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Employee Benefits Guide 2023
Table of Contents Introduction.........................................................................................2 Enrollment Information...............................................................3 Qualifying Life Event..................................................................... 4 Medical Plan Information...........................................................5 2023 Medical Plans.........................................................................6
Telehealth..............................................................................................7 Where to Turn for Health Care................................................8 Dental Plans........................................................................................9 Vision Plan..........................................................................................10 Important Phone Numbers..................................................... 11
Introduction Whether you are a new employee enrolling into your benefits for the first time or considering your benefits during open enrollment, this guide is designed to help you through the process. Teris is proud to offer a benefits package that includes medical, dental and vision insurance coverage for you and your dependents. Please take the time to read this information and ask questions so you can make the best benefits decisions for both you and your family.
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If you should have any questions: 1. Contact the carrier directly. Phone number and website information is on page 15. 2. Contact Teris at 844-614-7784. This booklet highlights important features of Teris’s benefits for its benefit eligible employees. While efforts have been made to ensure the accuracy of the information presented, in the event of any discrepancies your actual coverage and benefits will be determined by the legal plan documents and the contracts that govern these plans.
Enrollment Information OPEN ENROLLMENT
PRE-TAX VS POST-TAX DEDUCTIONS
Open Enrollment is from November 18th through November 30th. This is your one time per year to make changes.
Pre-Tax Dollars: Your insurance premiums are paid with money removed from your gross wages prior to any tax calculations. This reduces your tax liability and is a more efficient way to pay for premiums. Remember, you must choose pre-tax deductions for all your benefits to participate in a flexible spending account. You may elect to opt-out of this method of paying.
All benefit eligible employees are required to elect coverage by completing the appropriate enrollment form. Any coverage not actively selected will be considered a waiver of coverage.
NEW EMPLOYEES New Employees have 31 days from your hire date to complete enrollment in the group insurance program. If you have moved from a non-benefits eligible status to a benefits eligible status, you will have 31 days from the new benefits eligible status to complete your enrollment. All insurance coverage starts at the first of the month.
If benefits are elected, Teris will take payroll deductions for the appropriate premiums from your paychecks on a pre-tax basis.
Remember, if elections are not made within the 31-day initial period of eligibility, you will be required to wait until Annual Open Enrollment or until a Qualifying Life Event takes place. Late Enrollees may be required to satisfy a waiting period for the dental plan for certain services.
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Qualifying Life Event The elections that you make during Open Enrollment or at initial benefits eligibility will remain in effect for the plan year (January 1 – December 31). During that time, if your life or family status changes according to the recognized events listed below, you are permitted to revise your benefits coverage to accommodate your new status. You may make benefits changes by contacting the Benefits Department and providing the proper documentation. IRS regulations govern under what circumstances you may make changes to your benefits, which benefits you can change and what kinds of changes are permitted.
✓ All changes must be consistent with the qualifying life event.
✓ In most cases, you cannot change your benefit plan, but may modify the level of your coverage (in other words, you can add or delete dependents, enroll or dis-enroll yourself or dependents, but not switch insurance carriers or plans). Any changes in benefit levels must be completed within 31 days of the qualifying life event.
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QUALIFYING LIFE EVENTS LIST Marital Status Changes
Covered Dependent Changes
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Marriage
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Death of spouse
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Divorce
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Spouse gains or loses coverage from another source
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■
■
Spouse employer’s
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Open Enrollment
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Birth or adoption of a child Death of dependent child Dependent becomes ineligible for coverage
Medical Plan Information 1
1
The network Teris will use for hospitals and physicians.
2
The company that will administer the pharmacy benefits for Teris.
3
The company that will process Teris’s medical claims.
Aetna Teris
2
Express Scripts
EMI Health
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SUMMARY Medical benefits provide you and your family access to quality health care. Teris offers two medical plans with different coverage levels from which to choose. All plans are provided through EMI Health. EMI Health contracts with Aetna to use their PPO Network for the PPO and HDHP plans. To search for a Aetna PPO provider, visit emihealth.com or call 800.662.5851.
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2023 Medical Plans PPO 1500
HDHP 3000
In Network
In Network
Network
Aetna
Aetna
Lifetime Maximum
Unlimited
Unlimited
Calendar Year
Unlimited
Unlimited
Individual
$1,500
$3,000
Family
$3,000
$6,000
Coinsurance
20%
0%
Individual
$3,500
$3,000
Family
$7,000
$6,000
Inpatient Hospital
20% After Deductible
0% After Deductible
Outpatient Hospital Emergency Room
20% After Deductible
0% After Deductible
$250 Copay
0% After Deductible
Urgent Care
$75 Copay
0% After Deductible
Office Visit
$25 Copay
0% After Deductible
Specialist Visit
$40 Copay
0% After Deductible
Preventive Care
Covered In Full
Covered In Full
Lab & X-Ray
$25 Copay
0% After Deductible
Chiropractic
$40 Copay
0% After Deductible
Tier 1
$10 Copay
0% After Deductible
Tier 2
$30 Copay
0% After Deductible
Tier 3
$60 Copay
0% After Deductible
Mail-Order
2.5x Retail
0% After Deductible
Deductibles
Out-of-Pocket Max
Hospital Services
Routine Services
Prescription Drugs
Both PPO and HDHP plans include out of network coverage at higher deductibles and out of pocket maximums.
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Telehealth Recuro – 24/7/365 On-demand access to affordable, quality healthcare. Anytime. Anywhere. If you choose to enroll in the medical plan, you will have access to Recuro Health. Whenever you have an issue, simply connect with Recuro board-certified doctors, available by phone, video or chat. They are specially trained to diagnose, treat and prescribe medications for a wide variety of common medical conditions, helping you avoid the costly and time-consuming trips to the doctor or urgent care centers.
✓ Talk to a real doctor, 24x7. No need to schedule an appointment or limit your visits.
✓ Save money and time, while avoiding costly trips to a doctor’s office, urgent care or ER.
WHAT CAN BE TREATED? ✓ Acne ✓ Allergies ✓ Asthma ✓ Bronchitis ✓ Cold & Flu ✓ Constipation ✓ Diarrhea ✓ Ear Infection ✓ Fever
WHEN SHOULD I USE RECURO? ✓ Instead of going of the ER or an urgent care center for a non-emergency issue
✓ During or after normal business hours, nights, weekends and holidays
✓ If your primary care physician is not available ✓ To request prescriptions (when appropriate) ✓ If traveling and in need of medical care
ARE MY CHILDREN ELIGIBLE? Yes! WellVia has pediatricians on call 24/7.
HOW MUCH DOES IT COST? Nothing! Every consultation is free for you and all of your dependents.
✓ Headache ✓ Insect Bite ✓ Joint Aches ✓ Nausea ✓ Rashes ✓ Sinus Infection ✓ Sore Throat ✓ UTI ✓ And more!
member.recurohealth.com 855.6RECURO
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Where to Turn for Health Care Save Money by Choosing the Best Service for Your Needs Where you receive medical services makes a huge impact on your costs. Choosing the right health care service can provide more appropriate care, more convenience, and more reasonable costs to you.
MINOR
$0
TELEMED TeleMed is perfect for minor aches and ailments. Some 70% of doctor visits can be handled over the phone. There is no cost for a consult and you can receive a diagnosis and prescription for many common illnesses. Call 855.6RECURO for the following ailments: ✓ Allergies ✓ Asthma ✓ Bronchitis
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✓ Cold or Flu ✓ Ear Ache ✓ Fever
✓ Heartburn ✓ Nausea ✓ Rash
✓ Sinus infection ✓ Sore throat
OFFICE VISIT Schedule a visit with a participating provider for non-life-threatening conditions. Sprains, back pain, minor cuts or burns, and minor eye injuries are good examples of conditions where a visit to your primary care provider is your best option. A convenience clinic would also work well with these types of care and cost of services.
$$$
URGENT CARE Visit an Urgent Care facility for non-life-threatening but urgent care needs. Urgent Care facilities give you the convenience of extended hours and a much lower cost for many medical situations. Stitches, x-rays, broken bones, and labs can be handled at most Urgent Care facilities.
$$$ MAJOR
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EMERGENCY ROOM (ER) VISIT Visit the ER for serious and/or life-threatening conditions. ERs are not set up to care for routine illness and work on the most serious cases first. This means you may have to wait longer for your care and costs are very high. Visit the ER if you experience: ✓ Trouble breathing ✓ Sudden, unusual headache ✓ Signs of stroke ✓ Severe chest pain ✓ Heavy bleeding
✓ Deep wound ✓ Seizure ✓ Head or spine injury ✓ Broken bone
Have questions? Give us a call at 800.662.5851 or visit emihealth.com.
Dental Plans EMI HEALTH
Individual Family Annual Plan Maximum
Type I Diagnostic & Preventive Services Exams Cleanings Bitewing x-rays
Type II Basic Services Amalgam & composite fillings Root canals Simple Extractions Periodontal maintenance
Type III Major Services Crowns Dentures Bridges Surgical extractions
Orthodontia Services Orthodontia Age Limitation Lifetime Maximum Lifetime Deductible Adult Orthodontia
OPTION 1 Choice Indemnity PPO Plan
OPTION 2 DHMO Plan
Advantage Network
Premier Network / Out of Network*
Advantage / Careington Network
$0 $0 $2,000
$50 $150 $1,000
$0 $0 N/A
100% 100% 100% 100%
100% 100% 100% 100%
$0 $0 $0 $0
90% 90% 90% 90% 90%
80% 80% 80% 80% 80%
Copays apply; see copay schedule in plan documents
60% 60% 60% 60% 60%
50% 50% 50% 50% 50%
Copays apply; see copay schedule in plan documents
19 years old 50% to $1,000 N/A N/A
*Up to Reasonable & Customary
The Teris dental plan includes preventive services and office visits. 9
Vision Plan
All standard lenses are covered.
EMI HEALTH VSP PLUS NETWORK
In Network
Out of Network
Exam
$10 Copay
Reimbursed to $65
Frequency
Every 12 Months
Every 12 Months
Lenses
Covered 100%
Reimbursed to $30 to $100
Single/Bifocal/Trifocal/ Lenticular
after $10 copay
depending on lens
Frequency
Every 12 Months
Every 12 Months
Frames
$130 Allowance
Reimbursed to $80
Frequency
Every 12 Months
Every 12 Months
Contact Lenses
$130 Allowance
Reimbursed to $115
Every 12 Months
Every 12 Months
Lasik Surgery
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15% off Retail
Important Phone Numbers EMI Health Medical / Dental / Vision 800.662.5851 www.emihealth.com
Recuro Health Telehealth member.recurohealth.com 855.6RECURO
Medical Network: Aetna Dental Network: Careington Dentemax Vision Network: Select “VSP Plus“
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About this booklet This booklet highlights important features of Teris Corporation’s benefits for its benefit eligible employees. While efforts have been made to ensure the accuracy of the information presented, in the event of any discrepancies your actual coverage and benefits will be determined by the legal plan documents and the contracts that govern these plans.
Capital Financial 14614 N. Kierland Blvd., Suite N230, Scottsdale, AZ 85254 Office / 480.347.0926 Fax / 480.360.6417