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2024 Benefits Guide

Benefits Eligibility

Ready for Open Enrollment?

The Ford Foundation provides the following benefits to New York-based full-time employees. You share the cost of medical coverage with the Foundation while other benefits are provided to you at no cost. Your contributions are deducted from your pay on a pre-tax basis and are based on your salary, the plan you elect and family composition (employee, employee + 1 dependent (spouse and/or child) or family coverage) – see monthly rate sheet attached. Proof of other health coverage is required if you elect to waive Foundation coverage. Eligibility for participation in the benefit program is on the first day of employment unless otherwise noted.

Benefit Eligibility

All employees working 30 hours or more on average per week are eligible to enroll in benefits. You may also enroll your legal dependents, including your legally married spouse and children up to age 26. Children may be natural, adopted, stepchildren, and children through courtappointed legal guardianship. Mentally or physically disabled children may continue coverage beyond age 26.

Qualifying Life Event

Unless you experience a life-changing qualifying event, you cannot make changes to your benefits until the next Open Enrollment period. Qualifying events include things like:

Marriage, divorce or legal separation

Birth or adoption of a child

Change in child’s dependent status

Death of a spouse/domestic partner, child or other qualified dependent

Change in residence

Change in employment status or a change in coverage under another employer-sponsored plan.

Enrollment Details

What’s New for 2024?

Freshbenies

Telehealth virtual provider that provides $0 visits for cold, flu, pink eye, sinus infections and more.

Grow Counseling

An enhanced mental health benefit that will provide employees with oneon-one counseling services with licensed therapists at no cost to the employee.

Pet Insurance

Voluntary benefit billed directly through ASPCA to help keep your pets healthy. Variable options available to build your plan to best meet your budget and needs.

FSA & HSA

Consolidated Administrative Services (CAS) will be your new Health Savings Account and Flexible Spending Account Provider.

Open Enrollment

Open Enrollment is the one time of year you can review your current elections and make changes for the upcoming plan year outside of a qualifying event. All benefit elections and changes will be effective January 1, 2024.

All employees can complete online enrollment on Paycom. The deadline to complete Open Enrollment is midnight Friday, November 17th.

Key Benefit Dates

Jan. 1, 2024 – Dec. 31, 2024 Benefits Effective

Jan 12, 2024 Payroll Deduction for 2024

Deadline to complete Open Enrollment: Friday, November 17th

Your Medical Plans

Telehealth

Virtual healthcare where and when you need it.

How much does it cost?

[client name] pays 100% of the cost for all employees and their dependents. No copay, no payroll deduction, no deductible.

When to use this benefit?

• Minor conditions and common illnesses such as allergies, sinus infections, urinary tract infections, pink eye, rashes and influenza

• When the physician is unavailable and cannot be seen in a timely manner

• When your schedule doesn’t permit traveling to see your physician (work, travel, etc.)

Behavioral Health

• [client name] is partnering with GROW Counseling for a more individualized approach in 2024.

• Reach out to Benefit Butler or your HR Manager for further details and contact information.

What are the benefits of virtual healthcare?

Affordable: No out-of-pocket costs.

Convenient: Available at home or on the go, 7 days a week.

No waiting: Be seen in minutes or schedule a time to suit you.

[Freshbenies Logo]

[Grow Counseling Logo]

Your Dental Plan

(per calendar year)

& Diagnostic Services+ (routine oral exams, cleanings, x-rays)

Basic Services (fillings, extractions, root canals, periodontic care)

Services (inlays/onlays, crowns, bridges, dentures)

(children up to age 19)

*See Plan Documents for complete plan details. Balance billing may occur for services rendered by an out-of-network provider.

If your dentist recommends treatment for which charges exceed $200, we recommend that you obtain a pre-treatment estimate so that your exact out-of-pocket costs are known prior to beginning treatment.

Dental Provider Search

www.aetna.com

About Delta Dental networks

Aetna PPO Providers offer deep discounts from standard charges with no balance billing.

Your Vision Plan

Eyeglass Lenses or Contact Lenses

Contact Lens Fitting

$0 copay

reimbursement Materials $25 copay

Contact Lens Exam (Fitting & Evaluation)

Eyeglass Lens

Single Vision

Bifocal

Trifocal

Lenticular

Standard Progressives Plastic

Premium Progressives Plastic

Contact Lens

Elective

$40

$0 copay

$65 copay

$65 copay; 80% of charge less $120 allowance

$0 copay; $140 allowance, 15% off balance over allowance

$30 reimbursement

$45 reimbursement

$75 reimbursement

$45 reimbursement

$100 reimbursement

Medically Necessary Covered at 100% $200 reimbursement

Frame Allowance

$150 allowance, then 20% off balance over $150

$200 allowance if using Plus Provider

Laser Vision Correction 15% off retail price or 5% off promotional price

$105 allowance

Health Savings Account

You can contribute up to $4,150 on a pre-tax basis for individual, or $8,300 for family annually to help save and pay for current and future qualified healthcare expenses. Funds grow tax free.

No “use it or lose it” rules, funds remaining in the account (if any) carries over from year to year.

PayFlex debit card for reimbursements on all healthcare expenses, including prescription drugs.

Funds are available to the account holder after employment ends.

Healthcare and Dependent Care Flexible Spending Account

Healthcare Flexible Spending Account

You can contribute up to $3,200 on a pre-tax basis annually to pay for qualified healthcare expenses. PayFlex debit card may be used for qualified out-of-pocket expenses, if the provider allows the use of a credit card. prescription drug reimbursement only.

Dependent Care Flexible Spending Account

You and your spouse may together contribute up to a maximum of $5,000, or if you are married and do not file joint tax returns you can set aside up to $2,500.

If you are single you may contribute $5,000 to pay for dependent care costs while you and, if married, your spouse are at work.

Qualified dependents include: Your dependent children up to their 13th birthday or any dependents living with you for more than half the year and who is physically and mentally incapable of self-care.

The flexible spending accounts are administered by PayFlex. Detailed information on the healthcare and dependent care flexible spending accounts is available at www.payflex.com

Life Insurance

Basic Life Insurance and Accidental Death & Dismemberment

Ford Foundation provides all benefit eligible employees with 3x your annual salary to $66,666 plus 1x salary over $66,666 to $400,000 maximum in group term life and accidental death and dismemberment (AD&D) insurance.

Annual Open Enrollment

All eligible employees that are currently insured under this Voluntary Life Policy, may increase their Voluntary Life Insurance Benefit up to 1 units of 10,000 as long as the total benefit does not exceed the Guaranteed Issue Amount without completing Evidence of Insurability. You may also increase the Spouse Voluntary Life Benefit by 1 units of 5,000 if your spouse is currently insured, as long as the total benefit does not exceed the Guaranteed Issue Amount without completing Evidence of Insurability.

Beneficiary Information

Remember to review and update your life beneficiary information. Update this information throughout the year in the event of any life change such as a birth, death, divorce, etc.

Personal Accident Insurance Plan

Who Needs Personal Accident Insurance?

You do. Accident insurance can help you pay expenses if you or your spouse is seriously injured or killed in a covered accident. This insurance can help ensure that tragedy doesn’t take both an emotional and a financial toll on your family. By purchasing this insurance through your employer, you benefit from:

• Affordable group rates

• Convenient payroll deduction

If, within 365 days of a covered accident, bodily injuries result in:

Loss of life, or total paralysis of upper and lower limbs, or loss of any combination of two: hands, feet or eyesight

Total paralysis of both lower or upper limbs

Total paralysis of upper and lower limbs on one side of the body, or loss of hand, foot or sight in one eye, or severance and reattachment of one hand or foot

Loss of all four fingers of the same hand, or loss of all toes on the same foot, or loss of thumb and index finger of the same hand

Who Is Eligible For Coverage?

You – You are eligible for coverage if you are an active full-time, regular employee of the sponsoring employer working 30 or more hours per week. You will be eligible to elect insurance for yourself and your dependents on the first of the month following receipt of your application by the foundation.

Your Family – You may elect to cover your lawful spouse under age 70 and your unmarried dependent children who are under age 19 (or under age 26 if they are full-time students). Children must be dependent upon you for support and maintenance. No one may be covered more than once under this plan. If covered as an employee, you cannot also be covered as a dependent.

How Much Coverage Can You Buy?

You – You may select from $10,000 to $500,000 of coverage in units of $10,000 at an affordable price.

Your Family – Your Spouse’s benefit amount will be 50% of yours or 60% if you have no dependent children, subject to a maximum benefit of $250,000. Each of your covered children’s benefit amount will be 10% of yours or 15% if you have no eligible spouse, subject to a maximum benefit of $50,000.

Disability Insurance

Company Paid – Long-term Disability Insurance

Ford Foundation provides all benefit eligible employees with Long-term disability (LTD) insurance. The benefit includes:

• Monthly benefit equal to 60% of your monthly covered earnings to a maximum of $20,000 per month, due to an accident or illness.

• For employees who are continuously disabled for more than six months

Vacation, Sick Leave & Retirement

Vacation/Personal Days*

Vacation: 3 weeks (15 business days) in first year of service; 4 weeks (20 business days) in subsequent years. Vacation accrues on a monthly basis and can be taken after the completion of four months of service.

Personal Days: 10 days per year – 3 days for any reason, plus 7 days for defined reasons.

Sick Leave*

Full-pay or half-pay for up to 26 weeks, depending on length of service and duration of illness.

Retirement – Ford Foundation 403(b) Savings Plan

• Administered by Fidelity Investments

• Eligibility: First of the month following 30 days of employment.

• Qualified tax deferred retirement savings plan. Maximum employee pre-tax contribution for 2024 is $23,000; and additional pre-tax catch-up contributions of $7,500 for participants age 50+.

• Employees are automatically enrolled with contributions of 2% of eligible salary on a pre-tax and/or post-tax basis and receive Foundation matching contributions of 3% of eligible salary.

• Employees have the option to elect a different contribution amount or to waive participation in the plan.

• Foundation contributes an additional 10% of employee’s eligible salary, even if employee does not contribute.

• Immediate 100% vesting on all Foundation contributions.

• Employee-directed investments.

Other Benefits

• Bright Horizons (emergency child and elder care services)

• Employee Assistance Program – TELUS Health

• Level – A: Employee Gym, Mothers Room

• Matching Gifts Program

• Maisha Wellness Program: Meditation, Financial Counseling

• NY Paid Family Leave: 12 weeks paid leave.

• Reproductive and Family Support Policy, including adoption assistance

• Transit Options Plan (qualified transportation benefit) – Pay for transit/parking with pre and post-tax dollars.

• Tuition Reimbursement (up to $5,250 per calendar year)