO YOUR BENEFITS PLAN YEAR | 2022
WE’RE HAPPY TO PROVIDE YOU AND YOUR FAMILY WITH ONE OF THE MOST COMPREHENSIVE EMPLOYEE BENEFIT PLANS. OUR BENEFITS PROGRAM PROVIDES A VARIETY OF PLANS FOR YOU AND YOUR FAMILY.
Welcome to Your Benefits! THE PLAN YEAR IS
January 1st - December 31st
SCS would not be the successful company it is today without the dedication of our hard working associates. We are proud to offer a comprehensive benefits package that is designed to insure and protect you and your family against financial hardship and loss. This benefit guide provides information about the benefit options available to you as a benefits eligible employee of SCS. Please take time to learn about the benefits so you can make an informed decision. When you make smart, well informed decisions, you can best manage your out-of-pocket costs and also help control the rising cost of healthcare.
TABLE OF CONTENTS BENEFITS OFFERED How to Enroll Eligibility Medical: PPO Medical: HDHP with an HSA About a Health Savings Account Sydney Health App LiveHealth Online Anthem Discounts Flexible Spending Account Dental Vision Group & Voluntary Life Insurance Short Term & Long Term Disability Additional Financial Benefits SCS Employee Assistance Program 401(k) Retirement Plan
VENDOR
FIND IT ON PAGE
SCS SCS Anthem Anthem Bank of America Anthem Anthem Anthem Chard Snyder Delta Dental VSP The Hartford The Hartford The Hartford The Hartford Fidelity
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ENROLLING IN BENEFITS SELF SERVICE ENROLLMENT THROUGH UKG Before you enroll in your 2022 benefits, keep in mind that your eligibility period is the only time, outside of a Qualifying Life Event (QLE), that you’ll be eligible to enroll in SCS benefits outside of the annual Open Enrollment period. To the right, you’ll see examples of QLEs. Enrollment must happen within 30 days of a Qualifying Life Event.
READY TO GET STARTED? VISIT:
https://ew12.ultipro.com/Login.aspx GETTING LOGGED IN* 1. 2. 3. 4. 5.
Your username will be “SCSIN” plus your 5 digit employee ID number. This is the same employee number you currently have. For example, if your employee ID number is 12345, then your username would be SCSIN12345. Enter your MMDDYYYY of your birthday as your default password. You will then be prompted to update/change to a new password. Select Sign In to access the UKG Pro portal. After logging in, you will be asked to verify your identity via multi-factor authentication. Select the E-Mail option to have your code emailed to you. You will be sent an email with a numeric code to enter on the next screen. Enter the code, and click the “Do not ask me for codes again on this computer for the next 30 days” to avoid needing to perform multifactor authentication from that computer for 30 days.
GETTING TO KNOW YOUR OPTIONS
COMPANY Information • Company Announcements & Calendars & Newsletters • Employee Directory • Internal Job Openings PERSONAL Information • Change Address & Phone & Email • Update Your Contacts • Policy handbooks PAY Information • View Current Pay Stub (including Paid Time Off Balances) • Add/Change Direct Deposit • Change Tax Withholdings (Income Tax tab) Life Events • Complete New Hire Benefits Enrollment • Add/Change Life Insurance Beneficiary • Change HDHP HSA $ deduction • Reviewing Paid Time Off Balances on Pay stub: • Balance includes Taken Hours, but not Scheduled/Approved Future Hours
Need Help?
Please contact Rachel Kollker | 317-473-1335 | rkollker@scscoatings.com *Keep in mind that depending on where you decide to log in, the app or the web, the interface of the enrollment system may appear differently.
HELPFUL ENROLLMENT REMINDERS
QUALIFYING LIFE EVENTS As a new hire, you’re eligible for a mid-year enrollment. New employment, marriage, and having a baby are all examples of qualifying life events. Before selecting your benefits, you will need to navigate to ‘Life Events’ on the left to population information about your dependents. Once you select ‘New Hire’ as your Qualifying Life Events, you can click ‘Next’ to continue.
BENEFICIARIES and DEPENDENTS Before you’re able to elect dependents for your insurance plans, you must navigate to ‘Verify Beneficiary And Dependent Information’ on the left and update your beneficiaries. You will not be able to add dependents to your plans without completing this step. You will also need to include their Social Security Number and Birth Date, AND check the box next to their name. This is an important step!
One More Note! You will have to actively enroll or waive each benefit and insurance plan to complete your enrollment.
!
SCS BENEFIT ELIGIBILITY DO YOU KNOW WHO YOU CAN COVER? FOR SPOUSE:
EMPLOYEE ELIGIBILITY
A copy of your marriage certificate AND one of the following: • A copy of the front page of your 2020 federal tax return showing you filed as married with your spouse • A document dated within the last 60 days showing current relationship status such as a recurring monthly household bill or statement of account. The document must list your spouse’s name, the date and your mailing address. Healthcare bills will not be accepted as proof of eligibility as healthcare coverage is being verified.
All SCS employees who are full-time and scheduled to work at least 30 hours per week are eligible to participate in all of the plans listed in this guide, unless otherwise noted under a specific benefit. New hires that are full-time and are scheduled to work at least 30 hours per week are eligible for coverage the 1st of the month following the date of hire.
DEPENDENT ELIGIBILITY If you are a benefits-eligible employee, you may also enroll your eligible dependents. As a reminder, eligible dependents are defined in your benefits summary as: • Your legal spouse • Your qualifying Domestic Partner • Your child up to age 26 (Coverage may be extended to an unmarried child of any age who is physically or mentally disabled and are incapable of self-support due to the disability.) • A child is defined as your biological child, stepchild or child of your domestic partner, legally adopted child or child placed with you for adoption, a child for whom you or your spouse has been appointed the legal guardian or custodian, or a child for whom you are required to provide health insurance by a Qualified Medical Child Support Order.
FOR CHILDREN UP TO AGE 26 AND DISABLED CHILDREN: • A copy of the child’s birth certificate or adoption certificate naming you or your spouse/partner* as the child’s parent. Please note the document must list the first and last names of the child and parent(s). OR • A copy of the court order naming you or your spouse/ partner* as the child’s legal guardian or custodian. *Note for a stepchild: If you are covering a stepchild or child of your domestic partner you must also provide documentation of your current relationship to your spouse or domestic partner as requested above
FOR DOMESTIC PARTNER:
PROOF OF ELIGIBILITY
• Specialty Coating Systems’ Declaration of Domestic Partnership, AND • TWO Documents* of joint interdependency: • One dated within the last 60 days • One dated at least 6 months prior to this letter’s mail date *Acceptable documents include: a joint bank account, credit account; joint lease, mortgage or deed; joint auto insurance; life insurance, retirement account or will listing your partner as the beneficiary (or your partner’s life insurance, retirement account or will listing you as the beneficiary); document designating your or your partner as the other’s durable power of attorney.
New 2022 Dependents MUST submit the REQUIRED DOCUMENTS to Human Resources. This helps ensure that the medical plans are compliant with applicable plan and regulatory requirements. All required documents MUST contain the date (including year), employee’s name, and dependent’s name. Personal information such as social security numbers, account numbers, and financial information may be marked out for confidential purposes.
Coverage
Maximum Child Age
End Date
Medical
Age 26
End of Month of 26th birthday
Dental, Vision
Age 26
End of Month of 26th birthday
Voluntary Life
Age 26
End of Month of 26th birthday
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MEDICAL PLAN: PPO PROVIDED THROUGH ANTHEM
2022 Employee Premium Cost Per Pay Employee
$75
Employee + 1/child(ren)
$190
Family
$235
Plan Feature
In Network
Out-of-Network
Annual Deductible
Individual: $1,000 Family: $2,000*
Individual: $1,000 Family: $2,000*
Out-of-Pocket Max (OOPM) Including Deductible
Individual: $4,000 Family: $8,000*
Individual: $10,000 Family: $20,000*
Coinsurance Preventive Care Services
Deductible then covered 80% Covered in Full
LiveHealth Online
$25 copay
Physician Visit
$25 copay
Specialist Visit
$45 copay
Urgent Care
$50 copay
Emergency Room Prescription Drugs- Retail 30 day supply Preventive Drugs
Deductible then covered 60%
$150 copay (Visits classified as Non-Emergency could result in additional costs not covered under this plan)
Tier 1: $10 copay Tier 2: $30 copay Tier 3: $60 copay Tier 4: 25% up to $250
50% min $60 50% min $60 50% min $60 Not Covered
For a full list of free or low-cost prescriptions, please refer to Anthem.com
*Embedded Deductible: No single individual on a family plan will have to pay a deductible higher than the individual deductible amount. SEE PLAN DOCUMENT FOR FULL DETAILS.
ANTHEM MAKES IT EASY.
IN-NETWORK PROVIDERS WILL HELP YOU KEEP YOUR MEDICAL COSTS DOWN WHILE STILL FINDING THE BEST CARE. FIND IN-NETWORK PROVIDERS WITH JUST A FEW CLICKS AT WWW.ANTHEM.COM OR
DOWNLOAD THE SYDNEY HEALTH APP!
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MEDICAL PLAN: HDHP WITH AN HSA PROVIDED THROUGH ANTHEM
2022 Employee Premium Cost Per Pay Employee
$42
Employee + 1 / Child(ren)
$118
Family
$167
Plan Feature
In Network
Out-of-Network
Annual Deductible
Individual: $1,500 Family: $3,000*
Individual: $5,000 Family: $10,000*
Out-of-Pocket Max (OOPM) Including Deductible
Individual: $5,000 Family: $6,850*
Individual: $10,000 Family: $20,000*
Deductible then covered 90%
Deductible then covered 50%
Coinsurance Preventive Care Services
Covered in Full
LiveHealth Online Physician Visit
Deductible then covered 90%
Specialist Visit
Deductible then covered 50%
Urgent Care Deductible then 90% co-insurance (Visits classified as Non-Emergency could result in additional costs not covered under this plan)
Emergency Room
Prescription Drugs- Retail 30 day supply Preventive Drugs
Deductible then: Tier 1: $10 copay Tier 2: $30 copay Tier 3: $60 copay Tier 4: 25% up to $250
50% min $60 50% min $60 50% min $60 Not Covered
For a full list of free or low-cost prescriptions, please refer to Anthem.com
*Non-Embedded Deductible: The total family deductible must be paid out-of-pocket before the insurer starts paying for healthcare services for any individual member.
Bonus: Specialty Coating Systems will contribute money to your HSA for 2022. Because of federal
limitations on how much you can contribute to an HSA annually, you’ll want to make sure that with SCS’ contribution, you’re not contributing more than allowed. IRS 2022 Contribution Limit
Maximum SCS Annual Contribution
Maximum Employee Contribution (Optional)
(Age 55 or older)
Employee
$3,650
$500
$3,150
$1,000
Employee + 1 / Child(ren)
$7,300
$750
$6,550
$1,000
Family
$7,300
$1,000
$6,300
$1,000
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HSA Catch-up contributions
ABOUT A HEALTH SAVINGS ACCOUNT AVAILABLE WITH HDHP MEDICAL PLAN
WHAT IS AN HSA? is an HSA?
ReadyREADY to getTO started? GET STARTED?
An HSA gives you more control over your health care In just a few easy steps you’ll be on your way. The n HSA gives you more control over your health care spending. spending. It’s a tax-advantaged personal health care In just a few easy steps you’ll be on your way. The member website and website and MyHealth s a tax-advantaged personal health care account that works with MyHealth member mobile app help you easily manage your account, view your mobile app help you account that works with an HSA-qualified health plan. contributions and payment history, securely store receipts and more. n HSA-qualified health plan. You can contribute funds into an HSA easily manage your account, view your contributions canandcontribute funds into an HSA on a pre-tax basis ax basis to saveYou for current future medical expenses – and payment history, securely store receipts and more. u in charge of to how save you spend yourcurrent health care dollars. for and future medical expenses – putting you in charge of how you spend your health care dollars. ntributed to an HSA is exempt from federal income tax and
me taxes (in most states), and even earns interest. You own
Money contributed to an HSA is exempt from federal income tax and state income taxes (in most states), and to year. even earns interest. You own your HSA and it moves with k of America nor any of its affiliates provide legal, tax or accounting advice. youtaxifadvisors youbefore change jobs,decisions. health plans or begin retirement. onsult your legal and/or making any financial There are no “use-it-or-lose-it” rules – the balance rolls over from year to year.
and it moves with you if you change jobs, health plans or begin
t. There are no “use-it-or-lose-it” rules – the balance rolls over
With a Bank of America HSA you can:
Neither Bank of America nor any of its affiliates provide legal, tax or accounting advice. You should consult your legal and/or tax advisors before making any financial decisions.
ave it
x-free funds to pay alth care expenses
Use it
Never lose it
pay for qualified health care expenses now
it’s yours for life whether you change jobs, health plans or retire
VISIT THIS LINK OR SCAN THE QR CODE! HTTP://BIT.LY/SCSHSAMEMBER • Deductibles HSAs can be used for CLICK + NEW USERS WHEN YOU GET THERE. • Co-insurance and Medicare payments
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medical costs, including:
BIG HSA BENEFITS
or Life
®
• Over-the-counter medical items and more Check this list of commonly covered health care expenses.
It saves you money. This is a cost-friendly option when it comes to medical premiums. Plus, HSAs are basically “cash” accounts, so you may be able to negotiate pricing on many medical services.
Save it. Use it. Never lose it.® 05
It’s portable. If you change jobs, you get to keep your HSA. It’s a tax saver. Contributions to your HSA are made with pre-tax dollars. Since your taxable income is decreased by your contributions, you pay less in taxes. It allows for an improved retirement account. Funds roll over at the end of each year and accumulate tax-free, as does the interest on the account. Also, once you reach the age of 55, you are allowed to make additional catch-up contributions to your HSA until age 65. It puts money in your pocket! You never lose unused HSA funds. They always roll over to the next year.
Quick facts video about HSA Advantages http://bit.ly/HSAadvantages
Quick facts video about an HSA http://bit.ly/HSAfacts
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Quick facts video about HSA-eligible expenses http://bit.ly/HSAeligibleexpenses
ABOUT A HEALTH SAVINGS ACCOUNT AVAILABLE WITH HDHP MEDICAL PLAN
Getting started. Your HSA checklist. Log in to the member website at myhealth.bankofamerica.com or through your employer’s benefit site. Manage your account, view your contributions and payment history, and securely store your receipts online. • Go to the profile tab to verify your email, mailing address and phone number so we can reach you if needed. If your account is through your employer, updates to your mailing address may need to be made through your benefits department. • Set up your direct deposit information. After you’ve linked your bank account, you’ll receive distributions electronically without the hassle of paper checks, and you also can easily make contributions to your HSA. • Enroll in investments. • Designate your beneficiaries and dependents. • Request a debit card for your dependents. You’ll need to have their dates of birth and social security numbers handy. • Complete your Authorization Form to allow others to contact Customer Care or make transactions on your account. • Update your notification preferences. Tell us how you’d prefer to receive your account information. You can also sign up for text alerts for some notifications. • Visit the Learn tab to view all the detailed information you need to manage your account,including interest rates for your HSA. Activate your HSA Visa® debit card Your debit card will be coming in the mail soon! Be sure to activate the card so you can start using it immediately. Download the Health Mobile App Manage your health care expenses on the go. Just download “MyHealth” from the App StoreSM or Google PlayTM Store today!
SCS Will Help You Save! Specialty Coating Systems will contribute money to your HSA for 2022 if you enroll in the HDHP Medical plan. Because of federal limitations on how much you can contribute to an HSA annually, you’ll want to make sure that with SCS’ contribution, you’re not contributing more than allowed.
IRS 2022 Contribution Limit
Maximum SCS Annual Contribution
Maximum Employee Contribution (Optional)
(Age 55 or older)
Employee
$3,650
$500
$3,150
$1,000
Employee + 1 /Child(ren)
$7,300
$750
$6,550
$1,000
Family
$7,300
$1,000
$6,300
$1,000
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HSA Catch-up contributions
ANTHEM RESOURCES SYDNEY HEALTH APP
WELCOME TO THE SYDNEY APP With Sydney, you can find everything you need to know about your Anthem benefits - personalized and all in one place. Sydney makes it easier to get things done, so you can spend more time focused on your health.
Already using the Anthem app? It’s easy to make the switch. Simply download the Sydney app and log in with your Anthem username and password. When you search “Anthem” in the app store, Sydney Health will be your first option!
Ready to download Sydney? Download the app for free in the app store!
Watch a video about what you can rely on Sydney to help you with in 2022.
WITH JUST ONE CLICK, YOU CAN:
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•
Find care and check costs
•
Check all benefits
•
See claims
•
Get answers even faster with our chatbot
•
View and use digital ID cards
ANTHEM RESOURCES LIVE HEALTH ONLINE APP 2022 Employee Premium Cost Per Pay PPO Plan Coverage
$25 Copay
HDHP Plan Coverage
Deductible then covered 90%
Non-Members
$59/Visit
Be Prepared! Download the app on Google Play for Android or the App Store for iPhone/iPad.
MEET WITH A DOCTOR WITHOUT LEAVING YOUR HOME THROUGH YOUR MOBILE DEVICE! LiveHealthOnline is one of the nation’s most established providers of telehealth services. Our national network of U.S. board-certified doctors is standing by to provide quality healthcare for you and your family, 24/7. From the information you provide, LiveHealthOnline can diagnose many illnesses and injuries, order prescriptions, and know immediately if you need to be referred to in-person emergency care.
BENEFITS: • • • • •
EXAMPLES OF MEDICAL CONDITIONS:
Consults with U.S. Board-Certified doctors via phone or video conference 24/7 Access to a doctor anytime, anywhere – from home, work, or on the road Diagnosis and treatment for many common, nonemergency medical conditions A way to avoid unnecessary visits to the ER and long waits for doctor appointments Prescriptions called-in when appropriate
• • • • • •
Cold & Flu Symptoms Allergies Pink eye Respiratory Infection Sinus + skin Problems And more!
Download the app or go to www.livehealthonline.com.
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ANTHEM RESOURCES SPECIAL OFFERS SAVE MONEY WITH DISCOUNTS AT WWW.ANTHEM.COM Saving money is good. Saving money on things that are good for you — that’s even better. With SpecialOffers, you can get discounts on products and services that help promote better health and well-being.* It’s just one of the perks of being an Anthem member. Check out how much you can save:
VISION, HEARING AND DENTAL • • • • • • • •
FAMILY AND HOME
Glasses.com™ and 1-800-CONTACTS® EyeMed Premier LASIK TruVision Nations Hearing Hearing Care Solutions Amplifon ProClear™ Aligners
• • • • • •
MEDICINE AND TREATMENT • • • • •
FITNESS AND HEALTH • • • • • •
23andMe Safe Beginnings® Nationwide Pet Insurance ASPCA Pet Insurance WINFertility® LifeMart®
Active&Fit Direct™ FitBit Garmin Jenny Craig ChooseHealthy Global Fit
Want to learn more about the offers listed? Scan the QR code! To find the discounts that are available to you, log in to www.anthem.com and select Discounts.
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SelfHelpWorks Brevena Puritan’s Pride Allergy Control Products National Allergy® supply
FLEXIBLE SPENDING ACCOUNT ADMINISTERED THROUGH CHARD SNYDER
WHAT IS A FLEXIBLE SPENDING ACCOUNT? A Flexible Spending Account (FSA) is a type of account, provided by your employer, that allows you to put aside money to pay for eligible healthcare and dependent daycare expenses. The money going into the account is tax-free (no payroll tax is withheld) which can save you money on items and services you are already purchasing. By enrolling in a flexible spending account, you may save up to 40% on your healthcare and dependent daycare costs.
WHAT ARE THE DIFFERENT TYPES OF FLEXIBLE SPENDING ACCOUNTS? A healthcare FSA is designated for eligible medical expenses such as copays, coinsurance, deductibles along with things like prescriptions, medical supplies and procedures. A limited purpose FSA is designated for eligible dental and vision expenses only. Since you can’t have a healthcare FSA if you are contributing to a health savings account (HSA), you can have a limited purpose FSA to spend on only vision and dental expenses and have less money coming out of your HSA. A dependent daycare FSA is designated for expenses incurred to care for your children age 12 and younger, as well as your adult tax dependents who are unable to care for themselves, while you are at work.
WHAT ARE FLEXIBLE SPENDING ACCOUNT ELIGIBLE EXPENSES? Since the IRS is allowing you to put money in your FSA before it is taxed, they determine what expenses are eligible for reimbursement from the account. Reimbursements are only issued for eligible expenses incurred by you, your spouse or your eligible tax dependents and must be incurred during the plan year. Below are just a few examples for each plan type:
Healthcare FSA
Limited Purpose FSA
Dependent Care FSA
Deductibles Hospital Services Prescriptions Co-pays Laboratory Fees Medical Services Fertility Treatments Chiropractor Sunscreen Crutches Wheel Chair
Dental Treatment Dental Procedures Fluoridation Treatment Eye Exams Eyeglasses Optometries Orthodontia
In-Home Babysitter After School Activities Daycare Centers Summer Day Camp Nursery School Elder Custodial Care Elder Daycare
Annual Max: $2,750
Annual Max: $2,750
Annual Max: $5,000
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FLEXIBLE SPENDING ACCOUNT ADMINISTERED THROUGH CHARD SNYDER
CHARD SNYDER MOBILE APP Download from the App Store or Google Play Manage your FSA on the go whenever it is convenient for you. Features • View account snapshot • View account activity and check your balance • Enter and track expenses • Submit FSA claims with receipt images using your phone’s camera • View claim status • Scan products for eligibility
WEBSITE www.chard-snyder.com Access your Chard Snyder account from the home page by clicking on the blue login tab at the top of the page. You will receive your account access information once you are enrolled in a plan provided by Chard Snyder.
CUSTOMER SERVICE askpenny@chard-snyder.com (800) 982-7715 Contact us by sending an email, chat with us by clicking on the Live Chat icon found on the home page of our website, or give us a call.
CHARD SNYDER CUSTOMER SERVICE askpenny@chard-snyder.com Contact us by chat. Click the Live Chat icon found on the home page of our website, or give us a call.
HOW DO I ACCESS MY FLEXIBLE SPENDING ACCOUNT FUNDS? You can always request a distribution by filing a claim, but the Chard Snyder Benefit Card provides an easy, simple way to use your FSA funds to pay for eligible items and services. It works just like a debit card, but because of smart technology, it can only be used to pay for expenses that are eligible according to the IRS guidelines. The Benefit Card eliminates the need to pay out-of-pocket, submit a claim form and wait for your reimbursement. Simply swipe your card at the doctor’s office, the dentist’s office or at the pharmacy, for example, and the funds are automatically deducted from your flexible spending account.
• • • • •
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DENTAL PLAN OPTION
PROVIDED THROUGH DELTA DENTAL OF INDIANA 2022 Employee Premium
Cost Per Pay Employee Employee + 1 Family
$6.65 $13.75 $17.39
of Indiana
*No ID card : Please refer to page 21 for ID card
Plan Feature
PPO Network
Premier Network
Out-of-Network
Individual: $50 Family: $150
Annual Deductible
$1,500 per person
Annual Plan Max Preventive & Diagnostic Services • Exams, cleanings, fluoride, and space maintainers • Temporary pain relief • Sealants • Brush Biopsy • Radiographs
Covered in Full - No Deductible
Basic • Fillings/crown repair • Root canals • Treat gum disease • extractions/surgery • bridges, implants, and dentures
Covered 100% after deductible
Covered 100% after deductible
Covered 80% after deductible
Major • Crowns • Bridges, implants, and dentures
Covered 60% after deductible
Covered 60% after deductible
Covered 50% after deductible
Orthodontic Services • Braces • No age limit
Covered 50% after deductible $1,000 Lifetime Max per person Please see Plan Document for full details.
FREQUENCY OF DENTAL CARE • • • • •
Oral exams (including evaluations by a specialist) are payable twice per year. Prophylaxes (cleanings) are payable twice per calendar year. Fluoride treatments are payable twice per calendar year for people up to age 19. Bitewing X-rays are payable once per calendar year and full mouth X-rays (which include bitewing X-rays) are payable once in any five-year period. Sealants are payable once per tooth per lifetime for occlusal of first permanent molars up to age nine and second permanent molars up to age 14. The surface must be free from decay and restorations.
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VISION PLAN OPTION
SCS UTILIZES THE VSP NETWORK 2022 Employee Premium
Cost Per Pay Employee
$1.50
Employee + 1
$2.00
Family
$3.00
Plan Feature
In-Network
Out-of-Network
$10 copay
Covered up to $50
Comprehensive Eye Exam
$150 allowance for a wide selection of frames
Frames
$170 allowance for featured frame brands
Covered up to $70
20% savings on the amount over your allowance
Plastic Lenses
Lens Enhancements
Contacts
$80 Costco frame allowance Single Vision: $25 Copay Lined Bifocal: $25 Copay Copay Lined Trifocal: $25 Copay Progressive lenses: No Copay Anti-reflective coating: No Copay Scratch-resistant coating: No Copay Average savings of 35%-40% on other lens enhancements $150 allowance; copay does not apply Contact lens exam (fitting and evaluation): $60 Copay
Single Vision: Up to $50 Lined Bifocal: Up to $75 Lined Trifocal: Up to $100
Visit vsp.com for details
Covered up to $105
Please see Plan Document for full details.
FREQUENCY OF VISION CARE • • •
Exams: Every Calendar Year Frames: Every Other Calendar Year Lenses or Contact Lenses: Every Calendar Year
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FINANCIAL BENEFITS PROVIDED BY THE HARTFORD
BASIC LIFE AND AD&D Specialty Coating Systems provides Basic Life and Accidental Death and Dismemberment (AD&D) insurance in the amount of 2 times your salary up to a maximum of $600,000 at no cost to its employees. This benefit will terminate when your employment terminates or upon retirement, and benefits will reduce according to age.
Employee
Employer
0%
100%
COST
If you wish to elect additional life insurance...
VOLUNTARY LIFE This is a voluntary plan that provides you the option to purchase coverage beyond the Basic Term Life Insurance provided by Specialty Coating Systems. Employees and spouses who are currently enrolled can maintain their existing coverage amount. You also have an opportunity to increase your voluntary life insurance up to $400,000 without providing Evidence of Insurability.
Plan Feature Guaranteed Issue Maximum Amount Benefit Reductions
Employee
Spouse*
Child(ren)*
Flat $400,000
Flat $50,000
N/A
$10,000 increments not to exceed 7X earnings or $600,000 To 65% at age 65 To 50% at age 70
$5,000 increments to $100,000 not to exceed 100% of employee amount To 65% at age 65 To 50% at age 70
$10,000 N/A
* Spouse and child voluntary life insurance is only available if the employee is insured for voluntary coverage
SHORT TERM DISABILITY (STD) The STD Plan provides weekly supplemental income in the case of sickness or inquiry. Please refer to Human Resources for specific details. • Benefits begin 8th day of sickness (1st day of injury) • Benefit duration: 13 weeks LONG TERM DISABILITY (LTD) The LTD Plan provides a continuing monthly income during a prolonged illness or injury. Please refer to Human Resources for specific details. • Benefits begin after 90 days • 60% of pre-disability earning will be replaced • Monthly max benefit: $12,500 • Benefit duration is to the later of age 65 or Social Security Normal Retirement Age
COST
Employee
Employer
0%
100%
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FINANCIAL BENEFITS
EXTRA BENEFITS THROUGH THE HARTFORD SCS employees and their households have access to all of the following resources. These benefits help bring a well-rounded safety net to your life, assisting with real-life situations like legal help, and your mental health. To learn more about the following benefits, scan the QR code with your smartphone’s camera.
EstateGuidance Will Services
Health Champion
This free service helps you create a simple, legally binding will online, saving you the time and expense of a private legal consultation.
A patient advocacy resource for claimants and insureds dealing with critical illness.
Funeral Concierge Services Assists employees and their families with both pre-needs and at-need funeral planning. Included in the process is a Price-Finder report, which ensures that the family of the deceased is not over-paying for funeral services.
Travel Assistance & ID Theft Protection Services Features assistance with medical emergencies, emergency personal services, and pre-trip assistance for employees and dependents who are traveling 100 miles or more from home.
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EMPLOYEE ASSISTANCE PROGRAM ABILITY ASSIST IS FREE FOR ALL EMPLOYEES -FRE OLYCAT VERHPON,SIMLC AF
800-96-S(8HELP 00-964-3577)
Visitguidanceresources.com to access hundreds of personal health topics and resources for child care, elder care, attorneys or financial planners. If you’re a first-time user, scan the QR code to the le2 to get started!
Life presents complex challenges. If the unexpected happens, you should have simple solutions to help cope with the stress and life changes that may result. That’s why The Hartford Ability Assist Counseling Services, offered by ComPsych, can play such an important role. Our straightforward approach takes the complexity out of benefits when life throws you a curve. AN EAP CAN ADDRESS THE FOLLOWING ISSUES:
FOR SCS EMPLOYEES AND THEIR FAMILIES
WORK & CAREER
LEGAL ASSISTANCE
FAMILY & RELATIONSHIPS
FINANCIAL WELLNESS
SUBSTANCE ABUSE & ADDICTION
COUNSELING Unlimited phone access to guidance consultants • In-person sessions with a counselor • Up to 3 In-Person sessions FINANCIAL & LEGAL • Financial consultations and referrals • In-person consultations with lawyers at a reduced fee CARE ASSISTANCE • Assistance with topics such as marital and family problems, child/elder care, relocation and education
EMOTIONAL WELL-BEING
Web-based information including articles, tutorials, streaming videos and “Ask the Expert” person responses.
EXTRAS THAT SUPPORT AND ASSIST Visit www.guidanceresources.com to access hundreds of personal health topics and resources for child care, elder care, attorneys or financial planners. If you’re a first-time user, click on the Register tab. 1. In the Organization Web ID field, enter: HLF902 2. In the Company Name field at the bottom of personalization page enter: ABILI 3. After selecting “Ability Assist program”, create your own confidential user name and password.
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401(K) PLAN ADMINISTERED THROUGH FIDELITY There are many benefits of the Specialty Coating Systems 401(k) Plan. One of the primary benefits is that you will receive help reaching your financial goals for retirement. By reviewing the important information in the guide and visiting Fidelity NetBenefits at www.401k.com, you can take advantage of what your company and Fidelity have to offer. ELIGIBILITY You will become eligible to participate in the Plan after 3 months of service, and enter the Plan on the first day of the month. SAFE HARBOR MATCHING CONTRIBUTIONS SCS has elected to make matching contributions to all eligible Participants in an amount equal to 100% of the first 6% of your eligible compensation, contributed to the Plan as Deferral Contributions. AUTOMATIC ENROLLMENT FEATURE If you are subject to automatic enrollment, you will be notified approximately 30 days prior to when SCS will begin to automatically deduct 3.00% from your pay on a pre-tax basis as a Deferral Contribution for you to the Plan. You may stop or change this automatic contribution by following the instructions provided in the notice.
WHY TIME IS MONEY!
ANNUAL INCREASE PROGRAM Annual increase will gradually raise your contribution rate each year. If you have not established an annual increase program for yourself, SCS will automatically increase your contributions annually by 1% until your contributions reach a maximum of 6.00%. You may stop or change this automatic increase by accessing your Fidelity account. HOW MUCH CAN I CONTRIBUTE? Through automatic payroll deduction, you may contribute between 1% and 100% of your eligible pay on a pretax basis, up to the annual IRS dollar limit. You may change your deferral percentage as applicable at the beginning of each payroll period. The Roth 401(k) contribution option is available to you. A Roth 401(k) contribution to your retirement plan allows you to make after-tax contributions and take any associated earnings completely tax free at retirement. HOW DO I ENROLL? To enroll, log on to Fidelity NetBenefits at www.NetBenefits. com/Easy. You can also set up your beneficiary information be going to Fidelity NetBenefits at www.NetBenefits.com or calling a Fidelity Representative at 1-800-835-5097 to request a Designation of Beneficiary Form to fill out and return to Fidelity.
Diane and David are both 35 years old, and earn a starting salary of $35,000. Their goal is to retire at age 65.
DIANE
DIANE SAVES $448,000
$450K
Diane gets off to an early start and begins to contribute 6% of her pay per year right away.
$400K
Annual Salary Increase: 3.5%
$350K
Employer Match: 50% match on a 6% salary deferral contribution (adding 3%)
$300K
Annual rate of return compounded biweekly: 7%
DAVID SAVES $247,200
$250K
Total Contributions: $162,600
$200K
DAVID
$150K
David drags his heels and doesn’t start saving 6% of his pay until he has been employed for 10 years.
$100K
Annual Salary Increase: 3.5%
$50K
Employer Match: 50% match on a 6% salary deferral contribution (adding 3%)
0
Annual rate of return compounded biweekly: 7%
1
10
20
30
YEARS By starting 10 years earlier, Diane’s retirement savings can end up being almost double those of David’s.
Total Contributions: $125,700 This example is for illustrative purposes only and doesn’t specifically reflect the SCS 401(k) plan. The assumed rate of return is hypothetical and does not guarantee any future returns nor represent the return of any particular investment option. Amounts shown do not reflect the impact of taxes on pre-tax distributions. Individual taxpayer circumstances may vary.
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Visit the website or download the app for free in your app store.
BENEFIT CONTACTS
SAVE THESE IN YOUR PHONE FOR WHEN YOU NEED THEM!
Medical & Prescriptions
of Indiana
www.anthem.com 833-578-4441
Dental
www.deltadentalin.com 1-800-524-0149
Vision
www.vsp.com 1-800-877-7195
Health Savings Account
Flexible Spending Account
Life and AD&D Supplemental Life EAP Disability
401k
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www.healthaccounts. bankofamerica.com 1-800-305-5109
www.chard-snyder.com 1-800-982-7715
www.thehartford.com 800-547-5000 EAP: www.GuidanceResources.com 1-800-964-3577
www.401k.com 1-800-835-5097
FINDING IN-NETWORK CARE
IT’S HOW YOU’LL FIND THE BEST COST FOR CARE MEDICAL
ANTHEM www.anthem.com 1.
Select Find a Doctor in the top right
2.
Log in with either your Anthem login credentials or by using your Identification Number listed on your Anthem ID card
3.
Select a specialization and enter your zip code.
4.
You can then narrow your search event further and/or review details such as the expected cost of certain procedures and if they are accepting new patients.
DENTAL
Delta Dental www.deltadentalIN.com 1. Select “Provider Search” then “Find a Network Dentist” 2. Enter your search criteria and select “Search” 3. If you would like to enter additional search criteria, do so and select “Update” 4. To narrow your search, select Delta Dental PPO network
Your Anthem ID card is available on the Sydney app!
Your Name
VSP Signature $10 Vision Exam ID - SS#
ID - SS#
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VISION
VSP www.vsp.com 1. Select find an eye doctor from the top of the page 2. Enter your zip code or select Use My Location 3. From the Choose Network drop down, select Insight 4. Select Get Results
NOTES
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The information in this Enrollment Guide is presented for illustrative purposes and is based on information provided by the employer. The text contained in this Guide was taken from various summary plan descriptions and benefit information. While every effort was taken to accurately report your benefits, discrepancies or errors are always possible. In case of discrepancy between the Guide and the actual plan documents, the actual plan documents will prevail. All information is confidential pursuant to the Health Insurance Portability and Accountability Act of 1996.